PRIZE CLAIM REGISTRATION

 

Kindly fill up this information and post it only after receiving your Admit Card No. in the self addressed envelope provided.

Information Required for Prize Claim

1.   Name in CAPITAL Letters as filled on GATE form is :

2.   Admit Card No.

3.   Branch for GATE               EC       EE       IN          CS              IT           ME

4.   Course enrolled at Vidyalankar for     SLP     QBS      Test Series    QBS + Test Series        

5.   My Tel. No. is (with STD code)  Mobile

6.   My e-mail ID is

7.   Have you taken GATE earlier     Yes        No
      If yes, GATE score was

 

Feedback Form :

1.   Quality of the Questions :
     
Simple                                        Tough                               Very Tough

2.   Explanation level of Model Solutions :
     
Comprehensive                            OK                                    Bad
      If bad, please specify why ?

3.   Was our study material dispatched to you promptly ?
     
Yes                                            No
      If no, please specify

4.   Friendliness of our staff when you interacted either personally or telephonically :

      Friendly                                       Indifferent                           Patient                Curt

5.   Were you dissatisfied on any account with us ?
     
Yes                          No
      If yes, please specify 

6.   Did you take ay other coaching for GATE ?

 

Class Room

Correspondence

Test Series

Yes        No Yes        No Yes        No

    

  If yes, please specify  

Text Box: If Yes, please specify 
 

 7.   I would definitely recommend this course to my friends for GATE.

      Yes                           No

8.   In which Semester of Engineering did you start the preparation for your GATE Exams      

9.   Any other Suggestions :