THE PSBB MILLENNIUM SCH COIMB ESCROW A/C Online Registration

Registration Form

Academic Session 2025-26

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

Candidate's Details

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

Gender ^*

Date of Birth ^*

(between 01/Dec/2007 to 30/Nov/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