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4540404749155

Sadiq Progressive School

Bahawalpur

Admission Form

Applicant's Name:

B.Form:

Date of Birth:

Father's Name:

Mobile:

Mother's Name:

Mir Shahzain Sohrab Khan

4540404749155

Gender:

Male

5 November 2011 at 12:00:00 am

Sohrab Khan Mari

03003223224

Fazila

CNIC:

4540231000581

Profession:

Government Contractor

CNIC:

4540289072840

Mobile:

03322447725

Profession:

House Wife

Permanent Address of Father/Mother:

House no:2, district council colony Nawabshah

District:

Shaheed Benazirabad

Province:

Sindh

Tel:

03044488522

Mobile:

03003223224

Email:

Address for Correspondence:

House no:2, district council colony Nawabshah

District:

Shaheed Benazirabad

Religion:

Class last attended:

Islam

Nationality:

3rd

Province:

Sindh

Pakistani

Medium of Instruction:

County of stay:

Pakistan

English

School last attended:

Aspire Grammar School Nawabshah

Board/University:

Identification Mark:

None

Admission desired in class:

4P

with effect from:

2022

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)

Ghulam Sarwar Mari

Relation with student:

Uncle

Tel:

03003940811

Mobile:

03003940811

ii)

Khadim Hussain Mari

Relation with student:

Uncle

Tel:

03003629124

Mobile:

03003629124

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:

Mir Shahzain Sohrab Khan

Gender:

Male

Son/Daughter of:

Sohrab Khan Mari

Phone:

Address:

House no:2, district council colony Nawabshah

Name of person:

(Who may be contacted in case of emergency)

Phone:

03003223224

Mir Sohrab Khan Mari

Admission for Class

4P

Date of Birth:

5 November 2011 at 12:00:00 am

Blood Group:

A+

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

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Father's CNIC

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Father's Police Report

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Result Card

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B Form

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Deposit Slip

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Mother's CNIC

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Vaccination Card

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Academic Report

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