The Millennium School, Surat

Enquiry Form

STUDENT DETAILS

First Name

*This Field is Mandatory

Last Name

*This Field is Mandatory

Gender

Male

Female

Class To Which Admission Is Sought

*This Field is Mandatory

Admission Sought for Academic Year

Date of Birth

*This Field is Mandatory

Previous School

*This Field is Mandatory

Additional Info About Child If Any

SIBLING DETAILS

Sibling Name

Sibling Class

MOTHER'S DETAILS

Name

*This Field is Mandatory

Qualification

Occupation

Company Name

Designation

Mobile No.

*This Field is Mandatory

Email Id

FATHER'S DETAILS

Name

*This Field is Mandatory

Qualification

Occupation

Company Name

Designation

Mobile No.

*This Field is Mandatory

Email Id

ADDRESS DETAILS

House no/Block no.:

*This Field is Mandatory

Area/Locality:

*This Field is Mandatory

State:

Landline no.:

Street Name:

*This Field is Mandatory

City:

Pin Code:

Distance From School (Km):

Reasons For Leaving Previous School:

Expectations From The Millenium School:

How did you get to know about The Millennium School?

Source :