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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:
Muhammad Bilal
3230415475245
Gender:
Male
4 October 2008 at 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:
Male
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
Zulaqranin
Admission for Class
5P
Date of Birth:
4 October 2008 at 11:00:00 pm
Blood Group:
B-
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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