Republic of the Philippines

Department of the Interior and Local Government Recent Photo

Philippine Public Safety College With name tag
PHILIPPINE NATIONAL POLICE ACADEMY Original Copy
P.O. Box # 37 Camp General Mariano N Castañeda, Silang, Cavite 4129 (Passport Size)
Tele Fax # (049) 545-5940/(02) 396-4076 [1.5’x2”]
Website: www.pnpa.edu.ph Email Add: info@pnpa.edu.ph
PNPACAT Application Form
Revised 2010
PNPA REG
APPLICATION FOR PNPA CADET ADMISSION TEST
(IMPORTANT: READ INSTRUCTIONS AT THE BACK OF THIS FORM. ACCOMPLISH THIS FORM COMPLETELY & ACCURATELY)

1. SURNAME 2.GENDER :
Male
FIRST NAME Female

MIDDLE NAME

3. COMPLETE MAILING ADDRESS with ZIP Code: REGION:______ Email Address:______________________

TEL NO.: (Res)_____________________
(Mobile)___________________________
4. CIVIL STATUS: 5. CITIZENSHIP: 6. HEIGHT: (cm) 7. WEIGHT: (kg)

8. AGE : BIRTHDATE: 9. BIRTHPLACE:_______________________________________________

Month Date Year (City/Town/Province)

10. FATHER’S NAME: _____________________________ ADDRESS ______________________________________________

11. MOTHER’S NAME: _____________________________ ADDRESS______________________________________________
12. GUARDIAN’S NAME: ___________________________ Relationship ________________ ADDRESS___________________

13. EDUCATION (Please check highest educational attainment only)

High School Graduate: College Undergraduate: College Graduate:
School: _______________________ Year 1st 2nd 3rd 4th 5th Degree: _________________________________________

______________________________ Level: [ ] [ ] [ ] [ ] [ ] School: ________________________

Year Graduated: ________________ Course: ____________________________ _______________________________
School: Year Graduated: _________________

14. Have you ever been dismissed from any employment, forced to resign or otherwise disciplined as a result of administrative case,
or convicted of any violation of law, ordinance or regulations before any civil court and/or military tribunal? : YES NO
If YES, attach copy of decision:
15. Do you have any pending criminal or administrative case, or civil case on file before any Prosecutor’s Office or Court of Justice or
other derogatory record(s)? YES NO
16. Do you have any parental obligation, or has sired a child or children? YES NO

I hereby declare under the penalties of perjury that this application has been accomplished in good faith, verified by me and to the
best of my knowledge and belief and is a true, correct and complete statement pursuant to the provisions of pertinent laws, rules and
regulations of the Republic of the Philippines.

_______________________________
(Signature of Applicant)

TEST CENTER PREFERENCE:

(Please CHECK your test center preference)

REGION AREAS CODE REGION AREAS CODE

I Laoag City 001 VII Cebu City 013

San Fernando City, La Union 002 VIII Tacloban City 014
II Tuguegarao City 003 IX Zamboanga City 015
Cauayan, Isabela 004 X Cagayan de Oro City 016
III Cabanatuan City 005 XI Davao City 017
City of San Fernando, Pampanga 006 XII General Santos City 018
IV A & B Calamba City 007 NCR Quezon City 019
Lucena City 008 Manila 020
V Legazpi City 009 CAR Baguio City 021
Daet, Camarines Norte 010 Lamut, Ifugao 022
VI Iloilo City 011 CARAGA Butuan City 023
Bacolod City 012 ARMM Cotabato City 024

(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 a ground for disqualification. SUBMIT ONLY ONE (1) APPLICATION.
1. Verify if you posses the following INITIAL REQUIREMENTS FOR ADMISSION: (DO NOT APPLY if
you are NOT QUALIFIED)
• A natural born Filipino citizen;
• Of good moral character;
• Male or female, single and with no legal obligation to support a child or children;
• 17 to 21 years old (Born between May 2, 1989 – May 1, 1994);
• Height of at least 162.5 cm (5ft 4 in) for male, and 157.5 cm (5ft 2 in) for female;
• Weight of not more nor less than five (5) kilograms of the standard weight measurement
corresponding to height, age and sex;
• At least high school graduate;
• Must be able to perform the following physical fitness exercises:
Exercises Female Male
Pull-Ups 10
Full Arms Hanging 40 sec
2 min Push-Ups 35 40
2 min Sit-Ups 50 55
100 meter dash 20 sec 17 sec
1000 meter run 5:30 4:30
• Physically and mentally fit for cadetship training;
• No criminal, administrative, or civil case on file before any Prosecutor’s Office or any Court of
Justice and other derogatory record(s);
• Not a former cadet of PNPA or other service academies.
2. GROUNDS FOR MEDICAL DISQUALIFICATION:
• Defective Visual Perception (color blindness, near sighted/far sighted with corrective eyeglasses or lens);
• Physical Deformities Example: bowlegged or congenital defects;
• Perforated ear drum, chronic sinusitis, bleeding tendencies, hemorrhoids, hernia (if not treated), varicocoele;
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 anterior or front teeth & Missing of six (6) posterior/molar teeth;
• Tattoos and other brotherhood marks, ear piercing (male only)
• For Females:
1. Goiter
2. History of pregnancy
3. Presence of breast mass
4. Painful menstruation
3. COVERAGE OF EXAMINATION:
• Communication Skills
• Math and Sciences
• Logical and Reasoning Ability
• General Information and Current Events
• Values and Aptitude for the Service
4. Submit duly accomplished application together with a 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 Castañeda, 4129 Silang, Cavite.
5. DEADLINE FOR SUBMISSION OF APPLICATION: September 30, 2010
6. NOTICE OF EXAMINATION shall be sent through mail. Applicants who failed to receive the notice of
examination must visit the PNPA website: www.pnpa.edu.ph to check if he/she included in the List of
Qualified Examinees. If found qualifed, applicants shall go directly to examination area even without notice
of examination and bring the other test requirements.
APPLY NOW : The PNPA Cadet Admission Test will be on November 07, 2010.

MOTTO: TO LEARN TODAY, TO LEAD TOMORROW