3630246864267

Sadiq Progressive School

Bahawalpur

Admission Form

Applicant's Name:

B.Form:

M junaid

3630246864267

Gender:

Male

Date of Birth:

Father's Name:

Mobile:

Mother's Name:

4 February 2008, 12:00:00 am

Khalid usman

03007187607

Sadia khalid

CNIC:

1120180957125

Profession:

Business

CNIC:

1120197157132

Mobile:

03009097049

Profession:

House wife

Permanent Address of Father/Mother:

Near qasim fort metro station Rahimabad multan

District:

Multan

Province:

Punjab

Tel:

03007187607

Mobile:

03009097049

Email:

Address for Correspondence:

Tobacco dealer

District:

Multan

Religion:

Class last attended:

Islam

Nationality:

7th june

Province:

Punjab

Pakistan

Medium of Instruction:

County of stay:

Pakistan

English

School last attended:

8th june

Board/University:

Multan board

Identification Mark:

Nothing

Admission desired in class:

8P

with effect from:

As soon as possible

Roll no. Name & Class of brother/Sister(s) at present studying  at Sadiq Public School:

N/A

Name and address of two persons (who may be contacted in an emergency):

i)

Khalid usman Irfan khan address near qasim fort metro station rahimabad multan

Relation with student:

Father

Tel:

03007187607

Mobile:

03009097049

ii)

03007187607

Relation with student:

Father

Tel:

03007187607

Mobile:

03009097049

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:

M junaid

Gender:

Son/Daughter of:

Khalid usman

Phone:

Address:

Near qasim fort metro station Rahimabad multan

Name of person:

(Who may be contacted in case of emergency)

Phone:

03007187607

Admission for Class

8P

Date of Birth:

4 February 2008, 12:00:00 am

Blood Group:

0+

Allergies to Drug (              )

Drug

Allergies to Food (               )

Food

Physical disabilities(                )

phy

Respiratory Problems / Asthma (                )

Asth

No

Khalid Usman

Vision / Hearing Problems (                  )

Vision

Dates of Last Immunization: EPI                                                   Hepatitus A                                                    Typhoid                                                  

17/11/16, 12:00 am

11/10/13, 12:00 am

09/11/19, 12:00 am

Mumps                                                   Chicken Pox                                                  Flu                                                  

20/08/09, 11:00 pm

15/07/16, 12:00 am

17/01/20, 12:00 am

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