1CY2021_2021_PGMVXE
PRSU/RSU COPY
Republic of the Philippines
NATIONAL POLICE COMMISSION
PHILIPPINE NATIONAL POLICE
RECRUITMENT AND SELECTION SERVICE
Camp PBGen Rafael T Crame, Quezon City
1st Cycle UNFILLED QUOTA CY 2021
PHYSICAL AGILITY TEST SCORE SHEET
NAME OF APPLICANT: 1CY2021_2021_PGMVXE
(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
1CY2021_2021_PGMVXE
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
1st Cycle UNFILLED QUOTA CY 2021
PHYSICAL AGILITY TEST SCORE SHEET
NAME OF APPLICANT: 1CY2021_2021_PGMVXE
(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