The City School

TCN Bait-ul-Mukarram
Ref: TCN-Bait-ul-Mukarram/1/2016-2017
22-09-2016
Dear Parents/Guardians,
Polio Vaccine
Following the instructions issued by the Health Department, polio vaccine will be administered
to all students under the age of 5 on 26th September, 2016.
Please fill the acknowledgement slip below and return it.
Looking forward to your usual cooperation.
Regards,
_________________
Ms. Naina Gul
Head Mistress
TCN Bait-ul-Mukarram
--------------------------------------------------------------------------------------------------------------------Acknowledgement Slip
Ref: TCN-Bait-ul-Mukarram/30/2016-2017
09-2016

23-

Please select one:

I allow the school to administer the polio vaccine to my child.
I do not want the school to administer the polio vaccine to my child.
*I relieve the school of all responsibility beyond that of normal supervision.*
Childs Name ________________

Class __________ Section______________

The City School (TCN Bait-ul-Mukarram) E-2, Block-17, Gulshan-e-Iqbal. Ph:

021-34991771,
021-349994994, Email: csnsro54@csn.edu.pk www.thecityschool.edu.pk

Parents/Guardians Signature: ______________ Mobile: _______________ Date: _________

The City School (TCN Bait-ul-Mukarram) E-2, Block-17, Gulshan-e-Iqbal. Ph:

021-34991771,
021-349994994, Email: csnsro54@csn.edu.pk www.thecityschool.edu.pk