I, hereby, declare that the above information is true and correct. I wish to register my child for admission in
Samaritan Residential Schools for the academic year 20 - 20 .
4/122 Samaritan School Road, Carmel Nagar,
Mangalam Village, Elagiri Hills - 635 853
Tamil Nadu, INDIA
Phone: +91-7305765469 and +91-9962765469 firstname.lastname@example.org