PSBB Learning Leadership Academy
No. 52, Laxmipura Sahasra Deepika Road, Off. Bannerghatta Main Road
Bangalore KAR 560083

Registration Form

Academic Session 2020-21

Parents are requested to note:

  • * implies mandatory fields

(between 01/Dec/2005 to 30/Nov/2017)

Parent Information

Mother

Father

Name *
Date of Birth *
Education *
Mobile Number *
Email *
Aadhaar Card No.

Please specify the following (if applicable)

Occupation *
Designation
Name of the Organization
Office Address
Annual Income (in Lacs)

Name Age Gender Class/Sec USN / STS Number
a
b
c
d
This is to certify that the facts given by me on the registration form are true. I understand that if any part of it is found to be false, this registration will be cancelled.