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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:
Muzamel jabbar
3210239446233
Gender:
Male
30 January 2010 at 12:00:00 am
Abdul jabbar
0334.4975555
Asia bibi
CNIC:
3210264747409
Profession:
Business man
CNIC:
3210269301146
Mobile:
0334.2068484
Profession:
Hous wife
Permanent Address of Father/Mother:
Pull dot Jampur Road
District:
D. G. Khan
Province:
Punjab
Tel:
0642464515
Mobile:
0334.4975555
Email:
Address for Correspondence:
Pull dot Jampur Road
District:
D. G. Khan
Religion:
Class last attended:
Islami
Nationality:
08
Province:
Punjab
Pakistan
Medium of Instruction:
County of stay:
Pakistan
Last call 08
School last attended:
Aims
Board/University:
Dera Ghazi Khan
Identification Mark:
Blue eyes
Admission desired in class:
9P
with effect from:
Roll no. Name & Class of brother/Sister(s) at present studying at Sadiq Public School:
Nill
Name and address of two persons (who may be contacted in an emergency):
i)
Abdul jabbar
Relation with student:
Father
Tel:
03344975555
Mobile:
03338588470
ii)
Muhammad sajjad
Relation with student:
Uncle
Tel:
03338588470
Mobile:
03088588470
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:
Muzamel jabbar
Gender:
Male
Son/Daughter of:
Abdul jabbar
Phone:
Address:
Pull dot Jampur Road
Name of person:
(Who may be contacted in case of emergency)
Phone:
03344975555
Abdul jabbar
Admission for Class
9P
Date of Birth:
30 January 2010 at 12:00:00 am
Blood Group:
Nill
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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