PROVINCIAL HEALTH SERVICES PROVINCIAL HEALTH SERVICES PROVINCIAL HEALTH SERVICES
ACADEMY PESHAWAR ACADEMY PESHAWAR ACADEMY PESHAWAR
(PHSA) (PHSA) (PHSA)
BANK COPY INSTITUTE COPY APPLICANT COPY
NATIONAL BANK OF PAKISTAN NATIONAL BANK OF PAKISTAN NATIONAL BANK OF PAKISTAN
(AITEMAAD BRANCH) (AITEMAAD BRANCH) (AITEMAAD BRANCH)
Account No.
Account No. Account No.
2268003311456435
2268003311456435 2268003311456435
S.No. Date: / / 2024
S.No. Date: / / 2024 S.No. Date: / / 2024
Applicant Name
Applicant Name Applicant Name
Father’s Name
KMU CAT 2024 Father’s Name Father’s Name
ROLL NO# KMU CAT 2024 KMU CAT 2024
Processing Fee ROLL NO# ROLL NO#
for BS Nursing Rs. 500/- Processing Fee Processing Fee
Admission for BS Nursing Rs. 500/- for BS Nursing Rs. 500/-
Admission Admission
CNIC#
04/11/2024 CNIC# CNIC#
Due Date
Due Date 04/11/2024 Due Date 04/11/2024
Amount: (Rupees five hundred only)
Amount: (Rupees five hundred only) Amount: (Rupees five hundred only)
Bank Authorized Signature with stamp
Bank Authorized Signature with stamp Bank Authorized Signature with stamp