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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:
Zorain Khan Jakhrani
4310280225433
Gender:
Male
29 September 2016 at 12:00:00 am
Sajjad Hussain
03143179128
Hifsa
CNIC:
4310267569867
Profession:
Landlord
CNIC:
4310281550596
Mobile:
03147310336
Profession:
House Wife
Permanent Address of Father/Mother:
Sajjad Khan Jakhrani House , First Family Line Jacobabad
District:
Jacobabad
Province:
Sindh
Tel:
03147310336
Mobile:
03147310336
Email:
Address for Correspondence:
District:
Jacobabad
Religion:
Class last attended:
Islam
Nationality:
1
Province:
Sindh
Pakistan
Medium of Instruction:
County of stay:
Pakistan
English
School last attended:
PAF Education system
Board/University:
Fbise
Identification Mark:
2 moles on right cheek
Admission desired in class:
2P
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)
Hifsa
Relation with student:
Mother
Tel:
03147310336
Mobile:
03147310336
ii)
Sajjad hussain
Relation with student:
Father
Tel:
03143179128
Mobile:
03143179128
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:
Zorain Khan Jakhrani
Gender:
Male
Son/Daughter of:
Sajjad Hussain
Phone:
Address:
Sajjad Khan Jakhrani House , First Family Line Jacobabad
Name of person:
(Who may be contacted in case of emergency)
Phone:
03147310336
Hifsa
Admission for Class
2P
Date of Birth:
29 September 2016 at 12:00:00 am
Blood Group:
O+ve
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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