The PSBB Millennium School
237 & 238, Somayampalayam
Coimbatore TN 641108

Registration Form

Academic Session 2024-25

Parents are requested to note:

  • This is not an Admission Form, nor does the submission of this form entitle any child automatic admission to the school.
  • Any pressure or recommendation that is brought to bear on the school authorities will automatically disqualify this application.
  • * implies mandatory fields

(between 01/Dec/2006 to 30/Nov/2021)

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)


Residential Address

Other Details

Name Age Gender Class/Sec Admission Number / 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.