Ccentric

Registration Form

Mobile*

Exam*

Name of Student*

Email*

WhatsApp No*

Current Location(City Name)*

Father's Name*

Father's Contact Number*

Father's Occupation*

10th Percentage*

10th Pass-out Year*

Medium of Education Board*

10th Marksheet Copy*

12th or Diploma Board(Either one)*

12th or Diploma Percentage*

12th/Diploma Pass-Out Year*

12th Marksheet Copy*

B.Tech Branch*

B.Tech Pass-out Year*

Name of the Institute/College*

B.Tech Percentage*

B.Tech Marksheet Copy

Name of the Affiliated University*

Updated Resume*

If Employed, Name of the Company.

If Employed, Tentative Annual Package

If Employed, Residing City

If Not Employed, Present Residing City

Aadhar Number*

Permanent Address*

Current Residing City

Correspondence Address

Password*