20.2CY.0000059.

9
PRSU/RSU COPY
Republic of the Philippines
NATIONAL POLICE COMMISSION
PHILIPPINE NATIONAL POLICE
RECRUITMENT AND SELECTION SERVICE
Camp PBGen Rafael T Crame, Quezon City

2CY20 Regular Recruitment Program

PHYSICAL AGILITY TEST SCORE SHEET
NAME OF APPLICANT: Balogbog, Leybert Laping
(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
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

20.2CY.0000059.9
APPLICANT'S C OPY
Republic of the Philippines
NATIONAL POLICE COMMISSION
PHILIPPINE NATIONAL POLICE
RECRUITMENT AND SELECTION SERVICE
Camp PBGen Rafael T Crame, Quezon City

2CY20 Regular Recruitment Program

PHYSICAL AGILITY TEST SCORE SHEET

NAME OF APPLICANT: Balogbog, Leybert Laping

(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
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