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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:
DOST MUHAMMAD KHAN DRISHAK
3240338843179
Gender:
Male
10 January 2009 at 12:00:00 am
MUHAMMAD AZAM KHAN
03342897576
WAJEEHA MUJTABA
CNIC:
3240397443049
Profession:
LAND LORD
CNIC:
3240375363630
Mobile:
03342897576
Profession:
HOUSEWIFE
Permanent Address of Father/Mother:
BHATTI ARTHANI TRIBAL AREA KOT SABZAL P/O RAJANPUR AASNI DISTRICT RAJANPUR
District:
Rajanpur
Province:
Punjab
Tel:
03347595949
Mobile:
03347595949
Email:
Address for Correspondence:
BHATTI ARTHANI TRIBAL AREA KOT SABZAL P/O RAJANPUR AASNI DISTRICT RAJANPUR
District:
Rajanpur
Religion:
Class last attended:
MUSLIM
Nationality:
6TH
Province:
Punjab
PAKISTAN
Medium of Instruction:
County of stay:
PAKISTAN
ENGLISH
School last attended:
DISTRICT PUBLIC SCHOOL RAJANPUR
Board/University:
PEC
Identification Mark:
NA
Admission desired in class:
7P
with effect from:
Roll no. Name & Class of brother/Sister(s) at present studying at Sadiq Public School:
Name and address of two persons (who may be contacted in an emergency):
i)
MUHAMMAD AZAM KHAN
Relation with student:
FATHER
Tel:
03342897576
Mobile:
03342897576
ii)
SHAN E AKHTAR
Relation with student:
FAMILY FRIEND
Tel:
03337564848
Mobile:
03136424042
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:
DOST MUHAMMAD KHAN DRISHAK
Gender:
Male
Son/Daughter of:
MUHAMMAD AZAM KHAN
Phone:
Address:
BHATTI ARTHANI TRIBAL AREA KOT SABZAL P/O RAJANPUR AASNI DISTRICT RAJANPUR
Name of person:
(Who may be contacted in case of emergency)
Phone:
03342897576
MUHAMMAD AZAM KHAN
Admission for Class
7P
Date of Birth:
10 January 2009 at 12:00:00 am
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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