Page 1 of 4

Registration : LetsUpgrade Student Ambassador Program

Email Id

Full Name

( Note: This name will be used on the ID Card & Certificate)

Phone Number

(preferrably WhatsApp for all official updates)

Alternate Phone Number

Gender

Gender
A
B
C
D

Date of Birth

Flat, House no., Building, Company. Apartment

Note : This address will be used to deliver your swags. This cannot be changed afterwards

Area, Street, Sector

Landmark (E.g. Apollo Hospital)

Town

Pincode

State

LinkedIn Profile Link

Instagram profile link

Upload your selfie photo

This photo will be used for ID Card and to introduce you to our LetsUpgrade Community. Use this link for reference - https://luc.to/photosample

T-shirt size

These sizes will be used to dispatch your swags later and cannot be changed afterward

Have you joined LetsUpgrade Student Ambassador Program before?

Have you joined LetsUpgrade Student Ambassador Program before?
A
B

What best describes your current role?

What best describes your current role?
A
B
C