Junior Cube Association

First Name *

Father Name

Last Name *

Date of Birth *

Mentor Name * (If you don’t have a mentor, select Cube Pluss)

Gender *

Boy Girl Other

Contact Number *

Whatsapp Number *

Email *

Communication Address *

Communication City *

Communication State *

Communication Country *

Communication Pincode *

Communication Landmark

Prize Address * (Prizes get delivered here)

Prize Landmark

School Name *

Prize Collector Name *

Prize Collector Mobile *

Upload ID Proof * (Adhar Card / Birth Certificate)

Note: (Maximum size 1 MB) Don't upload files directly from Google drive

Password *

Confirm Password *

Upload Profile Picture

Note: (Maximum size 1 MB) Don't upload files directly from Google drive

Confirm Details *

Pay Rs. 300/- for One Year Junior Cube Registration.