CUSTOMER FEEDBACK FORM |

MMARAU — Feedback & Information Request Form

Submission type

⚠

Complaint

Report a problem or concern

★

Compliment

Praise a service or staff member

💡

Suggestion

Propose an improvement

📄

Appeal / Grievance

Academic or administrative

Personal details

Full name *

Student / Staff ID

Email address *

Phone number

Department / Unit concerned *

Date of incident / observation

Priority level

Details

Subject / Title *

Full description *

Preferred resolution / outcome (optional)

Anonymity & consent

Submission preference

Named submission Anonymous submission

I consent to my information being used to process this submission and for the university to contact me if clarification is needed.

Ref: —

Requestor details

Full name *

Organisation / Institution

Email address *

Phone number

Capacity in which you are requesting

Date of request

Information requested

Information category *

Preferred response format

Specific information requested *

Purpose / intended use of information

Response deadline (if applicable)

Level of urgency

Declaration

I confirm that the information I have provided is accurate and that I will use any information received in accordance with applicable laws and the university's data use policies.

I acknowledge that the university may need to consult third parties or redact certain information before responding, in accordance with the Access to Information Act 2016.

Ref: —

Maasai Mara University