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Sadiq Progressive School
Bahawalpur
Admission Form
Applicant's Name:
B.Form:
Date of Birth:
Father's Name:
Mobile:
Mother's Name:
Sania Siraj
3120167576112
Gender:
Female
1 January 2011 at 12:00:00 am
Siraj Ahmed
03026825836
Rafia Bibi
CNIC:
3120171960505
Profession:
Security Guard (SPS)
CNIC:
3120136783292
Mobile:
03077884638
Profession:
House wife
Permanent Address of Father/Mother:
Basti Raman Noushera Sama Satta
District:
Bahawalpur
Province:
Punjab
Tel:
no
Mobile:
03026825836
Email:
Address for Correspondence:
Basti Raman Noushera Sama Satta
District:
Bahawalpur
Religion:
Class last attended:
Islam
Nationality:
5
Province:
Punjab
Pakistan
Medium of Instruction:
County of stay:
Pakistan
Urdu
School last attended:
Goct Elementary School
Board/University:
no
Identification Mark:
no
Admission desired in class:
6P
with effect from:
Oct-2020
Roll no. Name & Class of brother/Sister(s) at present studying at Sadiq Public School:
Sadia Siraj-9P, Misbah Siraj-5P, Saad Siraj-3P
Name and address of two persons (who may be contacted in an emergency):
i)
Fahad Siraj
Relation with student:
Brother
Tel:
no
Mobile:
03077884638
ii)
Gul Sher
Relation with student:
Grand Father
Tel:
no
Mobile:
03005469482
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:
Sania Siraj
Gender:
Female
Son/Daughter of:
Siraj Ahmed
Phone:
Address:
Basti Raman Noushera Sama Satta
Name of person:
(Who may be contacted in case of emergency)
Phone:
03026825836
Sania Siraj
Admission for Class
6P
Date of Birth:
1 January 2011 at 12:00:00 am
Blood Group:
AB+
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
05/10/12, 12:00 am
04/10/12, 12:00 am
05/10/12, 12:00 am
Mumps Chicken Pox Flu
05/10/12, 12:00 am
03/10/13, 12:00 am
05/10/12, 12:00 am
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
Father's CNIC
Father's Police Report
Result Card
B Form
Deposit Slip
Mother's CNIC
Vaccination Card
Academic Report
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