Sadiq Progressive School

Bahawalpur

Admission Form

Applicant's Name:

B.Form:

Sania Siraj

3120167576112

Gender:

Female

Date of Birth:

Father's Name:

Mobile:

Mother's Name:

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:

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

Admission for Class

6P

Date of Birth:

Blood Group:

AB+

Allergies to Drug (              )

Drug

Allergies to Food (               )

Food

Physical disabilities(                )

phy

Respiratory Problems / Asthma (                )

Asth

No

Sania Siraj

Vision / Hearing Problems (                  )

Vision

Dates of Last Immunization: EPI                                                   Hepatitus A                                                    Typhoid                                                  

Mumps                                                   Chicken Pox                                                  Flu                                                  

Is the Applicant Presently Taking any Medications? (                       )

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

med

Female

Father's CNIC

Mother's CNIC

Father's Police Report

B Form

Vaccination Card

Academic Report

Result Card

Deposit Slip

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