St. Vivekanand Millennium School

HMT Township, Pinjore 134101
Tel: 01733-263960, 9034020390 Email: info@vivekanandpnj.com
Web: http://www.vivekanandpnj.com

Registration Form

 

Sibling DetailsProceed for Payment, if Registration Form Already Filled

Sibling (Real Brother/ Sister) only studying in St. Vivekanand Millennium School   
 
 

Student Details

Student First Name*
Student Middle Name
 
Student Last Name
Gender*
 
Academic Year*
Admission sought in class*
 
Date of Birth*
Category
 
Nationality
Blood Group
 
Email*
Mobile No.*
 
Mother Tongue
Religion
 
Student's Photo (Max-2 MB)*

Communication Address

Address
 
Country
 
City
State
 
Pin Code
 
 

Residential Address

Address*
 
City*
 
State*
Pin Code*
 

Father's Details

Father Name*
Qualification
 
Occupation
Organization
 
Designation
Annual Income
 
Phone(Off.)
Address(Off.)
 
E-mail*
Mobile No.*
 
Father's Photo (Max-2 MB)*
 
 

Mother's Details

Mother Name*
Qualification
 
Occupation
Organization
 
Designation
Annual Income
 
Phone(Off.)
Address(Off.)
 
E-mail
Mobile No.*
 
Mother's Photo (Max-2 MB)*
 
 
 
 
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