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 :

Phone : Enter a valid 10-digit phone number

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

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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 (GB)

Favorite Social Platform

Skills HTML CSS React Node.js MongoDB Git

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Favorite Color

Internet Satisfaction (1–10)

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