4520357899034

Sadiq Progressive School

Bahawalpur

Admission Form

Applicant's Name:

B.Form:

Abia fatima bhutto

4520357899034

Gender:

Female

Date of Birth:

Father's Name:

Mobile:

Mother's Name:

8 December 2007, 12:00:00 am

Asif Hussain

03003307746

Shaneela Asif

CNIC:

4520320999353

Profession:

Engineer

CNIC:

4520307823942

Mobile:

03003307746

Profession:

Engineer

Permanent Address of Father/Mother:

Near Javeed Cinema Jelani Mohala Khairpur

District:

Khairpur

Province:

Sindh

Tel:

03003307746

Mobile:

03003307746

Email:

Address for Correspondence:

House No.C15 Mir Hussain Abad, Phase 3 Sangam view Latifabad Hyderabad

District:

Khairpur

Religion:

Class last attended:

Islam

Nationality:

Pak Turk Marrif

Province:

Sindh

Pakistani

Medium of Instruction:

County of stay:

Pakistan

English

School last attended:

Pak Turk Marrif

Board/University:

Identification Mark:

head mark

Admission desired in class:

8P

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)

Father and mother , House No.C15 Mir Hussain Abad, Phase 3 Sangam view Latifabad Hyderabad

Relation with student:

Father

Tel:

03003307746

Mobile:

03003307746

ii)

Father and mother , House No.C15 Mir Hussain Abad, Phase 3 Sangam view Latifabad Hyderabad

Relation with student:

father

Tel:

03003307746

Mobile:

03003307746

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:

Abia fatima bhutto

Gender:

Son/Daughter of:

Asif Hussain

Phone:

Address:

Near Javeed Cinema Jelani Mohala Khairpur

Name of person:

(Who may be contacted in case of emergency)

Phone:

03003307746

Admission for Class

8P

Date of Birth:

8 December 2007, 12:00:00 am

Blood Group:

A+

Allergies to Drug (              )

Drug

Allergies to Food (               )

Food

Physical disabilities(                )

phy

Respiratory Problems / Asthma (                )

Asth

No

asif hussain

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

Female

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Father's CNIC

Mother's CNIC

Father's Police Report

B Form

Vaccination Card

Academic Report

Result Card

Deposit Slip