Technological University of the Philippines

College of Liberal Arts

PHYSICAL EDUCATION DEPARTMENT
Ermita, Manila

PHYSICAL FITNESS TEST SCORE CARD

PALMA, CLARISSE A.
Name: Signature:
SURNAME First Name M.I.
Course and Section: BSIS-NS 1B Schedule:
Age: 18 Gender: F Height: 1.53 Weight: 43
Address: Maagay 1 Upper, Brgy. Inarawan, Antipolo City
Contact No.: 09636154176 Email Address: Clarisse.palma@tup.edu.ph
Guardian Name: SUSAN PALMA Contact No.: 09496530279

PART I.

Fitness
FITNESS TEST Date Score Rating
Components

Cardio-Vascular Excellent/Above
3 Minute Step Test 17/10/2020 81/101
Endurance Average

Leg Power Vertical Jump 17/10/2020 24 cm Below Average

Flexibility Sit and Reach 17/10/2020 -4 Fair

IMPORTANT NOTE:
ALL PERFORMANCES MUST BE PROPERLY DOCUMENTED THROUGH VIDEO
WHICH NEEDS TO BE SUBMITTED IN RAW .MP4 FILE ALONG WITH THE
RESULT OF THE PARTICULAR FITNESS TEST.

PE1 – PHYSICAL FITNESS