PNPA CAT Application Form Revised 2015-A PNPA REGIST

PHILIPPINE NATIONAL POLICE ACADEMY

Camp General Mariano N Castaneda, Silang, Cavite 4129
CP Nos. (0939) 938-7344/ (0917) 593-7672/ (02) 925-5071
Website: www.pnpa.edu.ph Email Add: info@pnpa.edu.ph

CADET ADMISSION TEST APPLICATION FORM

(IMPORTANT: READ THE INSTRUCTIONS AT THE BACK OF THIS PAGE BEFORE ACCOMPLISHING THIS APPLICATION FORM.)

SURNAME

QUALIFIER

FIRST NAME
MIDDLE NAME

GENDER
. MALE

AGE
FEMALE E

WEIGHT(kg)

CIVIL STATUS
SINGLE
MARRIED

HEIGHT
SINGLE PARENT

COMPLETE MAILING ADDRESS with ZIP Code:

BIRTHDATE(date/month/year)

BIRTHPLACE (barangay/town/city/province)

CITIZENSHIP

FAMILY BACKGROUND
FATHERS NAME:___________________________CONTACT NUMBER:_______________
ADDRESS: _________________________________________________________________
MOTHERS NAME:__________________________CONTACT NUMBER: ______________
ADDRESS: _________________________________________________________________
GUARDIANS NAME: ________________________ RELATIONSHIP:___________________
ADDRESS:_________________________________ CONTACT NUMBER:_______________

52
53
54
55
56
57
58
59
510
511
60

____OTHERS

RECENT PHOTO IN
PASSPORT SIZE WITH NAME
TAG AND WHITE
BACKGROUND (DIGITAL
PHOTO IS NOT ACCEPTED)

EMAIL ADDRESS:
___________________
___________________
TEL/LANDLINE NUMBER:
___________________
___________________
MOBILE PHONE NUMBER:
____________________
____________________

EDUCATIONAL ATTAINMENT
COLLEGE/VOCATIONAL
HIGH SCHOOL
LEVEL:
1ST 2ND 3RD 4TH 5TH Year Graduated:____________
SCHOOL________________________________
SCHOOL:___________________________________________________
GENERAL AVERAGE (RATING):_______________
COURSE: ___________________________________________________
ACADEMIC AWARDS: _____________________
ACADEMIC AWARDS: _________________________________________
OTHER AWARDS:_________________________
OTHER AWARDS: ____________________________________________
CIVIC ORGANIZATIONS/AFFILIATION:_________________________ POSITION HELD: _______________________________
SPORTS : _________________________________ HIGHEST SPORTS ACHIEVEMENT: _________________________________
OTHER SKILLS:___________________________________________________________________________________________
I hereby declare, that I have accomplished this application in good faith and the information supplied above are true
and correct based on my personal knowledge and on authentic documents. I understand and agree that any concealment
or misrepresentation, intentional or otherwise, will be sufficient ground for disqualification at any stage of the recruitment
and selection process, or for summary dismissal from the PNPA cadetship program.
__________________________
(Signature of Applicant)

NOTICE OF EXAMINATION from the PNPA REGISTRAR shall be sent through mail. Applicants who fail to receive notice of
examination may visit the PNPA website www.pnpa.edu.ph to check if they are included in the List of Qualified Examinees.
Qualified applicants may go directly to the designated examination areas on the date of examination even without the notice
of examination. Applicants shall present two (2) valid personal identification cards (IDs) together with other requirements.
(REPRODUCTION OF THIS FORM IS ALLOWED)
Application form can be downloaded at www.pnpa.edu.ph

