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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:
Asad Sarmad
4310365571467
Gender:
Male
1 April 2010 at 11:00:00 pm
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:
Male
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
Abdul Haque Dahani
Admission for Class
6P
Date of Birth:
1 April 2010 at 11:00:00 pm
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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