Student Admission + Internet Usage Survey Form

Personal Information Full Name:

Father's Name:

Mother's Name:

Email Address:

Phone Number: Enter a valid 10-digit number

Date of Birth:

Gender Male Female Other

Nationality:

Upload Photo (JPG/PNG only):

Academic Details Highest Qualification:

Stream:

Percentage/CGPA:

Year of Passing:

Subjects Studied Physics Chemistry Math Biology CS English Others

Upload Certificates:

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)

Favorite Social Platform

Skills HTML CSS JS React Node.js MongoDB Git Others

Upload Internet Speed Test Screenshot:

Pick your favorite color

How satisfied are you with your internet speed?

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