3120380482247

Sadiq Progressive School

Bahawalpur

Admission Form

Applicant's Name:

B.Form:

Muhammad Mueez Asif

3120380482247

Gender:

Male

Date of Birth:

Father's Name:

Mobile:

Mother's Name:

7 December 2010, 12:00:00 am

Malik Asif Mahmood

03036343579

Nazia Nazir

CNIC:

3120311765449

Profession:

Businessman

CNIC:

3660177069056

Mobile:

03086343579

Profession:

Housewife

Permanent Address of Father/Mother:

Gulbarg Town Bwp.road Hasilpur.

District:

Bahawalpur

Province:

Punjab

Tel:

0622443579

Mobile:

03036343579

Email:

Address for Correspondence:

Kashif cotton factory and oill mills Hasilpur.

District:

Bahawalpur

Religion:

Class last attended:

Islam

Nationality:

5th

Province:

Punjab

Pakistani

Medium of Instruction:

County of stay:

Pakistan

English

School last attended:

Alpaina schools Hasilpur

Board/University:

BWP.

Identification Mark:

A mole on left eye.

Admission desired in class:

6P

with effect from:

Cousion

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

8553.Malik Farhan Kashif.6p

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

i)

Malik Asif Mahmood

Relation with student:

Father

Tel:

0622443579

Mobile:

03036343579

ii)

Nazia Nazir

Relation with student:

Mother

Tel:

0622443579

Mobile:

03086343579

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 Mueez Asif

Gender:

Son/Daughter of:

Malik Asif Mahmood

Phone:

Address:

Gulbarg Town Bwp.road Hasilpur.

Name of person:

(Who may be contacted in case of emergency)

Phone:

03036343579

Admission for Class

6P

Date of Birth:

7 December 2010, 12:00:00 am

Blood Group:

B+

Allergies to Drug (              )

Drug

Allergies to Food (               )

Food

Physical disabilities(                )

phy

Respiratory Problems / Asthma (                )

Asth

No

Malik Asif Mahmood

Vision / Hearing Problems (                  )

Vision

Dates of Last Immunization: EPI                                                   Hepatitus A                                                    Typhoid                                                  

Mumps                                                   Chicken Pox                                                  Flu                                                  

Is the Applicant Presently Taking any Medications? (                       )

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

med

Male

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Father's CNIC

Mother's CNIC

Father's Police Report

B Form

Vaccination Card

Academic Report

Result Card

Deposit Slip