3660364682325

Sadiq Progressive School

Bahawalpur

Admission Form

Applicant's Name:

B.Form:

Date of Birth:

Father's Name:

Mobile:

Mother's Name:

Aman Sagheer

3660364682325

Gender:

Male

31 May 2008, 11:00:00 pm

Sagheer Ahmad

03056266957

Ruksana sagheer

CNIC:

3660389892755

Profession:

Biasnessman

CNIC:

3410204295844

Mobile:

03061266957

Profession:

House wife

Permanent Address of Father/Mother:

Bhatta shadi Khan 41/WB vihari

District:

Vehari

Province:

Punjab

Tel:

03056266957

Mobile:

03056266957

Email:

Address for Correspondence:

District:

Vehari

Religion:

Class last attended:

Islam

Nationality:

9th

Province:

Punjab

Pakistani

Medium of Instruction:

County of stay:

Pakistan

Bank

School last attended:

Afaq School vihari

Board/University:

Board

Identification Mark:

No

Admission desired in class:

9P

with effect from:

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

Aman Sagheer roll no 1

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

i)

Sagheer Ahmad 03056266957 bhatta shadi Khan 41 WB

Relation with student:

Father

Tel:

03056266957

Mobile:

03056266957

ii)

03007099169

Relation with student:

Father

Tel:

03056266957

Mobile:

03056266957

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:

Aman Sagheer

Gender:

Male

Son/Daughter of:

Sagheer Ahmad

Phone:

Address:

Bhatta shadi Khan 41/WB vihari

Name of person:

(Who may be contacted in case of emergency)

Phone:

03056266957

Sagheer Ahmad

Admission for Class

9P

Date of Birth:

31 May 2008, 11:00:00 pm

Blood Group:

AB positive

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                                                  

04/04/19, 12:00 am

03/04/21, 12:00 am

02/04/22, 12:00 am

Mumps                                                   Chicken Pox                                                  Flu                                                  

02/04/22, 12:00 am

07/04/16, 12:00 am

27/04/22, 12:00 am

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

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Father's CNIC

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Father's Police Report

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Result Card

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B Form

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Deposit Slip

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Mother's CNIC

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Vaccination Card

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Academic Report