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3230395989854

Sadiq Progressive School

Bahawalpur

Admission Form

Applicant's Name:

B.Form:

Date of Birth:

Father's Name:

Mobile:

Mother's Name:

Mishal Tareen

3230395989854

Gender:

Female

14 September 2007 at 12:00:00 am

Shaukat Iqbal Tareen

03457166444

Nosheen shaukat

CNIC:

3230386947057

Profession:

government job

CNIC:

3230396938318

Mobile:

03356331350

Profession:

house hold

Permanent Address of Father/Mother:

Basti Ari Lal Khan Qasba Gujrat Tehsil Qota Addu District MuzzafargarhAri Lal Khan Qasba Gujrat Tehsil Qota Addu District Muzzafargarh

District:

Muzaffargarh

Province:

Punjab

Tel:

03457166444

Mobile:

03457166444

Email:

Address for Correspondence:

Qasba Gujrat

District:

Muzaffargarh

Religion:

Class last attended:

islam

Nationality:

10th

Province:

Punjab

pakistani

Medium of Instruction:

County of stay:

Pakistan

face to face instruction

School last attended:

The City School PARCO Chapter

Board/University:

dg khan

Identification Mark:

till on right cheek

Admission desired in class:

10P

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)

Shaukat Iqbal Tareen Basti Ari Lal Khan Qasba Gujrat Tehsil Quota Addu District MUZzafargarh

Relation with student:

father

Tel:

03457166444

Mobile:

03457166444

ii)

Younis Iqbal Tareen Basti Ari Lal Khan Qasba Gujrat Tehsil Quota Addu District Muzzafargarh

Relation with student:

nephew

Tel:

03457167476

Mobile:

03457167476

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:

Mishal Tareen

Gender:

Female

Son/Daughter of:

Shaukat Iqbal Tareen

Phone:

Address:

Basti Ari Lal Khan Qasba Gujrat Tehsil Qota Addu District MuzzafargarhAri Lal Khan Qasba Gujrat Tehsil Qota Addu District Muzzafargarh

Name of person:

(Who may be contacted in case of emergency)

Phone:

03457166444

shaukat iqbal tareen

Admission for Class

10P

Date of Birth:

14 September 2007 at 12:00:00 am

Blood Group:

a positive

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

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