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3120223401460

Sadiq Progressive School

Bahawalpur

Admission Form

Applicant's Name:

B.Form:

Date of Birth:

Father's Name:

Mobile:

Mother's Name:

Areesha Imran

3120223401460

Gender:

Female

28 January 2014 at 12:00:00 am

Imran Rana

03084005425

Farzana Saddique

CNIC:

3120293147661

Profession:

SPS Sarvant

CNIC:

3120262262018

Mobile:

03084005425

Profession:

Housewife

Permanent Address of Father/Mother:

Bhatta No. 3 Ahmedpur Road Bahawalpur

District:

Bahawalpur

Province:

Punjab

Tel:

03084005425

Mobile:

03084005425

Email:

Address for Correspondence:

District:

Bahawalpur

Religion:

Class last attended:

Islam

Nationality:

0P

Province:

Punjab

Pakistani

Medium of Instruction:

County of stay:

Pakistan

English

School last attended:

Seek Line H/S

Board/University:

Identification Mark:

NA

Admission desired in class:

1P

with effect from:

2020

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)

Muhammad Shahbaz Saddique

Relation with student:

Uncle (Mamoo)

Tel:

03006828450

Mobile:

03006828450

ii)

Mrs.Rana Imran

Relation with student:

Mother

Tel:

03032934605

Mobile:

03032934605

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:

Areesha Imran

Gender:

Female

Son/Daughter of:

Imran Rana

Phone:

Address:

Bhatta No. 3 Ahmedpur Road Bahawalpur

Name of person:

(Who may be contacted in case of emergency)

Phone:

03084005425

Imran Rana

Admission for Class

1P

Date of Birth:

28 January 2014 at 12:00:00 am

Blood Group:

NA

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                                                  

28/01/14, 12:00 am

28/01/14, 12:00 am

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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