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PNPA CAT Application Form Revised 2011-A PNPA REGIST

PHILIPPINE NATIONAL POLICE ACADEMY


P.O. Box # 37 Camp General Mariano N Castaneda, Silang, Cavite 4129
Tele Fax # (49) 545-5939/ (02) 396-4076
Website: www.pnpa.edu.ph Email Add: info@pnpa.edu.ph
APPLICATION FOR CADET ADMISSION TEST
(IMPORTANT: READ THE INSTRUCTIONS AT THE BACK OF THIS PAGE BEFORE ACCOMPLISHING THIS APPLICATION FORM.)
SURNAME

FIRST NAME RECENT PHOTO IN


PASSPORT SIZE WITH NAME
TAG AND WHITE
MIDDLE NAME BACKGROUND (DIGITAL
√√ PHOTO IS NOT ACCEPTED)

GENDER AGE WEIGHT(kg) CIVIL STATUS HEIGHT


. MALE FEMALE E SINGLE SINGLE PARENT SEPARATED 5 BELOW 5’2
MARRIED WIDOWED ANNULLED BELOW 5’4

COMPLETE MAILING ADDRESS with ZIP Code: 5’2


5’3
5’4
EMAIL ADDRESS:
BIRTHDATE(date/month/year) BIRTHPLACE (city/town/province) CITIZENSHIP 5’5
___________________
5’6 ___________________
5’7 TEL/LANDLINE NUMBER:
FAMILY BACKGROUND 5’8 ___________________
FATHER’S NAME:____________________________ CONTACT NUMBER:_______________ 5’9 ___________________
ADDRESS: _________________________________________________________________ 5’10
MOTHER’S NAME:___________________________ CONTACT NUMBER: ______________ 5’11
MOBILE PHONE NUMBER:
6’0
____________________
ADDRESS: _________________________________________________________________
6’1
____________________
GUARDIAN’S NAME: _________________________ RELATIONSHIP:___________________ 6’2 &
ADDRESS: _________________________________ CONTACT NUMBER:_______________ ABOVE
EDUCATIONAL ATTAINMENT COLLEGE/VOCATIONAL
HIGH SCHOOL LEVEL: 1ST 2ND 3RD 4TH 5TH Year Graduated:____________
SCHOOL________________________________ SCHOOL:___________________________________________________
GENERAL AVERAGE (RATING):_______________ COURSE: ___________________________________________________
ACADEMIC AWARDS: _____________________ ACADEMIC AWARDS: _________________________________________
OTHER AWARDS:_________________________ OTHER AWARDS: ____________________________________________

CIVIC ORGANIZATIONS/AFFILIATION:_________________________ POSITION HELD: _______________________________


SPORTS : _________________________________ HIGHEST SPORTS ACHIEVEMENT: _________________________________
OTHER SKILLS:___________________________________________________________________________________________
Have you ever been dismissed from any employment, forced to resign or otherwise disciplined as a result of an administrative
case, or convicted for any violation of law, ordinance or regulations before any civil court and/or military tribunal? YES NO
If YES, please attach copy of the decision.
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
Do you have any parental and/or financial obligation, or have 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)
NOTICE OF EXAMINATION OR ADMISSION NOTICE from the PNPA REGISTRAR shall be sent through mail. Applicants
who fail to receive notice of examination may visit the PNPA website at www.pnpa.edu.ph to check if he/she is
included in the List of Qualified Examinees. If found qualified, applicants may go directly at the designated
examination areas on the date of examination even without the notice of examination. Applicants shall present
valid personal identification cards (ID’s) together with other requirements.
TO LEARN TODAY, TO LEAD TOMORROW
(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 ground for disqualification. SUBMIT ONLY ONE (1) APPLICATION.

1. QUALIFICATIONS/ INITIAL REQUIREMENTS FOR ADMISSION: (DO NOT APPLY if you are NOT QUALIFIED)
 Natural born Filipino citizen;
 Of good moral character;
 Male or female, single and with no parental and financial obligation to anybody;
 17 to 21 years old at the time of admission;
 Height of a least 162.5 cm (5ft 4in) for male, and 157.5cm (5ft 2in) for female;
 Weight must not be more than or not less than five (5) kilograms of the standard weight corresponding
to height, age, and sex;
 At least high school graduate;
 Must be able to perform the following physical fitness exercises:
Exercises Male Female
Pull-Ups 3
Full Arms Hanging 30 sec
2 min Push-Ups 25 25
2 min Sit-Ups 30 25
100 meter dash 18 sec 20 sec
3 km run 27 mins 30 mins
 Physically and mentally fit for cadetship training;
 No criminal, administrative, or civil case and other derogatory record(s);
 Not a former cadet of PNPA or other service academies;
2. GROUNDS FOR MEDICAL DISQUALIFICATIONS:
 Defective Visual Perception (color blindness, near sighted/far sighted with corrective eyeglasses or lens, nystagmus);
 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(4) anterior or front teeth & Missing of six (6) posterior/molar teeth;
 Tattoos and other brotherhood marks, ear piercing (male only);
 For Females: Goiter; History of pregnancy; Presence of breast mass; Painful menstruation;
 Any other similar defects which may hinder in the Cadetship Training Program.
3. The PNPA Cadetship Program is a government Scholarship Program. Admitted Cadets must complete the Cadetship Program
and serve the government either in the PNP, BFP or BJMP services for the prescribed period (two years of service for every year of
scholarship). Admitted cadets shall pay back the expenses incurred for his/her scholarship should he/she fail to complete the
Cadetship Program. Graduates shall reimburse the government the expenses incurred during their Cadetship Program if they fail
to complete the required years of service.

4. COVERAGE OF EXAMINATION
 Communication Skills  General Information and Current Events
 Logical and Reasoning Ability  Values and Aptitude for the Service
 Math and Sciences
5. 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.

6. DEADLINE FOR SUBMISSION OF APPLICATION:_________________ PNPA Cadet Admission Test will be on __________________

7. PLEASE CHOOSE YOUR TEST CENTER PREFERENCE INDICATED BELOW. PUT A CHECK ON THE BOX BESIDE THE TEST CENTER CODE.
TEST CENTER PREFERENCE
REGION LOCATION CODE REGION LOCATION 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
Cauyan, 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 NCR Manila 020
V Legazpi City 009 CAR Baguio City 021
Daet, Camarines Norte 010 CAR Lamut, Ifugao 022
VI Iloilo City 011 CARAGA Butuan City 023
Bacolod City 012 ARMM Cotabato City 024

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