3110245400057

Sadiq Progressive School

Bahawalpur

Admission Form

Applicant's Name:

B.Form:

Date of Birth:

Father's Name:

Mobile:

Mother's Name:

Muhammad Hasnain Shafi

3110245400057

Gender:

Male

10 September 2007, 12:00:00 am

Zulfiqar Hussain

03008584174

Gull Nasreen Ashraf

CNIC:

3110205670815

Profession:

Farmer

CNIC:

3110253594420

Mobile:

03008684174

Profession:

Teacher

Permanent Address of Father/Mother:

Chak No. 174/m Tehsil Chishtian, Distt Bahawalnagar

District:

Bahawalnagar

Province:

Punjab

Tel:

2440555

Mobile:

03008584174

Email:

Address for Correspondence:

The knowledge School Fort Abbas Road Dahranwala

District:

Bahawalnagar

Religion:

Class last attended:

Islam

Nationality:

8th

Province:

Punjab

Pakistan

Medium of Instruction:

County of stay:

Pakistan

English

School last attended:

The knowledge School Dahranwala

Board/University:

Bahawal nagar

Identification Mark:

N /A

Admission desired in class:

9P

with effect from:

September 2022

Roll no. Name & Class of brother/Sister(s) at present studying  at Sadiq Public School:

Name and address of two persons (who may be contacted in an emergency):

i)

Mr.Zulfiqar Hussain ,

Relation with student:

Father

Tel:

0632440555

Mobile:

03008584174

ii)

Gull Nasreen Ashraf

Relation with student:

Mother

Tel:

0632440555

Mobile:

03008684174

2. School reserves the right to accept or reject any admission or withdraw / rusticate after admission which shall not be challenged in any Court of Law and Forum.

3. I promise:

i.  to pay the fees in advance timely, as laid down in the School rules, and to give one month's notice of withdraw or to pay one month's fee in lieu thereof.

ii. to pay the scale of fees fixed from time to time by the Competent Authority / Board of Governors which shall not be challenged in any Court of Law and Forum..

I understand that all students are required to participate in the full curriculum, i.e. Discipline, Academics, Sports, Non-sport activities, and Community Service.

Govt. Servant (father) posted at Bahawalpur city:

Govt Servant

                               

Father

                               

Mother

(For Office Use Only)

Test / Interview on:

Admitted to Class:

Amount Paid Rs.:

Roll Number:

Controller

Hd. M.

Boarder / Day Pupil:

SDFRs:

SDFRs

Cashier

Registrar

House:

Dated:

Vide Receipt No:

Accounts Officer

PRINCIPAL

Sadiq Public School

Bahawalpur

Student Medical Information Form

PART I TO BE FILLED IN BY THE PARENTS

Roll Number:

Form #:

Name of Applicant:

Muhammad Hasnain Shafi

Gender:

Male

Son/Daughter of:

Zulfiqar Hussain

Phone:

Address:

Chak No. 174/m Tehsil Chishtian, Distt Bahawalnagar

Name of person:

(Who may be contacted in case of emergency)

Phone:

2440555

Muhammad Sohail`

Admission for Class

9P

Date of Birth:

10 September 2007, 12:00:00 am

Blood Group:

A-

Allergies to Drug (              )

Drug

Allergies to Food (               )

Food

Physical disabilities(                )

phy

Respiratory Problems / Asthma (                )

Asth

No

Vision / Hearing Problems (                  )

Vision

Dates of Last Immunization: EPI                                                   Hepatitus A                                                    Typhoid                                                  

Mumps                                                   Chicken Pox                                                  Flu                                                  

Is the Applicant Presently Taking any Medications? (                       )

med

Special Medical Conditions/ other Pertinent Information including SURGERIES,HOSPITALIZATION, JAUNDICE, BLOOD TRANSFUSION, EPILEPSY, DIABETES MELLITUS, HYPERTENSION, etc (add additional page if necessary)

____________

Date

____________

Father

____________

Mother

PART II TO BE FILLED IN BY THE SCHOOL MEDICAL OFFICER

Physical Examination:

Height                                    (cm)  Weight                                    (Kg)  Blood Pressure                                   mm/hg  Pulse                                   /min

Laboratory Investigations:

HBsAg: -ve     /+ve

HCV: -ve     /+ve

X-Ray Chest: Normal               /  Abnormal

Examination Date

Senior Medical Officer

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Father's CNIC

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Father's Police Report

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Result Card

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B Form

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Deposit Slip

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Mother's CNIC

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Vaccination Card

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Academic Report