PNPA CAT Application Form Revised 2014-A PNPA REGIST

PHILIPPINE NATIONAL POLICE ACADEMY

Camp General Mariano N Castaneda, Silang, Cavite 4129 CP Nos. (0939) 9387344/ (0917) 5937672

Website: www.pnpa.edu.ph Email Add: info@pnpa.edu.ph

CADET ADMISSION TEST APPLICATION FORM (IMPORTANT: READ THE INSTRUCTIONS AT THE BACK OF THIS PAGE BEFORE ACCOMPLISHING THIS APPLICATION FORM.) SURNAME QUALIFIER FIRST NAME MIDDLE NAME

(REPRODUCTION OF THIS FORM IS ALLOWED)

Application form can be downloaded at www.pnpa.edu.ph

GENDER . MALE FEMALE

AGEE

WEIGHT(kg) CIVIL STATUS SINGLE MARRIED SINGLE PARENT

HEIGHT 5’2 5’3

COMPLETE MAILING ADDRESS with ZIP Code: 5’4 5’5 5’6

BIRTHDATE(date/month/year)

BIRTHPLACE (barangay/town/city/province) CITIZENSHIP 5’7 5’8 5’9

FAMILY BACKGROUND FATHER’S NAME:___________________________CONTACT NUMBER:_______________ ADDRESS: _________________________________________________________________ MOTHER’S NAME:__________________________CONTACT NUMBER: ______________ ADDRESS: _________________________________________________________________ GUARDIAN’S NAME: ________________________ RELATIONSHIP:___________________ ADDRESS:_________________________________ CONTACT NUMBER:_______________

5’10 5’11 6’0 ____OTHERS

EDUCATIONAL ATTAINMENT COLLEGE/VOCATIONAL HIGH SCHOOL LEVEL: 1ST 2ND 3RD 4TH 5TH Year Graduated:____________ SCHOOL________________________________ SCHOOL:___________________________________________________ GENERAL AVERAGE (RATING):_______________ COURSE: ___________________________________________________ ACADEMIC AWARDS: _____________________ ACADEMIC AWARDS: _________________________________________ OTHER AWARDS:_________________________ OTHER AWARDS: ____________________________________________ CIVIC ORGANIZATIONS/AFFILIATION:_________________________ POSITION HELD: _______________________________ SPORTS : _________________________________ HIGHEST SPORTS ACHIEVEMENT: _________________________________ OTHER SKILLS:___________________________________________________________________________________________ I hereby declare, that I have accomplished this application in good faith and the information supplied above are true and correct based on my personal knowledge and on authentic documents. I understand and agree that any concealment or misrepresentation, intentional or otherwise, will be sufficient ground for disqualification at any stage of the recruitment and selection process, or for summary dismissal from the PNPA cadetship program. __________________________ (Signature of Applicant)

NOTICE OF EXAMINATION from the PNPA REGISTRAR shall be sent through mail. Applicants who fail to receive notice of examination may visit the PNPA website www.pnpa.edu.ph to check if they are included in the List of Qualified Examinees. Qualified applicants may go directly to the designated examination areas on the date of examination even without the notice of examination. Applicants shall present two (2) valid personal identification cards (ID’s) together with other requirements.

EMAIL ADDRESS: ___________________ ___________________ TEL/LANDLINE NUMBER: ___________________ ___________________

MOBILE PHONE NUMBER: ____________________ ____________________

RECENT PHOTO IN PASSPORT SIZE WITH NAME

TAG AND WHITE BACKGROUND (DIGITAL

PHOTO IS NOT ACCEPTED)

INSTRUCTIONS

Please read instructions carefully. Be sure to meet the qualification requirements. Inaccurate or incomplete information will be ground for disqualification. SUBMIT ONLY ONE (1) APPLICATION.

