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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:
MUHAMMAD ANAS
3120391791449
Gender:
Male
15 December 2012 at 12:00:00 am
MUHAMMAD ARFAN
03005738188
SHABNAM SHAHZADI
CNIC:
3120346189359
Profession:
JOB
CNIC:
3120329690230
Mobile:
03086575188
Profession:
House Wife
Permanent Address of Father/Mother:
CHAK NO 188/MURAD, TEHSIL HASILPUR, DIST BAHAWALPUR
District:
Bahawalpur
Province:
Punjab
Tel:
03005738188
Mobile:
03005738188
Email:
Address for Correspondence:
District:
Bahawalpur
Religion:
Class last attended:
ISLAM
Nationality:
SIXTH
Province:
Punjab
PAKISTAN
Medium of Instruction:
County of stay:
PAKISTAN
URDU
School last attended:
D ARKAM SCHOOL
Board/University:
BAHAWALPUR
Identification Mark:
N/A
Admission desired in class:
7P
with effect from:
Immediate
Roll no. Name & Class of brother/Sister(s) at present studying at Sadiq Public School:
N/A
Name and address of two persons (who may be contacted in an emergency):
i)
SHABNAM SHAHZADI
Relation with student:
MOHTHER
Tel:
03086575188
Mobile:
03086575188
ii)
JAMSHAID ALI BABAR
Relation with student:
UNCLE
Tel:
03064434172
Mobile:
03064434172
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:
MUHAMMAD ANAS
Gender:
Male
Son/Daughter of:
MUHAMMAD ARFAN
Phone:
Address:
CHAK NO 188/MURAD, TEHSIL HASILPUR, DIST BAHAWALPUR
Name of person:
(Who may be contacted in case of emergency)
Phone:
03005738188
MUHAMMAD ARFAN
Admission for Class
7P
Date of Birth:
15 December 2012 at 12:00:00 am
Blood Group:
O+TV
Allergies to Drug ( )
Drug
Allergies to Food ( )
Food
Physical disabilities( )
phy
Respiratory Problems / Asthma ( )
Asth
No
Vision / Hearing Problems ( )
Vision
Eye Weekness, Wear Glasses
Dates of Last Immunization: EPI Hepatitus A Typhoid
15/05/24, 12:00 am
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
Father's CNIC
Father's Police Report
Result Card
B Form
Deposit Slip
Mother's CNIC
Vaccination Card
Academic Report
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