R

2021_MALE_ATT_2021_FV0IQR S
U
C
Republic of the Philippines O
NATIONAL POLICE COMMISSION P
PHILIPPINE NATIONAL POLICE Y
RECRUITMENT AND SELECTION SERVICE
Camp PBGen Rafael T Crame, Quezon City

2021 ATTRITION MALE APPLICANTS

PHYSICAL AGILITY TEST SCORE SHEET
NAME OF APPLICANT: 2021_MALE_ATT_2021_FV0IQR
(Last Name), (First Name) (Middle Name) (Qualifier Name)
DATE OF BIRTH:_______________________________________ SEX:
AGE:__________ HEIGHT (CM): ____________________________________________________________
WEIGHT (KG):
BP: __________________________________________________ _________________________
GO/NO GO:
SIGNATURE OF ATTENDING PHYSICIAN: _____________________________________________
CONTROL
NO.:________________________
REMARKS RANK/NAME AND SIGNATURE OF THE RECORDER
SEQ EVENT RAW SCORE
(PASSED/FAILED) NAPOLCOM REP Recruitment Secretariat REP
1 MIN PUSH UPS
MALE (35 REPS)
1
1 MIN BENCH PUSH UPS
FEMALE (25 REPS)
1 MIN SIT UPS
2 MALE (35 REPS)
FEMALE (25 REPS)
3 KILOMETER RUN
3 MALE (19 MINS)
FEMALE (21 MINS)
A
_______________________________________P
NAME & SIGNATURE OF EXAMINEE P
____________________ LI
DATE C
A
2021_MALE_ATT_2021_FV0IQR N
T'
Republic of the Philippines
S
NATIONAL POLICE COMMISSION C
PHILIPPINE NATIONAL POLICE O
RECRUITMENT AND SELECTION SERVICE P
Camp PBGen Rafael T Crame, Quezon City Y

2021 ATTRITION MALE APPLICANTS

PHYSICAL AGILITY TEST SCORE SHEET

NAME OF APPLICANT: 2021_MALE_ATT_2021_FV0IQR

(Last Name), (First Name) (Middle Name) (Qualifier Name)
DATE OF BIRTH:_______________________________________ SEX:
AGE:__________ HEIGHT (CM): ____________________________________________________________
WEIGHT (KG):
BP: __________________________________________________ _________________________
GO/NO GO:
SIGNATURE OF ATTENDING PHYSICIAN: _____________________________________________
CONTROL
NO.:________________________
REMARKS RANK/NAME AND SIGNATURE OF THE RECORDER
SEQ EVENT RAW SCORE
(PASSED/FAILED) NAPOLCOM REP Recruitment Secretariat REP
1 MIN PUSH UPS
MALE (35 REPS)
1
1 MIN BENCH PUSH UPS
FEMALE (25 REPS)
1 MIN SIT UPS
2 MALE (35 REPS)
FEMALE (25 REPS)
3 KILOMETER RUN
3 MALE (19 MINS)
FEMALE (21 MINS)

_______________________________________
NAME & SIGNATURE OF EXAMINEE
____________________
DATE