INSTRUCTIONS
Please read instructions carefully. Be sure to meet the qualification requirements. Inaccurate or incomplete information will be
ground for disqualification. SUBMIT ONLY ONE (1) APPLICATION.
1. The PNPA Cadetship Program is a government Scholarship Program. Admitted Cadets must complete the Cadetship Program and serve the
government either in the PNP, BFP or BJMP services for the prescribed period (two years of service for every year of scholarship). Admitted
cadets shall pay back the expenses incurred for his/her scholarship should he/she fail to complete the Cadetship Program. Graduates shall
reimburse the government the expenses incurred during their Cadetship Program if they fail to complete the required years of service.
2. QUALIFICATIONS/ INITIAL REQUIREMENTS FOR ADMISSION: (DO NOT APPLY if you are NOT QUALIFIED)
A. Applicant must be:
Natural - born Filipino citizen;
18 years old and not more than 22 years old on April 15, 2016;
Single with no parental obligation;
High school graduate upon application;
At least 5 feet and 4 inches for male and 5 feet and 2 inches for female in height;
With weight that corresponds to the applicants height, gender and age;
Physically and mentally fit for cadetship training;
With good moral character (no criminal, administrative and civil derogatory record);
Without pending complaint and/or case before any tribunal of whatever nature;
Not a former cadet of the Philippine National Police Academy or other similar institutions;
Not have been dismissed from any private employment or government position for cause;
B. Applicant must pass:
The PNPA Cadet Admission Test, Medical, Psychological and Psychiatric Examination, Agility Test and Interview;
The minimum Physical Fitness Exercises, as follows:
Exercises
Male
Female
Pull-Ups
3
Full Arms Hanging
30 sec
2 min Push-Ups
15
10
2 min Sit-Ups
30
25
100 meter dash
18 sec
20 sec
3 km run
27 mins
30 mins
C. Coverage of Examination:
* Communication Skills
* Math and Sciences
* Logical and Reasoning Ability
* General Information and Current Events
D. How to Apply:
Submit duly accomplished application forms together with a photocopy of NSO birth certificate, prepaid LBC AIRVELOP REGULAR/N-POUCH or
self-stamped WINDOW ENVELOPE to the Office of the Registrar or mail to: The Director (Attn: Registrar), Philippine National Police Academy,
Camp General Mariano N. Castaeda, Silang Cavite 4129.
DEADLINE FOR SUBMISSION OF APPLICATION: on or before September 25, 2015.
SCHEDULE OF EXAMINATION: October 25, 2015 (Sunday), 7:00 A.M.
E. Grounds for Medical Disqualifications:
Defective Visual Perception (color blindness, near sighted/far sighted with corrective eyeglasses or lens, nystagmus);
Physical Deformities Example: bowlegged or congenital defects;
Perforated ear drum, chronic sinusitis, bleeding tendencies, hemorrhoids, hernia (if not treated), varicocele, extensive skin disorders;
History of heart disease, hypertension, asthma, active PTB, kidney and liver diseases, epileptic seizure disorders,
major operations; communicable diseases (such as AIDS, Hepatitis, VD etc.);
Full dentures, upper and lower, Cleft lip and palate, malocclusion, Deformities of the face, Open bite, Tongue-tied,
missing of four(4) anterior or front teeth & Missing of six (6) posterior/molar teeth;
Tattoos and other brotherhood marks, ear piercing (male only);
For Females: Goiter; History of pregnancy; Presence of breast mass; Painful menstruation;
Any other similar defects which may hinder in the Cadetship Training Program.
3. PLEASE CHECK THE BOX THAT CORRESPONDS TO YOUR PREFERED TEST CENTER.
TEST CENTER PREFERENCE
REGION
I

II

II

III

LOCATION

CODE

REGION

Vigan City

001

Batangas City

010

Urdaneta City

002

Lucena City

011

VII

Tuguegarao City

003

Naga City

012

Cauayan, Isabela

004

Legazpi City

013

Nueva Vizcaya

005

CAR

Baguio City

Cabanatuan City

006

NCR

Manila

City of San Fernando, Pampanga 007

IV

Calamba City

008

City of Dasmarias

009

VI

LOCATION

CODE

REGION

LOCATION

CODE

Bacolod City

019

Cebu City

020

VIII

Tacloban City

021

IX

Zamboanga City

022

014

Cagayan de Oro City

023

015

XI

Davao City

024

Pasay City

016

XII

General Santos City

025

Quezon City

017

CARAGA

Butuan City

026

Iloilo City

018

ARMM

Cotabato City

027