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:
Mothers's Name:
Email:
Phone:
DOB:
Gender: Male Female Other
Nationality:
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Academic Details Highest Qualification:
Stream
Percentage/CGPA
Year of Passing:
Subjects Studied:

Physics Math CS English Chemistry

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Preferred Course:
Admission Category: General SC ST OBC EWS

Internet Usage & Skills Internet Access? Yes No
Devices Used: Laptop Mobile Tablet Desktop
Average Usage:
Preferred Study Time:
Weekly Data Usage: 50GB
Favorite Social Platform:
Skills: HTML CSS React Node.js MongoB Git
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Favorite Color:
Internet Satisfaction: 5

Declaration Why join CodingGita?
How has Internet helped your education?
Recommend CodingGita? Yes No
I hereby declare all information is true.
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Date of Submission: