ENDOWMENT Attach

FUND FOR THE

04 Photographs T(attest
here ALENTED STUDENTS
03 on backside OFside from Headmaster)
and 01 on front

KHYBER PAKHTUNKHWA AT ABBOTTABAD PUBLIC

SCHOOL
(Mansehra Road, Abbottabad. Phone 0992-406508-10 Fax: 406580)

APPLICATION FORM FOR ADMISSION IN CLASS 7TH

Centre Name
*(Abbottabad, Bannu, D.I.Khan, Mardan, Peshawar,
Kohat, Swat)
NOTE: Application Form alongwith Demand Draft/ Money Order of Rs.1000/- must reach
Abbottabad Public School, Abbottabad before 10-02-2017.

1. Name of
student:__________________________________________________________________________
(Use Capital Letters)
2. Fathers
Name:___________________________________________________________________________

3. Fathers Designation /Occupation /

Business:____________________________________________________

4. Domicile (Name of
District)_________________________________________________________________

5. Date of Birth (in figures) ___/___/_____(in

words)_______________________________________________

6. Age (as on 31st March

2017):________________________________________________________________
(Students below 11years and above 13 years of age are not eligible)
7. Class & Name of School Presently
studying:____________________________________________________

8. Monthly Family
income:____________________________________________________________________

9. Present Postal
Address:_____________________________________________________________________

_________________________________________________(Phone):________________________________
__

10. Permanent Address:

______________________________________________________________________

_________________________________________________(Phone):________________________________
__

CERTIFICATE BY HEADMASTER/PRINCIPAL (Where student is currently studying)

Entries in columns 1-10 (without any cutting/overwriting) verified:

The above named student was admitted in this School on

:__________________________________________

His character and conduct during his stay at this School

remained:____________________________________
(Satisfactory/Good/Excellent)
His date of birth according to School Register
is:__________________________________________________

Attested by Principal/Headmaster ___________________ Verified by DEO(M):

_________________________
(Signature)
(Signature)
Name:__________________________________________Name:___________________________________
__

Office seal of Principal / Headmaster: Office seal of DEO(M):

Undertaking by the Parent

I,____________________________F/O, M/O _______________________________ do certify that I

have personally filled out this form and the information is correct to the best of my
knowledge and belief. If the information is found incorrect, the award of
scholarship/Admission may be cancelled at any stage after selection and amount
incurred will be recovered from me through District Administration / Security Agencies.

Signature of Student _______________________ Signature of Parent

____________________________