Student Admission + Internet Usage Survey Form
Personal information
Full Name
Father Name:
Mother Name:
Email:
Phone number
phone number must be in the range of 6000000000 to 9999999999
Date of Birth
Gender:
Male
Female
Nationality
Indian
NRI
Other
Upload passport-size Photo
Education
Highest Qualification
High school
Intermediate
Backelor
Master
Stream
Science:PCM
Science:PCB
Commerce
Arts
Percentage/CGPA
Year of passing
Subjects Studied
physics
chemistry
Math
CS
English
PHE
Upload certificates:
certificates
Preferred Course
MERN Stack
DSA Bootcamp
AI/ML Developer
cloud Computing
Admission Catergory
General
SC
ST
OBC
EWS
Internet Usage & Skills Survey
Internet Access?
Yes
No
Devices used daily:
Laptop
Mobile
Tablet
Desktop
Average daily usage
<1 hour
1-3 hour
3-6 hour
6+ hours
Preferred study time
Weekly Data Usage(GB)
50
GB
Favorite Social Platform
Skills
HTML
CSS
React
Node
MongoDB
Git
Others
Upload Internet Speed Test Screenshot:
Pick your favourite color
How satisfied are you with your internet speed?
5
Declaration & Final Submission
Why do you want to join CodingGita?
How has internet helped your education?
Would you recommend CodingGita to friends?
Yes
No
I hereby declare all information is true.
Upload Signature:
Date of submission: