APPLICATION FORM Please fill in BLOCK LETTERS 4 allthatapply ©) Select only one Write “NA" for not-applicable items Section | O Male OFemale ‘Section It oO O b. O O © oO OQ 4. | Experience in the field of Education: ‘Years 5. | Are you currently operating any school? Olves () 6. | 1f¥es for Question 5: 6a|_Name of School: 66,| Location / City: ‘6c,| Levelot School? [~] Nursan eimay [aside —_[“] igh e Moder? Cenatish urdu ‘ea,| TPEOtSchoo!? —[|co.Education _[-] Bo Cleits [partial Go-Eucation 19 ATTACH EXTRA SHEET IF REQUIRED Operation 6. You intend to: Establish new school [1 Convert existing schoo! 8. _You intend to run: Single Unit [[]Mutipte Units _ it ntutine (How many 9. Would you run the school? [1 Yoursett (Cin Partnership 10. Will any family member (s) work with you? OYes__©) No Fil this section for one proposed school locaton. Form No Page 1 of 4 Rew ‘CONFIDENTIAL ‘(Once Filled)APPLICATION FORM Used additional copies of this section for more schoo! locations. Section V Perna cuca 11. Locality City Brief reason for selecting this location O Pte _(P}__Play Group TO _class KG (03 classes) No Of Section [] SINGLE [_] MULTIPLE [_] UNDECIDED. O Pe (P) class 1 TO class § (03 classes) No Of Section [] SINGLE] MULTIPLE [_] UNDECIDED. © Pre (P)_ class 1 Locality TO class 10 (03 classes) City Brief reason for lecting this location Repon ered 12. Status of Proposed Propety: O Owned Orented __O Tobe arranged 13. Type of Propety: O Residential Ocommercial_© amenity 414. Total Plot Area of Propety (Sa.tt)_| Total Covered Area in case of Building a.(_lElectricity 4.0 [Parking b._ Telephone 5.__]Sewerage system c.T internet 6. Road access: Form No Rev. Page 2 of 4 CONFIDENTIAL ‘(Once Filled)APPLICATION FORM Ver ainemete) Comamittanenns Section Vil ouravallability, iv. Section Vill Signature: Date: Please send your application to : Office Address Dr. A.Q. Khan school system H-1, j-2, phase Il, Hauatabad Form No Rev. peshawar. Page 3 of 4 ‘(Once Filled)APPLICATION FORM Evaluator: Reviewer: Reviewers Signature ‘Signature Signature Date : Date: eae Form No Rev. ‘(Once Filled) Page 4 of 4