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 :
Date of Birth :

Gender

Male Female Other

Nationality Upload Photo (JPG/PNG only) Max file size as per site policy. Accepts .jpg, .jpeg, .png.

Academic Details Highest Qualification Stream Percentage / CGPA Year of Passing Enter the 4-digit year of passing. Subjects Studied

Physics Chemistry Math Biology Computer Science English Others

Upload Certificates (multiple) 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) — Drag to select GB usage Favorite Social Platform id="socials">

Skills HTML CSS JavaScript React Node.js MongoDB Git Others

Upload Internet Speed Test Screenshot Pick your favorite color How satisfied are you with your internet speed? (1-10)

Declaration & 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