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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:
Zainab Shahbaz
3120274434900
Gender:
Female
6 January 2015 at 12:00:00 am
Shahbaz Rafiq
03053035555
Asia Siraj
CNIC:
3120284504591
Profession:
Job
CNIC:
3120250008534
Mobile:
03053035555
Profession:
Housewife
Permanent Address of Father/Mother:
Mohalla Dera Izzat, City Bahawalpur
District:
Bahawalpur
Province:
Punjab
Tel:
03053035555
Mobile:
03053035555
Email:
Address for Correspondence:
Mohalla Dera Izzat, City Bahawalpur
District:
Bahawalpur
Religion:
Class last attended:
Islam
Nationality:
New Admission
Province:
Punjab
Pakistani
Medium of Instruction:
County of stay:
Pakistan
New Admission
School last attended:
Nil
Board/University:
Identification Mark:
Nil
Admission desired in class:
0P
with effect from:
15-09-2020
Roll no. Name & Class of brother/Sister(s) at present studying at Sadiq Public School:
Sameed-ul-Hassan
Name and address of two persons (who may be contacted in an emergency):
i)
Abdul Malik
Relation with student:
Uncle
Tel:
03053035555
Mobile:
03015052595
ii)
Hafiz Muhammad Najeeb
Relation with student:
Uncle
Tel:
03053035555
Mobile:
03008161709
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:
Zainab Shahbaz
Gender:
Female
Son/Daughter of:
Shahbaz Rafiq
Phone:
Address:
Mohalla Dera Izzat, City Bahawalpur
Name of person:
(Who may be contacted in case of emergency)
Phone:
03016987948
Hamza Almas Khan
Admission for Class
0P
Date of Birth:
6 January 2015 at 12:00:00 am
Blood Group:
A+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
04/02/20, 12:00 am
03/09/19, 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
Father's CNIC
Father's Police Report
Result Card
B Form
Deposit Slip
Mother's CNIC
Vaccination Card
Academic Report
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