PUBLIC SCHOOL/COLLEGE SHAKAR SHAH ROAD HARIPUR ( 0 9 9 5 - 6 1 3 2 1 7 / 5 2 0 6 4 6 )

Dr. ABDUL QADEER KHAN

ADMISSION FORM

Reg./Admission No :_______

Photo

1. Class
(For which admission is being sought)

: : : : : : :

_____________Group:______________________ _________________________________________
days month year

2. Name of the Student

(in block letter)

3. Date of Birth 4. Father / Guardians Name 5. Father / Guardians Occupation 6. Nationality / Religion

_________________________________________ _________________________________________ __________________Religion________________ ___________School Name:__________________ _________ _______________ ___________

7. Qualification (Last Class Passed)

8. Roll No./ Registration/ Marks Obt. : 9. Home Address :

Vill./H.No._____________ P.O/SECT__________ _________________________________________

10. Telephone No. 11. Special Interests, if any

: :

Res._________________ Off.________________ _________________________________________ : : : Hard of hearing _____________________ Weak eye sight______________________ Allergy or any other__________________

12. Does the child suffer from any kind of Element which warrants special Attention / handling

RULES AND REGULATIONS

1. All the students are instructed to strictly follow the rules and regulations of the institution. 2. Discipline is the top most priority of the institution, no violation of the discipline would be permitted at any cost. 3. Any student, found guilty of discipline, would be expelled from the Institution without further notification. 4. Special care should be taken for regular attendance in the School/College. Absence without leave application will be charged Rs. 10/- per day. 5. A student who stays absent from the School/College for six days (in a week) consecutively will be struck off. 6. Monthly fee should be paid before 10th of each month, otherwise a fine of Rs 10/- will be imposed for each day lapsed. 7. School/College Uniform is the symbol of the institution; no student will be allowed to attend the School/College with uniform. 8. No, student would be allowed to take leave during the School/College timings. No guests are allowed except parents, brother or sister (Real). 9. No, students are allowed to leave the class during the School/College timings, special request should be made to the relevant teachers for the purpose. 10. The cell phones are strictly not allowed in the School/College (submit at reception before assembly) 11. The fee (admission/Registration or Monthly Tuition) are non return able in any case once submitted. 12. Involvement /attachment in politics/firqa are strictly prohibited in the Institution. And any kind of damages due to that students, he/she will be the sole responsible of them.

REQUIRED DOCUMENTS
i) iii) Provisional Certificate 3 copies ii) School/College Leaving Certificate (Original) DMCs copies-3(10th) iv) Board Migration Certificate v) Photos of size (1*1)=6

NOTE: Before admission in BISE a detention test will be conducted other than monthly tests and in case of failing to get through the said test, the Management has full right to expel or send your child admission as a private candidate.
I or my son/daughter have given the informations above are correct and if found in-correct we will be the sole responsible, and I hereby declare that I have got the information of the School/College and fully understood the rules and regulations and hereby agree to abide by them and have no legal rights. Signature (Student) Date : __________________ Thumb : __________________ Signature: ____________________
(Parents / Guardian)Ph:_____________

ADDMISSION IS ALLOWED / NOT ALLOWED (PROVISIONALY OR REGULAR)

Date: ________________

Signature: ________________

(Principal)