Student Admission + Internet Usage Survey

Pleae 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: Enter a valid 10-digit Indian mobile number

Date of Birth:

Gender : Male Female other

Nationality: Indian NRI Other

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Academic Details Highest Qualification:

Stream:br

Percentage/CGPA:

Year of Passing:

Subjects Studied: Maths English Physics Chemistry Computer Science

Upload Certificates:

Preferred Course:

Admission Category: General OBC SC st EWS

Internet Usage & Skills Fieldset Internet Access? Yes No

Devices Used: Laptop Mobile Tablet Desktop

Average Usage:

Preferred Study Time:

Weekly Data Usage: 0

Favorite Social Platform:

Skills: HTML CSS React Node.js MongoDB Git

Upload Speed Test Screenshot:

Favorite Color:

Internet Satisfaction: 0

Declaration Fieldset Why 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:

Date of Submission: