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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:
Abdul Basit
4330405043951
Gender:
Male
28 October 2010 at 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:
Male
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
Muhammad Usman
Admission for Class
6P
Date of Birth:
28 October 2010 at 12:00:00 am
Blood Group:
B+
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)
No
____________
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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