Provincial Health Services Academy Peshawar

CNIC / Form B Number

Email Address

Date of Birth

Gender

Religion

District Domicile

General Quota

PHSA Network Employee's Children Quota

Minority Quota Only

Applicant First Name

Applicant Last Name

Father's Name

Address

Personal Phone

Guardian Phone

Matric Obtained Marks

Matric Total Marks

FSC Obtained Marks

FSC Total Marks

KMU-CAT(2025) Roll Number.

KMU-CAT Marks (out of 100)

Are you Hafiz Quran?

Aggregate (%)

Applicant Picture

Paid Bank Challan/Receipt

Important Note

Please review all the information you have entered carefully. Ensure that all DATA are correct before submitting your application.