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 Fieldset
Full name :
Father's name :
Mother's name
Email:
Phone:
Date of birth:
Gender:
Male
Female
Nationality:
Indian
NRI
other
Upload photo:
Academic Information
Highest Qualification:
High School
Bachelor's Degree
Master's Degree
Ph.D.
Stream
-- Select --
Science
Commerce
Arts/Humanities
Computer Science
Other
Percentage/CGPA
Year of Passing:
Subjects Studied
Physics
Chemistry
Math
Biology
Computer Science
English
Others
Upload Certificate:
Preferred Course:
-- Select --
MERN
DSA
AI/ML
Web Dev
Cloud
Admission Category:
-- Select --
General
SC
ST
OBC
EWS
Internet Usage & Skills Fieldset
Internet Access?
-- Select --
Yes
No
Devices Used:
Laptop
Tablet
Mobile
Desktop
Average Internet Usage (in hours):
-- Select --
1 hour
2 hours
3 hours
4 hours
5 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
Submit Application
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