CodingGita University - Admission + Internet Survey Form

Please fill out the form completely. Your admission will be considered along with the internet usage survey for research purposes.

Personal Information

Full Name

Father's Name

Mother's Name

Email Address

Phone Number Enter a 10-digit number between 6000000000 and 9999999999

DOB

Gender: Male Female Other

Nationality: Indian NRI Other

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Academic Information

Highest Qualification:

Stream

Percentage/CGPA

Year of Passing:

Subjects Studied

Physics

Chemistry

Math

Biology

Computer Science

English

Others

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Preferred Course:

Admission Category:

Internet Usage & Skills Fieldset

Internet Access?

Devices Used: Laptop Tablet Mobile Desktop

Average Internet Usage (in hours):

Preferred Study Hours:

Weekly Data Usage (in hours):

Favorite Social Media Platform:

Skills: HTML CSS React Node.js MongoDB Git

Upload Speed Test Screenshot:

Favorite Color

Internet Satisfaction

Declaration & Final Submission

Why do you want to join CodingGita?

Would you recommend CodingGita to friends? Yes No

Signature

I declare that the information provided is true and accurate to the best of my knowledge.

Date of Submission