3620173983520

Sadiq Progressive School

Bahawalpur

Admission Form

Applicant's Name:

B.Form:

Kafe Al Wara

3620173983520

Gender:

Female

Date of Birth:

Father's Name:

Mobile:

Mother's Name:

14 August 2015, 12:00:00 am

Sultan Sikandar

03017702800

Iram Bibi

CNIC:

3620179553259

Profession:

Land Lord

CNIC:

3620179553259

Mobile:

03017702800

Profession:

House Wife

Permanent Address of Father/Mother:

Basti Sikandar Abad, Chak No. 233 WB, Post Office Ada Zakhira, Tehsil Dunyia Pur, District Lodhran

District:

Lodhran

Province:

Punjab

Tel:

03017702800

Mobile:

03017702800

Email:

Address for Correspondence:

Basti Sikandar Abad, Chak No. 233 WB, Post Office Ada Zakhira, Tehsil Dunyia Pur, District Lodhran

District:

Lodhran

Religion:

Class last attended:

Islam

Nationality:

K One

Province:

Punjab

Pakistani

Medium of Instruction:

County of stay:

Pakistan

English

School last attended:

The Educators School Dunyia Pur

Board/University:

The Educators School Dunyia Pur

Identification Mark:

Nil

Admission desired in class:

1P

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)

Sultan Sikandar

Relation with student:

Father

Tel:

03017702800

Mobile:

03017702800

ii)

Shahida Bibi

Relation with student:

Anty

Tel:

03012688426

Mobile:

03012688426

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:

Kafe Al Wara

Gender:

Son/Daughter of:

Sultan Sikandar

Phone:

Address:

Basti Sikandar Abad, Chak No. 233 WB, Post Office Ada Zakhira, Tehsil Dunyia Pur, District Lodhran

Name of person:

(Who may be contacted in case of emergency)

Phone:

03017702800

Admission for Class

1P

Date of Birth:

14 August 2015, 12:00:00 am

Blood Group:

B+

Allergies to Drug (              )

Drug

Allergies to Food (               )

Food

Physical disabilities(                )

phy

Respiratory Problems / Asthma (                )

Asth

No

Sultan Sikanadar

Vision / Hearing Problems (                  )

Vision

Dates of Last Immunization: EPI                                                   Hepatitus A                                                    Typhoid                                                  

16/08/16, 12:00 am

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

Female

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Father's CNIC

Mother's CNIC

Father's Police Report

B Form

Vaccination Card

Academic Report

Result Card

Deposit Slip