Republic of the Philippines
NATIONAL POLICE COMMISSION
PHILIPPINE NATIONAL POLICE TRAINING SERVICE
Camp BGen Rafael T Crame, Quezon City
Website: http://www.ts.pnpgov.ph
Email Address: ts@pnp.gov.ph
Revised Form: 01-2020 (Form for 50 years old & below only) Running #: _______________
(Fill-up this form properly! Incomplete Data, No PFT Results) Registration # _____________
Date Taken: __________________
PNP ID #: ___________________
Steps:
1. Registration: __________________________
(Secretariat Name & Signature)
2. Measurement:
Height (m):_____Weight (kg):______ Waistline (inch):_____ BMI: ___________________
Result:_________________ Weight to lose: ___________
3. BP: 1st BP: __________ 2nd BP: __________ BMI Category: ____________
4. ECG: ________________________________ Score: ____________
5. GO / NO-GO / DEFERRED/ OBSTETRICALLY DEFERRED: _____________________________
(Physician Name & Signature)
Full Name: Last Name, First Name, M.I Rank
Date of Birth:
File Copy
Age: Sex: PNP Badge Number:
Office: (Print Complete Office/Unit Assignment)
Events Raw Score Rating Member/Scorer’s Name Team Leader’s Name
& Signature (PNCO) & Signature (PCO)
Sit-up (1 minute)
Push-up (1 minute)
300 Meter Sprint
(for 34 years old & below only)
Kilometer Run
( ) 3k for 34 years old & below
( ) 2k for 35-44 years old
( ) 1k for 45 years old & above
REMARKS:
TOTAL
OVERALL PFT RESULT:
____________________________
(Performer’s Signature) Noted: __________________________
Name & Signature
Over-all Event Supervisor (PNPTS)
===================================================================
Republic of the Philippines
NATIONAL POLICE COMMISSION
PHILIPPINE NATIONAL POLICE TRAINING SERVICE
Camp BGen Rafael T Crame, Quezon City
Website: http://www.ts.pnpgov.ph
Email Address: ts@pnp.gov.ph
Revised Form: 01-2020 (Form for 50 years old & below only) Running #: _______________
(Fill-up this form properly! Incomplete Data, No PFT Results) Registration # _____________
Date Taken: __________________
PNP ID #: ___________________
Full Name: Last Name, First Name, M.I Rank PNP Badge Number:
Date of Birth: Age:
Performer's
Office: (Print Complete Office/Unit Assignment)
Sex: Email Add:
REMARKS:
OVERALL PFT RESULT: Copy Control Number:
__________________________
(Performer’s Signature) Noted: __________________________
Name & Signature
Over-all Event Supervisor (PNPTS)
Republic of the Philippines
NATIONAL POLICE COMMISSION
PHILIPPINE NATIONAL POLICE TRAINING SERVICE
Camp BGen Rafael T Crame, Quezon City
Website: http://www.ts.pnpgov.ph
Email Address: ts@pnp.gov.ph
Revised Form: 01-2020 (Form for 51 years old & above) Running #: _______________
(Fill-up this form properly! Incomplete Data, No PFT Results) Registration # _____________
Date Taken: __________________
PNP ID #: ___________________
Steps:
1. Registration: __________________________
(Secretariat Name & Signature)
2. Measurement:
Height (m):_____Weight (kg):______ Waistline (inch):_____ BMI: ___________________
Result:_________________ Weight to lose: ___________
3. BP: 1st BP: __________ 2nd BP: __________ BMI Category: ____________
4. ECG: ________________________________ Score: ____________
5. GO / NO-GO / DEFERRED/ OBSTETRICALLY DEFERRED: _____________________________
(Physician Name & Signature)
Rank Sex
Full Name: Last Name,
Date of Birth: Age: File Copy
First Name, Middle Name Qlfr
PNP Badge Number:
Office: (Print Complete Office/Unit Assignment)
Events Raw Score Rating Member/Scorer’s Name Team Leader’s Name
& Signature (PNCO) & Signature (PCO)
Stretching (10 minutes)
1.5 Kilometer Walk
REMARKS:
TOTAL
______________________________
(Performer’s Signature) Noted: __________________________
Name & Signature
Over-all event Supervisor (PNPTS)
===================================================================
PNP Physical Fitness Test
CY 2021
Revised Form: 01-2016 (Form for 51 years old & above) Running #: _______________
(Fill-up this form properly! Incomplete Data, No PFT Results) Date Taken: _______________
PNP ID #: _______________
Full Name: Last Name, First Name, Middle Name Qlfr Rank Sex
Date of Birth: Age: PNP Badge Number:
Performer's
Office: (Print Complete Office/Unit Assignment)
REMARKS: Control Number: __________________
Copy
______________________________
(Performer’s Signature) Noted: __________________________
Name & Signature
Over-all event Supervisor (PNPTS)
