OFFICIAL SUGGESTIONS, COMPLAINTS & COMMENTARY FORM
GRADUATE STUDENTS CLUB 
FACULTY OF MEDCINE AND HEALTH SCIENCES
UNIVERSITI PUTRA MALAYSIA
___________________________________________________________________________________________________

INSTRUCTIONS
___________________________________________________________________________________________________

1. Please complete the form and send it to gscfmhs@yahoo.com as attachement.

2. Email notification will be sent once the form is processed.

3. Only official suggestions, complaints and comments will be following up by the GSC committee.
   Online forum only serves as discussion platform among students, GSC committee members and staffs. 
   GSC is not necessarily take any actions on any issues mentioned in the forum.

___________________________________________________________________________________________________

PERSONAL INFORMATION
___________________________________________________________________________________________________

Name*		:

Matric/staff No*:

Department	:

Faculty		:

Tel (Mobile)	:

Tel (Home)	:

Email*		:


* Field mark by asterisks are compulsory

__________________________________________________________________________________________________

SUGGESTIONS, COMPLAINTS $ COMMENTS
__________________________________________________________________________________________________

(Please type your text here)











_________________________________________________________________________________________________

PLEASE DO NOT FILL THIS SECTION
_________________________________________________________________________________________________

Received and processed by: _______________________

Date : ____________________

Action(s) taken :