3120257990013

Sadiq Progressive School

Bahawalpur

Admission Form

Applicant's Name:

B.Form:

Date of Birth:

Father's Name:

Mobile:

Mother's Name:

Malik Anna's Idrees

3120257990013

Gender:

Male

15 April 2017, 12:00:00 am

Malik Idrees

03026507004

Asma Fiyaaz

CNIC:

3120286975333

Profession:

Business

CNIC:

3120288876628

Mobile:

03085523197

Profession:

Housewife

Permanent Address of Father/Mother:

Basti Gulpur post office theri Zabti Dera Nawab sahb tensil Ahmed pur East District bahawalpur

District:

Bahawalpur

Province:

Punjab

Tel:

03026507004

Mobile:

03026507004

Email:

Address for Correspondence:

House no 862 Labour Colony Model Town b bahawalpur

District:

Bahawalpur

Religion:

Class last attended:

Islam

Nationality:

11-6-2021

Province:

Punjab

Pakistani

Medium of Instruction:

County of stay:

Pakistan

English

School last attended:

11-6-2021

Board/University:

Identification Mark:

Mole on arm

Admission desired in class:

0P

with effect from:

2021

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)

Asma Idrees

Relation with student:

Father

Tel:

03026507004

Mobile:

03026507004

ii)

03026507004

Relation with student:

Mother

Tel:

03085523197

Mobile:

03085523197

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:

Malik Anna's Idrees

Gender:

Male

Son/Daughter of:

Malik Idrees

Phone:

Address:

Basti Gulpur post office theri Zabti Dera Nawab sahb tensil Ahmed pur East District bahawalpur

Name of person:

(Who may be contacted in case of emergency)

Phone:

03026507004

03026507004

Admission for Class

0P

Date of Birth:

15 April 2017, 12:00:00 am

Blood Group:

B_

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