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:

DOB:

Gender: Male Female Other

Nationality:

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Academic Details Fieldset

Highest Qualificaton: Stream:

Percentage/CGPA:

Year if Passing:

Subject Studied: Physics Chemistry Maths Biology CS English Other

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Perferred Course:

Admission Category: General SC ST OBC EWS

Internet Usage & Skills Fieldset

Internet Access? Yes No

Devices Usage: Laptop Mobile Tablet Desktop

Average Daily Usage:

Preferred Study Time

Weekly Data Usage: GB (1-100)

Favorite Social Platform:

Skills: HTML CSS JS React Node.js MongoDB Git Other

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Internet Satisfaction:

Declaration Fielset

Why join CodingGita?

How has Internet helped your education?

Recommend CodingGita? Yes No

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

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Date of Submission: