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Fone Jane Rev. 6 May 03 a9 MARITIME ACADEMY OF ASIA AND THE PACIFIC-KAMAYA POINT. o BOARD OF ADMISSIONS 2x2 ‘Asoc Marie Office and Seamen's Unio he Philipines -PTOWO -FTF RECENT rte | Kamaya Bs, Asrauin, Marvels Balas COLORED MIDSHIPMAN APPLICATION FORM PICTURE T hereby certify that the above information are true and correct. NOTE: The MAAP-Board of Admissions recognizes their responsibilities under the Republic Act No. 10173 (Act, also Knoww as the Data Privacy Act of 2012, with respect ofthe data they collet, record, use, and consolidate from the applicant. The personal data to be obteined is for the purpose of admission and selection processing of MAAP and respective sponsoring companies tin form, you expressly give your consent to MAAP-Board of Admissions to collec, record us, process and consolidate the personal data you voluntarily indicated herein for purposes above-mentioned. By affixing your signature on thts appli [ARP Examinaton Grace | Application Stats ‘Appleaton No Clamosur vependent Cl cotege Level 1 Senior tigh choot 3 [asta ‘Given Name 7 ‘ite am ei < =I ome Adaress "BP Code Region oT | Mal Adaress ‘Contact Number s | ‘Bit date (ex Janwary 0, 2007) | Age_| Statue | Birth place Religion Parent Name "ANOSUPID.No. | Occupation ving! Deceased > | Faber 2 Rank Posi Conn on pany! Location < Tone ] uit ]Prvate ‘cen | - Echoct [Shoo frase Ave. igh | Wame of Schoo! = seneot |e) a z Tame of Schoo ° Pcccecees: COME SPEEEFPEAT--UREEPSTeCEREESTUUESEEEESESCrOeseOTeerPETISEEY = Pease check your corresponding Wack and indicate the strandapeciazaon < | Senior | 6) Academic / Stand: & | ‘ton 5 | £201 3 Technical: Vocatona-Lvelinood / Specialization. a | © Sports |_| 0 Arsand Design pe | Foseee| ae asad Applicant's Signature / Date DO NOT FILL-IN THIS PART (MAAP Use Only) TD pocwptes CO Danie Place of Testing Center MARITIME ACADEMY OF ASIA AND THE PACIFIC KAMAYA POINT ‘Asvocited Marine Offices" and Seamen's Union of the Philippines - PTOWO-TTF Taf | Kamoya P Bray. Alasasin, Marve, Bataan CAN BE PHOTOCOPIED. NOT FOR SALE. 2x2 ENTRANCE EXAMINATION PERMIT Repl Tae RSS ad PICTURE esr 0 eshwe ‘Examination Datel Time Evaluators Remarks Test Permit: Cipaia Cl For Payment of Processing Fee ‘BRING THE FOLLOWING ON THE SCHEDULED EXAMINATION: fe Testpmrme 3. Back Bal Pon 2. 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