F-006 Issue 0 Rev.

4 March 18, 2006

MARITIME ACADEMY OF ASIA AND THE PACIFICKAMAYA POINT

BOARD OF ADMISSIONS
Associated Marine Officers and Seamens Union of the Philippines PTGWO - ITF Kamaya Pt., Brgy. Alas-asin, Mariveles, Bataan

2X2
COLORED PICTURE

MIDSHIPMEN APPLICATION FORM

Application No.

AMOSUP Dependent

College Level
Given Name

High School
Middl e Name

Preferred Course

BSMT

BSMarE

BSMTE Middle Initial

P E R S O N A L

Last Name

Residence Address

Region

Mailing Address

ZIP CODE

E-Mail Address

Birth date

Gender

Age

Status

Birth place

Religion

Height (cms/ ft)

Weight (lbs/ kg)

Parents Name
(Father)

Age

AMOSUP I.D. No.

Occupation

Living/ Deceased

F A M I L Y

(Mother)

Parents Mailing Address

Contact Number

Do you have any relatives abroad? Name?

Relationship

Rank/ Position

Company/ Location

Level

Name of School

Inclusive Date from to

Public School

Private School

Honors/ Awards Received

Gen. Ave.

EDUCA TION

Elementary High School

Vocational Course

College Course

I hereby certify that the above information are true and correct
Applicants Signature Date of Filing Date application form received and evaluated

DO NOT FILL - IN THIS PART ( MAAP Use Only )

MAAP Examination Grade Application Status Evaluators Remarks Evaluator

Place of Testing Center

Accepted

Denied Examination Date/ Time

CAN BE PHOTOCOPIED. NOT FOR SALE.

MARITIME ACADEMY OF ASIA AND THE PACIFIC KAMAYA POINT
Associated Marine Officers and Seamens Union of the Philippines - PTGWO-ITF Kamaya Pt., Brgy. Alas-asin, Mariveles, Bataan

2X2
COLORED PICTURE

ENTRANCE EXAMINATION PERMIT

Name of Applicant Preferred Course

Place of Testing Center

BSMT

BSMarE

BSMTE

Examination Date/ Time

Mode of Payment

Test Permit No.

Evaluator

Cash

Check/ Money Order Payable to MAAP

NOTE : 1. Calculator is not allowed during the examination. 2. Failure to submit application requirements may be a ground for disqualification.

BRING THE FOLLOWING ON THE SCHEDULED EXAMINATION: 1. 2. Test permit Valid School ID 3. Black Ball Pen