3740549515247

Sadiq Progressive School

Bahawalpur

Admission Form

Applicant's Name:

B.Form:

Raja Dayyan Amir

3740549515247

Gender:

Male

Date of Birth:

Father's Name:

Mobile:

Mother's Name:

28 November 2012, 12:00:00 am

Raja Amir Munir

03335474436

Sobia Amir

CNIC:

3740506081853

Profession:

Armed Forces

CNIC:

1310169815084

Mobile:

03315189242

Profession:

Armed Forces

Permanent Address of Father/Mother:

House no 8, Lane 12 B, Sector B, DHA phase 2 , Isb

District:

Islamabad

Province:

Federal

Tel:

0515419004

Mobile:

03005171136

Email:

Address for Correspondence:

Maj Sobia Amir, PRO, HQ 31 Corps, Bhawalpur Cantt

District:

Bahawalpur

Religion:

Class last attended:

Islam

Nationality:

Grade 2

Province:

Punjab

Pakistani

Medium of Instruction:

County of stay:

Pakistan

English

School last attended:

Defense Education System, DHA 2 Isb

Board/University:

Cambridge

Identification Mark:

Nil

Admission desired in class:

3P

with effect from:

On admission

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)

Major Amir Munir

Relation with student:

Father

Tel:

03335474436

Mobile:

03335474436

ii)

Major Sobia Amir

Relation with student:

Mother

Tel:

03315189242

Mobile:

03315189242

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:

Raja Dayyan Amir

Gender:

Son/Daughter of:

Raja Amir Munir

Phone:

Address:

House no 8, Lane 12 B, Sector B, DHA phase 2 , Isb

Name of person:

(Who may be contacted in case of emergency)

Phone:

03335474436

Admission for Class

3P

Date of Birth:

28 November 2012, 12:00:00 am

Blood Group:

A+

Allergies to Drug (              )

Drug

Allergies to Food (               )

Food

Physical disabilities(                )

phy

Respiratory Problems / Asthma (                )

Asth

No

Major Amir Munir

Vision / Hearing Problems (                  )

Vision

Dates of Last Immunization: EPI                                                   Hepatitus A                                                    Typhoid                                                  

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

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