Online Application

Samaritan Mission School

Online Admission (Session - 2025)

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Email: *

Name: *

Address: *

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Religion: *

Caste Category: *

Date of Birth: *

Blood Group: *

Siblings *

State of Origin (please specify in case parents hail from different states): *

Languages(s) spoken at home: *

Father's Name: *

Father's Education Qualification: *

Father's Occupation: *

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Mother's Name: *

Mother's Education Qualification: *

Mother's Occupation: *

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Contact Number: *

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Aadhaar Number: *

Annual Family Income: *

Previous School * NA

Previous Class *

* Pay application fee of Rs. 50/- after filling form.
* All fields are mandatory.

We hereby certify that the information given in the Form is complete and accurate. We do hereby consent to abide by the rules & regulations of the school.

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