CodingGita University - Admission + Internet Survey Form

Please fill out thius 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:

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DOB:

Gender: Male Female Other

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Academic Details Highest Qualification:

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Percentage/CGPA:

Year of Passing:

Subject Studdied: Physics Maths Chemistry English Computer science

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Preferred Course:

Admission Category: General OBC SC ST EWS

Internet Usage & Skills
Inernet Access: Yes No

Device Used: Laptop Mobile Tablet Desktop

Average Usage:

Preferred Study Time:

Weekly Data Usage:

Favorite Social Platform:

Skills: HTML CSS React Node.js MongoDB Git

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Internet Satisfaciton:

Declaration and Final Submission Why do you want to join CodingGita?

How has the 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: