3230415475245

Sadiq Progressive School

Bahawalpur

Admission Form

Applicant's Name:

B.Form:

Muhammad Bilal

3230415475245

Gender:

Male

Date of Birth:

Father's Name:

Mobile:

Mother's Name:

4 October 2008, 11:00:00 pm

Safdar Hussain

03011141212

Abda Bibi

CNIC:

3230415475245

Profession:

Landlord

CNIC:

3230414998594

Mobile:

03003942555

Profession:

Housewife

Permanent Address of Father/Mother:

Mahal khakhi south, P/o bangul wali District Muzafar garh

District:

Muzaffargarh

Province:

Punjab

Tel:

03011141212

Mobile:

03011141212

Email:

Address for Correspondence:

Mahal khakhi, city Rohillan wali

District:

Muzaffargarh

Religion:

Class last attended:

Muslim

Nationality:

4

Province:

Punjab

Pakistani

Medium of Instruction:

County of stay:

Pakistan

No instruction

School last attended:

Dar ul marfa english school

Board/University:

No

Identification Mark:

No mark

Admission desired in class:

5P

with effect from:

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)

Malik zulqranain, malik ghulam Shabair

Relation with student:

Brother

Tel:

03011141212

Mobile:

03011141212

ii)

03003942555

Relation with student:

Mamo

Tel:

03003942555

Mobile:

03006331212

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 Bilal

Gender:

Son/Daughter of:

Safdar Hussain

Phone:

Address:

Mahal khakhi south, P/o bangul wali District Muzafar garh

Name of person:

(Who may be contacted in case of emergency)

Phone:

03011141212

Admission for Class

5P

Date of Birth:

4 October 2008, 11:00:00 pm

Blood Group:

B-

Allergies to Drug (              )

Drug

Allergies to Food (               )

Food

Physical disabilities(                )

phy

Respiratory Problems / Asthma (                )

Asth

No

Zulaqranin

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