Sadiq Progressive School

Bahawalpur

Admission Form

Applicant's Name:

B.Form:

Asad Sarmad

4310365571467

Gender:

Male

Date of Birth:

Father's Name:

Mobile:

Mother's Name:

Abdul Haque

03005781882

Zuhran

CNIC:

4310370880025

Profession:

Govt.Servant

CNIC:

4310370880025

Mobile:

03005781882

Profession:

Govt.Servant

Permanent Address of Father/Mother:

Tangwani Sheran Tehsil Tangwani District Kashmor

District:

Kashmor

Province:

Sindh

Tel:

0243-9280040

Mobile:

03005781882

Email:

Address for Correspondence:

Tangwani Sheran Tehsil Tangwani District Kashmor

District:

Kashmor

Religion:

Class last attended:

Islam

Nationality:

5th Standard

Province:

Sindh

Pakistani

Medium of Instruction:

County of stay:

Pakistan

Sindhi

School last attended:

Govt. Boys Primary School Sheran Bhayo

Board/University:

Identification Mark:

Cut mark on nose

Admission desired in class:

6P

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)

Ishfaque Ahmed

Relation with student:

Brother

Tel:

0243-9280040

Mobile:

03005781882

ii)

Irfan ul Haque

Relation with student:

Brother

Tel:

0243-9280040

Mobile:

03005781882

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:

Asad Sarmad

Gender:

Son/Daughter of:

Abdul Haque

Phone:

Address:

Tangwani Sheran Tehsil Tangwani District Kashmor

Name of person:

(Who may be contacted in case of emergency)

Phone:

0243-9280040

Admission for Class

6P

Date of Birth:

Blood Group:

O+ve

Allergies to Drug (              )

Drug

Allergies to Food (               )

Food

Physical disabilities(                )

phy

Respiratory Problems / Asthma (                )

Asth

No

Abdul Haque Dahani

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

Father's CNIC

Mother's CNIC

Father's Police Report

B Form

Vaccination Card

Academic Report

Result Card

Deposit Slip

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