Admission Form – SST Public School Rashidabad

SST PUBLIC SCHOOL, RASHIDABAD

ADMISSION FORM

Class in which admission required*7th8th

Name of Candidate Block Letter*

Date of Birth*

National Identity #

Place of Birth*

Domicile*

Religion*

Sect*

Mother Tongue*

Nationality*

Father's Name*

Father's C.N.I.C *

Father's Designation/Occupation*

Monthly Income*

Father's Contact E-mail address

NADRA Death Certificate of Father if deceased

Present postal address*

City*

District*

PTCL with city code

Mobile*

Permanent Address*

Legal Guardianship Certificate if father is deceased Name

Bank Draft No*

Dated*

of Rs 2000 in favor of Sargodhian Spirit Trust Public School Rashidabad (Bank Account Number: 89010101094183 ) Meezan Bank

To be filled in by Parent / Guardian USE BLOCK LETTERS

Name of Applicant*

Date of Birth*

Blood Group*

Name / Phone number of family physician*

Emergency Phone number *

VACCINATION RECORD

Diphtheria*YesNo

Date

Hepatitis B and C*YesNo

Date

Polio*YesNo

Date

Meningitis*YesNo

Date

T.B*YesNo

Date

Measles, Mumps, Rublia*YesNo

Date

Pertussis*YesNo

Date

Other (name)

Date

MEDICAL HISTORY

Any allergy (food, medicine etc.)*

Any chronic / illness/disability (Asthma, Diabetes, Mental Illness, Epilepsy etc.)*

Any operation/surgery*

Any dietary problem/ requirement*

Any behavioural problems e.g. Bed wetting, Thumb Sucking, Nail Biting, Breath Holding, Stammering or any other*

Any learning difficulty

Any sleep disorder*

FAMILY HISTORY

Father

Age in Year

Condition of Health

Mother

Age in Year

Condition of Health

Siblings

Age in Year

Condition of Health

Siblings

Age in Year

Condition of Health

Siblings

Age in Year

Condition of Health

Any Other Information

Signature of Parent / Guardian (Write your name as signature)

Family Information Form ( To include Mother, Brothers and Sisters Only )

Name*

Age*

Relationship*

Marital Status*

Occupation*

Name

Age

Relationship

Marital Status

Occupation

Name

Age

Relationship

Marital Status

Occupation

Name

Age

Relationship

Marital Status

Occupation

Name

Age

Relationship

Marital Status

Occupation

Name

Age

Relationship

Marital Status

Occupation

Name

Age

Relationship

Marital Status

Occupation

Name

Age

Relationship

Marital Status

Occupation

Name

Age

Relationship

Marital Status

Occupation

Name

Age

Relationship

Marital Status

Occupation

UPLOAD PAY ORDER BANK DRAFT DEPOSIT ONLINE PAYMENT SLIP NUMBER IMAGE Only JPEG PNG GIF BMP SVG JPG format*

Previous school attestation

Form_B _Smart Card

Vaccination Certificate

Copy of Father’s C.N.I.C *

Fee Form *

Student's Picture*

I/We solemnly declare that the information provided in this form is correct to the best of my/our knowledge and belief, nothing has been concealed. I/We further undertake that the results of Entrance Test and Interview, conducted by SST Public School / any testing agency will be accepted by me/us without any reservation. I/We or anyone else related to us (directly or indirectly) in any manner, will not question the results and decision of the Principal SSTPSR in any Court of Law.I consent to the conditions

In case of any technical issue please contact E-mail: asifkhan@sstpsr.edu.pk Cell# 03082209354

ONLINE ADMISSION FORM