Feedback Form For Teacher Evaluation By Students Page 4

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Rating
(Below
(Avg.)
(Good)
(Very
(Excellent)
Avg.)
2
3
Good)
5
Subject
1
4
Inspires students for ethical
40.
conduct
Acts as a role model
41.
Sub Total (F)
Total (A+B+C+D+E+F)
Additional Remarks (If any):…………………………………………………………………………...............................................
………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………….
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
(Please cut along the dashed line and deposit it separately)
Name of the Student ………………………………………………………..…………………………..…………………………..........
Name of the Department/Institute……………………………………………………………………………………………………
Name of the Teacher who has been evaluated.…………………………..…………………………..……………………....
Title of the course and course no. taught by the teacher……………………………………………………………………
Session ……………………… Class ……………………………Semester ………………………….. Roll No. …………………….
Date……………………….
Signature of the student
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