CodingGita University - Admission + Internet Survey Form

Please fil out this application form completely. your admission will be considered along with the internet usage survey for research purposes.

Personal Information Full Name:

Father Name:

Mother Name:

E-mail:

Phone Number:

Date Of Birth:

Gender Male Female Other

Nationality:

Upload Photo:

Academic Details Academic Qualification:

Stream:

Percentage/CGPA:

Year Of Passing:

Subjects Studied:
Physics Chemistry Maths Biology CS English Other

Upload Certificates:

Preferred Course:

Admission Category: General SC ST OBC EWS

Internet Usage & Skills Survey Internet Access:
Yes No

Device Used Daily:
Laptop Mobile Tablet Desktop

Average Daily Usage:

Preferred Study Time:

drag to select GB usage.

Favourite Social Platform:

Skills:
HTML CSS JS React Node.js MongoDB GitHub Others

Upload Internet Speed Test Screenshot:

Pick Your Favourite 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: