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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:
Muhammad Ayyan
3120255941617
Gender:
Male
5 October 2010 at 12:00:00 am
Muhammad Amir
03039875225
Nazish Shoukat
CNIC:
3120269174615
Profession:
TNB Power Plant
CNIC:
3120273279606
Mobile:
03039875225
Profession:
House Wife
Permanent Address of Father/Mother:
Shahi Bazar, Bhobi Wali Galli, Mohallah Kucha Gul Hassan, Bahawalpur
District:
Bahawalpur
Province:
Punjab
Tel:
0622201749
Mobile:
03039875225
Email:
Address for Correspondence:
Shahi Bazar, Bhobi Wali Galli, Mohallah Kucha Gul Hassan, Bahawalpur
District:
Bahawalpur
Religion:
Class last attended:
Islam
Nationality:
5th
Province:
Punjab
Pakistani
Medium of Instruction:
County of stay:
Pakistan
English Medium
School last attended:
Apwa Public School farid gate Branch Bahawalpur
Board/University:
PEC Punjab
Identification Mark:
Nil
Admission desired in class:
5P
with effect from:
6th
Roll no. Name & Class of brother/Sister(s) at present studying at Sadiq Public School:
Nil
Name and address of two persons (who may be contacted in an emergency):
i)
Saleem Shahi Bazar, Bhobi Wali Galli, Mohallah Kucha Gul Hassan, Bahawalpur
Relation with student:
Uncle
Tel:
0622201749
Mobile:
03034504168
ii)
Ali Shahi Bazar, Bhobi Wali Galli, Mohallah Kucha Gul Hassan, Bahawalpur
Relation with student:
Uncle
Tel:
0622201749
Mobile:
03077318035
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:
Muhammad Ayyan
Gender:
Male
Son/Daughter of:
Muhammad Amir
Phone:
Address:
Shahi Bazar, Bhobi Wali Galli, Mohallah Kucha Gul Hassan, Bahawalpur
Name of person:
(Who may be contacted in case of emergency)
Phone:
03039875225
Muhammad Amir
Admission for Class
5P
Date of Birth:
5 October 2010 at 12:00:00 am
Blood Group:
B +ve
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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