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3120268367228

Sadiq Progressive School

Bahawalpur

Admission Form

Applicant's Name:

B.Form:

Date of Birth:

Father's Name:

Mobile:

Mother's Name:

Maham Bilal

3120268367228

Gender:

Female

28 September 2011 at 12:00:00 am

Muhammad Bilal

03000096481

Nasreen Bibi

CNIC:

3120296357851

Profession:

Security Gurad (SPS)

CNIC:

3120213320882

Mobile:

03077323171

Profession:

Housewife

Permanent Address of Father/Mother:

House No 91/20 Basto Molvian Fatowali

District:

Bahawalpur

Province:

Punjab

Tel:

000000000000

Mobile:

03000096481

Email:

Address for Correspondence:

House No 91/20 Basto Molvian Fatowali

District:

Bahawalpur

Religion:

Class last attended:

Islam

Nationality:

3

Province:

Punjab

Pakistan

Medium of Instruction:

County of stay:

Pakistan

English

School last attended:

Pakistan Islamic School

Board/University:

no

Identification Mark:

no

Admission desired in class:

3P

with effect from:

October 2020

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

no

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

i)

Uncle

Relation with student:

Uncle

Tel:

0000000000

Mobile:

030126366300

ii)

Mrs.Bilal

Relation with student:

Mother

Tel:

000000000

Mobile:

0307732317

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:

Maham Bilal

Gender:

Female

Son/Daughter of:

Muhammad Bilal

Phone:

Address:

House No 91/20 Basto Molvian Fatowali

Name of person:

(Who may be contacted in case of emergency)

Phone:

03000096481

Maham Bilal

Admission for Class

3P

Date of Birth:

28 September 2011 at 12:00:00 am

Blood Group:

AB+

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                                                  

01/10/11, 12:00 am

08/10/11, 12:00 am

08/10/11, 12:00 am

Mumps                                                   Chicken Pox                                                  Flu                                                  

08/10/11, 12:00 am

08/10/11, 12:00 am

08/10/11, 12:00 am

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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