1. The PNPA Cadetship Program is a government Scholarship Program. Admitted Cadets must complete the Cadetship Program and serve the government either in the PNP, BFP or BJMP services for the prescribed period (two years of service for every year of scholarship). Admitted cadets shall pay back the expenses incurred for his/her scholarship should he/she fail to complete the Cadetship Program. Graduates shall reimburse the government the expenses incurred during their Cadetship Program if they fail to complete the required years of service. 2. QUALIFICATIONS/ INITIAL REQUIREMENTS FOR ADMISSION: (DO NOT APPLY if you are NOT QUALIFIED)

A. Applicant must possess: • Natural - born Filipino citizen;

• Must be 18 years old and not more than 22 years old on April 15, 2015;

• Single with no parental obligation;

• High school graduate upon application;

• Height must be at least 5 feet and 4 inches for male and 5 feet and 2 inches for female;

• Weight must correspond to the applicant’s height, gender and age and not to exceed or lower than (11) pounds or five (5) kilograms of the standard weight;

• Physically and mentally fit for cadetship training;

• With good moral character (no criminal, administrative and civil derogatory record);

• No pending complaint and/or case before any tribunal of whatever nature;

• Not a former cadet of the Philippine National Police Academy or other similar institutions;

• Not have been dismissed from any private employment or government position for cause; B. Applicant must pass:

• The PNPA Cadet Admission Test, Medical, Psychological and Psychiatric Examination, Agility Test and Interview;

• The minimum Physical Fitness Exercises, as follows: Exercises Male Female

Pull-Ups 3 Full Arms Hanging 30 sec 2 min Push-Ups 15 10 2 min Sit-Ups 30 25

100 meter dash 18 sec 20 sec 3 km run 27 mins 30 mins

C. Coverage of Examination: * Communication Skills * Math and Sciences * Logical and Reasoning Ability * General Information and Current Events D. Exemption: High School valedictorians and salutatorians, and college cum laude, magna cum laude and summa cum laude are exempt from taking the Cadet Admission Test (written) Provided, he/she shall apply and submit the application form with certification of honor from his/her School/College/University to reach PNPA Registrar’s Office before September 26, 2014. Provided also, that he/she satisfies the initial requirements for admission (see 2.A). E. How to Apply: Submit duly accomplished application forms together with a prepaid LBC AIRVELOP REGULAR/N-POUCH or self-stamped WINDOW ENVELOPE to the Office of the Registrar or mail to: The Director (Attn: Registrar), Philippine National Police Academy, Camp General Mariano N. Castañeda, Silang Cavite 4129. DEADLINE FOR SUBMISSION OF APPLICATION: on or before September 26, 2014. SCHEDULE OF EXAMINATION: October 26, 2014 (Sunday), 7:00 A.M. F. Grounds for Medical Disqualifications:

• Defective Visual Perception (color blindness, near sighted/far sighted with corrective eyeglasses or lens, nystagmus); • Physical Deformities Example: bowlegged or congenital defects; • Perforated ear drum, chronic sinusitis, bleeding tendencies, hemorrhoids, hernia (if not treated), varicocoele, extensive skin disorders; • History of heart disease, hypertension, asthma, active PTB, kidney and liver diseases, epileptic seizure disorders,

major operations; communicable diseases (such as AIDS, Hepatitis, VD etc.); • Full dentures, upper and lower, Cleft lip and palate, malocclusion, Deformities of the face, Open bite, Tongue-tied,

missing of four(4) anterior or front teeth & Missing of six (6) posterior/molar teeth; • Tattoos and other brotherhood marks, ear piercing (male only); • For Females: Goiter; History of pregnancy; Presence of breast mass; Painful menstruation; • Any other similar defects which may hinder in the Cadetship Training Program.

3. PLEASE CHECK THE BOX THAT CORRESPONDS TO YOUR PREFERED TEST CENTER.

TEST CENTER PREFERENCE REGION LOCATION CODE REGION LOCATION CODE REGION LOCATION CODE

I Vigan City 001 Lucena City 009 VII Cebu City 018

Urdaneta City 002 V Naga City 010 VIII Tacloban City 019

II Tuguegarao City 003 Legazpi City 011 IX Zamboanga City 020

Cauayan, Isabela 004 CAR Baguio City 012 X Cagayan de Oro City 021

Santiago City 026 NCR Manila 013 XI Davao City 022

III Cabanatuan City 005 Pasay City 014 XII General Santos City 023 City of San Fernando, Pampanga 006 Quezon City 015 CARAGA Butuan City 024

IV Calamba City 007 VI Iloilo City 016 ARMM Cotabato City 025

City of Dasmariñas 008 Bacolod City 017