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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:
Fatima Wazeer
3120249716864
Gender:
Female
6 October 2011 at 12:00:00 am
Muhammad Wazeer
03045210162
Abida Bibi
CNIC:
3120296928893
Profession:
School Employee
CNIC:
3120249770624
Mobile:
03045210162
Profession:
Housewife
Permanent Address of Father/Mother:
Dera Izzat, P.O Sadiq Public School, Bahawalpur
District:
Bahawalpur
Province:
Punjab
Tel:
NA
Mobile:
03020739358
Email:
Address for Correspondence:
Baildar, G&G Department, Sadiq Public School, Bahawalpur
District:
Bahawalpur
Religion:
Class last attended:
Islam
Nationality:
3rd
Province:
Punjab
Pakistan
Medium of Instruction:
County of stay:
Pakistan
English
School last attended:
Cantt Public Girls High School Dera Izzat BWP
Board/University:
BWP
Identification Mark:
NA
Admission desired in class:
4P
with effect from:
Roll no. Name & Class of brother/Sister(s) at present studying at Sadiq Public School:
Husna Wazeer-9P, Ali Hassan-6P, Sadia Wazeer-0P
Name and address of two persons (who may be contacted in an emergency):
i)
Muhammad Wazeer, Baildar, G&G Department, Sadiq Public School, Bahawalpur
Relation with student:
Father
Tel:
03045210162
Mobile:
03020739358
ii)
Falak Sher, Baildar, G&G Department, Sadiq Public School, Bahawalpur
Relation with student:
Uncle (Chachu)
Tel:
NA
Mobile:
03044226356
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:
Fatima Wazeer
Gender:
Female
Son/Daughter of:
Muhammad Wazeer
Phone:
Address:
Dera Izzat, P.O Sadiq Public School, Bahawalpur
Name of person:
(Who may be contacted in case of emergency)
Phone:
03045210162
Muhammad Wazeer
Admission for Class
4P
Date of Birth:
6 October 2011 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
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
Father's CNIC
Father's Police Report
Result Card
B Form
Deposit Slip
Mother's CNIC
Vaccination Card
Academic Report
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