CodingGita University = Admission + Internet Survey Form

Please fill out this application 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: Must be a 10-digit number

Date of Birth:

Gender Male
Female
Other

Nationality:

Upload Photo (JPG/PNG only):

Academic Details Highest Qualification:

Stream:

Percentage / CGPA:

Year of Passing:

Subjects Studied Physics
Chemistry
Math
Biology
CS
English
Other

Upload Certificates:

Preferred Course:

Admission Category General
SC
ST
OBC
EWS

Internet Usage & Skills Survey

Do you have Internet access? Yes
No

Devices Used Daily Laptop
Mobile
Tablet
Desktop

Average Daily Usage:

Preferred Study Time:

Weekly Data Usage (GB):

Favorite Social Platform:

Skills HTML
CSS
JS
React
Node.js
MongoDB
Git
Other

Upload Speed Test Screenshot:

Pick your favorite color:

How satisfied are you with your internet speed?

Declaration & Final Submission Why do you want to join CodingGita?

How has the Internet helped your education?

Would you recommend CodingGita to friends? Yes
No

I hereby declare that the information provided above is true to the best of my knowledge.

Upload Signature (JPG/PNG):

Date of Submission: