Sadiq Progressive School

Bahawalpur

Admission Form

Applicant's Name:

B.Form:

FARID KHAN TAREEN

5440053175525

Gender:

Male

Date of Birth:

Father's Name:

Mobile:

Mother's Name:

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:

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

Admission for Class

3P

Date of Birth:

Blood Group:

NIL

Allergies to Drug (              )

Drug

Allergies to Food (               )

Food

Physical disabilities(                )

phy

Respiratory Problems / Asthma (                )

Asth

No

MUHAMMAD NASEEM

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

NIL

med

Male

Father's CNIC

Mother's CNIC

Father's Police Report

B Form

Vaccination Card

Academic Report

Result Card

Deposit Slip

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