Republic of the Philippines Department of the Interior and Local Government Philippine Public Safety College PHILIPPINE NATIONAL

POLICE ACADEMY P.O. Box # 37 Camp General Mariano N Castañeda, Silang, Cavite 4129 Tele Fax # (049) 545-5940/(02) 396-4076 Website: www.pnpa.edu.ph Email Add: info@pnpa.edu.ph
PNPACAT Application Form Revised 2010
PNPA REG

Recent Photo With name tag Original Copy (Passport Size) [1.5’x2”]

APPLICATION FOR PNPA CADET ADMISSION TEST

(IMPORTANT: READ INSTRUCTIONS AT THE BACK OF THIS FORM. ACCOMPLISH THIS FORM COMPLETELY & ACCURATELY)

1. SURNAME FIRST NAME MIDDLE NAME 3. COMPLETE MAILING ADDRESS with ZIP Code: 4. CIVIL STATUS: 8. AGE : BIRTHDATE: 5. CITIZENSHIP: REGION:______

2.GENDER : Male Female

Email Address:______________________ TEL NO.: (Res)_____________________ (Mobile)___________________________ 6. HEIGHT: (cm) 7. WEIGHT: (kg)

Month Date

Year

9. BIRTHPLACE:_______________________________________________ (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: Degree: _________________________________________ School: _______________________ Year 1st 2nd 3rd 4th 5th ______________________________ 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 I II III IV A & B V VI AREAS Laoag City San Fernando City, La Union Tuguegarao City Cauayan, Isabela Cabanatuan City City of San Fernando, Pampanga Calamba City Lucena City Legazpi City Daet, Camarines Norte Iloilo City Bacolod City CODE 001 002 003 004 005 006 007 008 009 010 011 012 REGION VII VIII IX X XI XII NCR CAR CARAGA ARMM AREAS Cebu City Tacloban City Zamboanga City Cagayan de Oro City Davao City General Santos City Quezon City Manila Baguio City Lamut, Ifugao Butuan City Cotabato City CODE 013 014 015 016 017 018 019 020 021 022 023 024

(REPRODUCTION OF THIS FORM IS ALLOWED) Application Form can be downloaded at www.pnpa.edu.ph

COVERAGE OF EXAMINATION: • • • • • 4. and 157. Submit duly accomplished application together with a self-stamped WINDOW ENVELOPE to the Office of the Registrar or mail to: The Director. Applicants who failed to receive the notice of examination must visit the PNPA website: www. Height of at least 162. Verify if you posses the following INITIAL REQUIREMENTS FOR ADMISSION: (DO NOT APPLY if you are NOT QUALIFIED) • • • • • • • • A natural born Filipino citizen. TO LEAD TOMORROW . Tattoos and other brotherhood marks. Must be able to perform the following physical fitness exercises: Exercises Pull-Ups Full Arms Hanging 2 min Push-Ups 2 min Sit-Ups 100 meter dash 1000 meter run • • • Female 40 sec 35 50 20 sec 5:30 Male 10 40 55 17 sec 4:30 Physically and mentally fit for cadetship training. Camp General Mariano N Castañeda. Cavite. administrative. 4129 Silang. major operations. 1. ear piercing (male only) For Females: 1. Malocclusion. Inaccurate or incomplete information will be a ground for disqualification. bleeding tendencies. hernia (if not treated). Male or female. communicable diseases (such as AIDS. epileptic seizure disorders. Philippine National Police Academy. near sighted/far sighted with corrective eyeglasses or lens). Missing of four anterior or front teeth & Missing of six (6) posterior/molar teeth. Deformities of the face. 1994). Weight of not more nor less than five (5) kilograms of the standard weight measurement corresponding to height. active PTB. asthma. single and with no legal obligation to support a child or children. DEADLINE FOR SUBMISSION OF APPLICATION: September 30. 17 to 21 years old (Born between May 2. Painful menstruation Communication Skills Math and Sciences Logical and Reasoning Ability General Information and Current Events Values and Aptitude for the Service 2. Of good moral character. Defective Visual Perception (color blindness. GROUNDS FOR MEDICAL DISQUALIFICATION: • • • • • • • 3. History of pregnancy 3. Cleft lip and palate. Not a former cadet of PNPA or other service academies.pnpa. Tongue-tied. 5. If found qualifed. History of heart disease. kidney and liver diseases.) Full dentures.5 cm (5ft 2 in) for female. 2010. (Attn: Registrar).INSTRUCTIONS Please read instructions carefully. APPLY NOW : The PNPA Cadet Admission Test will be on November 07. 2010 6. hemorrhoids. varicocoele. At least high school graduate. upper and lower. extensive skin disorders.ph to check if he/she included in the List of Qualified Examinees. Perforated ear drum.5 cm (5ft 4 in) for male.edu. Presence of breast mass 4. NOTICE OF EXAMINATION shall be sent through mail. Goiter 2. No criminal. VD etc. Be sure to meet the qualification requirements. chronic sinusitis. SUBMIT ONLY ONE (1) APPLICATION. Physical Deformities Example: bowlegged or congenital defects. hypertension. age and sex. applicants shall go directly to examination area even without notice of examination and bring the other test requirements. 1989 – May 1. or civil case on file before any Prosecutor’s Office or any Court of Justice and other derogatory record(s). Hepatitis. MOTTO: TO LEARN TODAY. Open bite.

Sign up to vote on this title
UsefulNot useful