Registration form for Non-students

Registration Form for SPONSORS

WHAT YOU GET for sponsoring a student:
UNLIMITED Hours | HIGH SPEED Access | EXCLUSIVE Dial-up Numbers | NO Advertising | FREE Technical Support
All for a GOOD CAUSE!

 

Please Note:

x Fill out the details below to register for an account with Wiplash.
x To be eligible, you must sponsor a student, for which the charges are given below.
x You can sponsor more than one student, and for as many months as you like.
x Your account will be valid for the duration of the sponsorship.
x Multiple logins or giving your password to others may result in termination of your account.
x This account is available in the NCR (i.e Delhi, Faridabad, Noida, Gurgaon) only.

ALL INFORMATION IS REQUIRED FOR THIS FORM TO BE PROCESSED!

Please choose your account type:
Duration
Total Cost
Private Sponsor Account
Company Sponsored Account

First Name
Last Name
Date of Birth
Sex
 Male Female
Residential or Office Address
Phone Number
Email Address
Preferred Username
Preferred Password
Referred By
 (optional)