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 :

Full Name :

Full Name :

Email :

Phone :

DOB :

Gender : Male Female Other

Nationality :

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Academic Details Fieldset

Highest Qualification :

Stream :

Percentage/CGPA :

Year of Passing

Subjects Studied : Gujarati Physics Math CS English

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Preferred Course :

Admission Category: General SC ST OBC EWS

Internet Usage & Skills Fieldset

Internet Access? Yes No

Devices 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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Favorite Color :

Internet Satisfaction:

Declaration Fieldset

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 :