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3120202949420

Sadiq Progressive School

Bahawalpur

Admission Form

Applicant's Name:

B.Form:

Date of Birth:

Father's Name:

Mobile:

Mother's Name:

Faizan Iqbal

3120202949420

Gender:

Male

20 June 2011 at 12:00:00 am

Muhammad Iqbal

03006896211

Rizwana Malik

CNIC:

3120259476181

Profession:

Farmer

CNIC:

3120259476181

Mobile:

03006896211

Profession:

House Wife

Permanent Address of Father/Mother:

House # 87 Street # 7 City Garden Civil Hospital Road Bahawalpur

District:

Bahawalpur

Province:

Punjab

Tel:

03337413686

Mobile:

03006896211

Email:

Address for Correspondence:

House # 87 Street # 7 City Garden Civil Hospital Road Bahawalpur

District:

Bahawalpur

Religion:

Class last attended:

Islam

Nationality:

4th

Province:

Pakistani

Medium of Instruction:

County of stay:

Pakistan

English Medium

School last attended:

Alied Public School

Board/University:

Punjab

Identification Mark:

Cut Mark on Nose

Admission desired in class:

5P

with effect from:

2021

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

G2417 Rida Fatima K4

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

i)

Muhammad Iqbal House # 87 Street # 7 City Garden Civil Hospital Road Bahawalpur

Relation with student:

Father

Tel:

03337413686

Mobile:

03006896211

ii)

Tahir Habib House # 86 Street # 7 City Garden Civil Hospital Road Bahawalpur

Relation with student:

Uncal

Tel:

03337413686

Mobile:

03002513327

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:

Faizan Iqbal

Gender:

Male

Son/Daughter of:

Muhammad Iqbal

Phone:

Address:

House # 87 Street # 7 City Garden Civil Hospital Road Bahawalpur

Name of person:

(Who may be contacted in case of emergency)

Phone:

03006896211

Muhammad Iqbal

Admission for Class

5P

Date of Birth:

20 June 2011 at 12:00:00 am

Blood Group:

B Positive

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

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