PSBB LEARNING LEADERSHIP ACADEMY Online Registration

Registration Form

Academic Session 2025-26

Parents are requested to note:

UKG TO CLASS III - SECOND LANGUAGE KANNADA AND ADDITIONAL LANGUAGE HINDI
CLASSES IV AND V - SECOND LANGUAGE KANNADA AND ADDITIONAL LANGUAGE HINDI/ SANSKRIT
CLASSES VI,VII,VIII - SECOND LANGUAGE KANNADA/HINDI//SANSKRIT
CLASSES VI,VII,VIII - THIRD LANGUAGE - COMPULSORY KANNADA/ HINDI
CLASSES IX & X - SECOND LANGUAGE KANNADA/HINDI/SANSKRIT
* implies mandatory fields

Candidate's Details

Name of the Child (as per Birth Certificate) ^*

Gender ^*

Date of Birth ^*

(between 01/Dec/2008 to 01/JUN/2022)

Age as on 01/Jun/2025

Staff Child

Mother Tongue ^*

Religion ^*

Caste ^*

Nationality ^*

Candidate's Aadhaar No.

Candidate's EMIS / SATS No.

Class to which admission is sought: ^*

School last attended (if any)

Last class attended

Medium of Instruction

Language preferences: (applicable from Class I onward)

Second Language

Third Language

Parent Details

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)

Marital Status ^*

Communication Details

Residential Address ^*

PIN Code^*

City ^*

State ^*

Residential Phone No. (s) ^*

Emergency Phone No. (s) ^*

Email for communication with school for admission ^*

Other Details

How did you know about our School?^*

Distance to School from Residence^*

Mode of Transport ^*

Does your child have any major ailment/allergy? ^*

If "YES", please specify

Sibling in School

If "Yes/Applied", then please specify the name of sisters and brothers in chronological order (oldest to youngest)

	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