Student Login

Placement Assured Program (B. Tech. CSE)

Registration Form

Registration No. : CUC202504057

Full Name / पूरा नाम^* :

Date of Birth^* :

Gender ^*:

Male

Female

Email Address^* :

Contact No.^*:

Whatsapp No.

Legal Guardian Name^*:

Guardian Relation^*:

Gurdian Occupation:

Address Details

Address-1^*:

Address-2:

State ^*:

District ^*:

Pincode ^*:

Education Details

Matric (10)^*

Intermediate (12)^*

Choice of Locations(Any of Three)

Have you applied for JEE Mains ? ^*:

Yes No

Reference No.