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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:
FARID KHAN TAREEN
5440053175525
Gender:
Male
5 November 2010 at 12:00:00 am
MUHAMMAD NASEEM
03361296184
BIBI SHAFIRA
CNIC:
5440040644117
Profession:
BUSINESSMEN
CNIC:
5430382024982
Mobile:
03361296184
Profession:
HOUSE WIFE
Permanent Address of Father/Mother:
UNIQUE FURNITURE ARHCAR ROAD QUETTA.
District:
Quetta
Province:
Balochistan
Tel:
NIL
Mobile:
03361296184
Email:
Address for Correspondence:
CHINA MACHINERY STORE SURAJ GUNG BAZAR QUETTA.
District:
Quetta
Religion:
Class last attended:
ISLAM
Nationality:
2
Province:
Balochistan
PAKISTANI
Medium of Instruction:
County of stay:
PAKSITAN
ENGLISH
School last attended:
2
Board/University:
BALOCHISTAN BOARD
Identification Mark:
NIL
Admission desired in class:
3P
with effect from:
NIL
Roll no. Name & Class of brother/Sister(s) at present studying at Sadiq Public School:
NIL
Name and address of two persons (who may be contacted in an emergency):
i)
RAHIM TAREEN
Relation with student:
UNCLE
Tel:
NIL
Mobile:
03114654246
ii)
WASEEM TAREEN
Relation with student:
UNCLE
Tel:
NIL
Mobile:
03361296184
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:
FARID KHAN TAREEN
Gender:
Male
Son/Daughter of:
MUHAMMAD NASEEM
Phone:
Address:
UNIQUE FURNITURE ARHCAR ROAD QUETTA.
Name of person:
(Who may be contacted in case of emergency)
Phone:
03361296184
MUHAMMAD NASEEM
Admission for Class
3P
Date of Birth:
5 November 2010 at 12:00:00 am
Blood Group:
NIL
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)
NIL
____________
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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