4330405043951

Sadiq Progressive School

Bahawalpur

Admission Form

Applicant's Name:

B.Form:

Abdul Basit

4330405043951

Gender:

Male

Date of Birth:

Father's Name:

Mobile:

Mother's Name:

28 October 2010, 12:00:00 am

Abdul Naveed

03337267669

Farhana

CNIC:

4330405848103

Profession:

Business

CNIC:

4330405599404

Mobile:

03337267669

Profession:

House wife

Permanent Address of Father/Mother:

Muhala awan gali siddiq Mari

District:

Shikarpur

Province:

Sindh

Tel:

03337267669

Mobile:

03337267669

Email:

Address for Correspondence:

Dadwai Road near shahjhan street

District:

Shikarpur

Religion:

Class last attended:

Muslim

Nationality:

Five

Province:

Sindh

Pakistan

Medium of Instruction:

County of stay:

Pakistan

English

School last attended:

The Educators school shikarpur

Board/University:

Educators shikarpur

Identification Mark:

Sign of cut on forehead

Admission desired in class:

6P

with effect from:

New admission section

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

No

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

i)

Khyal Ahmed Memon memon muhala siddiq Mari road shikarpur

Relation with student:

Uncle

Tel:

03323942010

Mobile:

03323942010

ii)

Muhammad Usman memon Muhala awan gali siddiq Mari shikarpur

Relation with student:

Cousin

Tel:

03362009751

Mobile:

03362009751

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:

Abdul Basit

Gender:

Son/Daughter of:

Abdul Naveed

Phone:

Address:

Muhala awan gali siddiq Mari

Name of person:

(Who may be contacted in case of emergency)

Phone:

03362009751

Admission for Class

6P

Date of Birth:

28 October 2010, 12:00:00 am

Blood Group:

B+

Allergies to Drug (              )

Drug

Allergies to Food (               )

Food

Physical disabilities(                )

phy

Respiratory Problems / Asthma (                )

Asth

No

Muhammad Usman

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

No

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