PHPAZAT Arpaio Fem Reweod 016 (This Farm is Not For Sale} PHILIPPINE NATIONAL POLICE ACADEMY Camp General Mariana W Castaneda, Silang, Cavite 4129 CP Nas. (0908) 203 2213/ (0908) 252 S061/ PLDT (a2) 925 5071 Website: wiew ppa eduph Email Add-lnfo@pnpa edu oh CADET ADMISSION TEST APPLICATION FORM AMPORTANT Plane cend the wuaKFextionreqiveren® a the back elere fing up tha frm, Ganct aoe yu arent qualiied, Mire legit and ascarately,Socomleteappaaton wil et be prevented SURNAME LL) aveuney I rst name TLTTITITTTT TTT Tt ry tise MIDOLENAME LITTTTITTT Titi ttt rt orn GENDER AGE wart | CHV STATUS weiguT | Pops Mame) COMALE (FEMALE. = | C]sincue [] MARRIED [] SINGLE PARENT e er | 4 | sr COMPLETE ADDRESS (barengay/town/ctrforovince with 2 Code se ss saat San $6 eam aces: DATE(monthféate/year) | BIRTHPLACE 57 eo 5°, | Faplaneunemowacn: FAMILY BREKGROUND so" FATHER'S NAME: CONTACT NUMBER: saa ADDRESS: er ‘MOTHER'S WAM (CONTACT NUMBER ‘Moan PHONE KUNE ADDRESS: $$ rns | GUARDIAN'S Aba RELATIONS soe eo ADDRESS: CONTACT NUMBE EOUCATIONAL ATTAINMENT HIGHEST level DEGREE COURSE YEARGRADUATED | GRADE/LEVEL/UNITS EARNED HIGH SCHOOL VOCATIONAL/TRADE COURSE COLLEGE WATE STU ELIGIBILITY: RATING: DATE TAKEN: CIVIC ORGANIZATIONS/AFFILIATION: POSITION HELD: SPORTS: OTHERS Thereby declare, that I have accomplished this application in good faith and the information supplied above ave true and corract bared on my personal knowledge and on authentic documents, | understand and ogres that any concealment oF misrepresentation, intentional ar otherwise, will be sufficient ground for disqualification at any stage of the recruitment and selection process, or for summary dismissal fram the PNPA cadetship program. (Signature of Ap NOTICE OF EXAMINATION from the PNPA REGISTRAR shall be sent through mail. Applicants who fail to receive notice of examination may vist the PNPA website wwew pnpa.edu.ph to cheek if they are included in the List of Qualified Examinees. Qualified appticants 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 {10's} together with other requirements. Docurtnt Contd No PNPA-CRTAF-2016.09 01 Revition Mos Page 2082 Docurnent Distribution‘The PAPA Cadetship Program isa government Scholarship Program. tsa Four Year education leading tothe Bachelor of ‘Science in Pubic Safety degree. Graduates are 2ppointed as Inspectors af the Philippine National Police (PNP), Bureau f ak ‘Management and Penslogy {QAP} and urea of Fue Protectien (BP). ‘QUALIEICATIONS/ NITAL REQUIREMENTS FOR ADWJESION: [00 NOT APPLY H you are NOT QUALIED) Appian must be ‘+ Natural born Filpine zen; = 1B. yeass otto. 22 yesez old (Birthdate from May 2, 2994 1 May 4, 1990), ‘= Single with no pareetalobsigation; High choot graduate upan application: ‘A feast § feetand 4 inches for male and 5 fect and inchos fer female elghis With weight that eorespandi tothe applean’s height, gender ard ge; Pysicaby nd mentally for cadetshiptraining: With good moca character (no criminal, administrate and iv derogatory record Without pending comataint and/or case belore ay irbuna of whatever nature; ‘+ Nota former eadet ofthe Philippine NatianalPoce Academy or ether similar institutions; 1+ Not have heen dismiste from any pivate employment or government potion for eause: ‘Apotieant must inaly pass: ‘+ TRePNPA Cater Admission Test whith s scheduled on October 30,2016 Sunday), 200 AM. ‘Coverage of Exminatlon: = Conimungation Sale Math and selonces 5 Lapel and Reasoning Abily "= Genesal IMormation snd Current Events Ansty "© Submit duly accomplished application form together with a photocopy of NSO birth certiicate, prepaid LBC AIRVELOP REGURARYN POUEH of sa¥-staniped WINDOW ENVELOPE ta the Difive ofthe Régluear er onl 12: The Diceetor (Atta: Rageai, PRlppe Nations Palice Academy, Camp General Mariana N. Castaheds, Slang Cavite 4123, ‘= DEADUINE FOR SUBMISSION OF APPLICATION: September 30,2016. 3 Suecetifulapptieant ofthe Philppona NutanatPalee Aeadery Chdet Adiasion Tem{PNPACAT} sll quay to the sex selection Screening: 1 Physical, Medical and Denial Examination (PMOE], 2) Psychological and Psychiatric Examination {PPE}, 3]. Agity Test and d}intersiew, Belovsis the minimum Physical Fleness Cuerleas requeemsent: [exercises Male [Femate Pullip 3 [ Fa arene Hanging He [Fmingushops | | [Frnin Sheps 6 [Hoo erar asin —[ a8vee [2050 Biming [Emin Detectve Vieusl Perception feolor Dindness, near sighted/far sighted wan corrective eveplasse or es, nystagmus; PysicalDefocmities Example: bowlersed or congental defects; Perforsted ear rum, chronic unui, bleeding tendencias, hemerrholds, hermit 40k tres tea, varicocele, extensive skin dors Histary af heaet disease, hypertension, asthma, active PTB, kidney and ler diseases, epleptic setae disorders, ‘major operations; communicable diseases (suchas AIDS. Hepat, VD et}: Fall dentures, upper and lowes, Cle€ ip and palate, malocclusion, Osfarmair ofthe face, Open bite, Tang missing of fourl8) anterioe o font teeth & Missing of sa (6) past erior/molae beth ‘Tattaot and ether brotherhood mark, 3 plercing [mate ani); For Females: GostersHitory of pregnoney, Presence of beset mash Panful menitrystion; [Any other siniar defects which may hinder inthe Cadetship Falaing Program. seeen PLEASE CHECK THE BOX THAT CORRESPONDS TO YOUR PREFERED TEST CENTER TEST CENTER PREFERENCE 1 Mganciny oa LY tweens oy oO va eat cry onl] anaes cry ooo rutermensoy or L] val Talat cay om] 1B Tgeegseea ie wa vege ce =f Fecal ‘coun, tela oo ou 2 capasseorecey onl Nae vee os on os m paasory os] fm cotanwan ow mH ns ow B Gera Sct ry =H \ceyot Sn ern, Famganga 07 ow asa Bariancoe | © dabnhadly woe uereney ee O ARAL denon Oy a] covet oueartes cae ove L] ym ewow oo O eran thr «OQ acl ie wf Document Contra No. PNFALCATAF=2015-01 F012, Rewsion No: 1 Page 20f2 Document Ditetbution