SlideShare une entreprise Scribd logo
1  sur  2
Télécharger pour lire hors ligne
PNPA CAT Application Form Revised 2012-A PNPA REGIST



                      PHILIPPINE NATIONAL POLICE ACADEMY
                                             Camp General Mariano N Castaneda, Silang, Cavite 4129
                                                Tele Fax # (049) 545-5939/ (0939) 9393769
                                            Website: www.pnpa.edu.ph Email Add: info@pnpa.edu.ph


                                APPLICATION FOR CADET ADMISSION TEST
                 (IMPORTANT: READ THE INSTRUCTIONS AT THE BACK OF THIS PAGE BEFORE ACCOMPLISHING THIS APPLICATION FORM.)

SURNAME

FIRST NAME                                                                                                                     RECENT PHOTO IN
                                                                                                                           PASSPORT SIZE WITH NAME
                                                                                                                                TAG AND WHITE
MIDDLE NAME                                                                                                                  BACKGROUND (DIGITAL
                                                                      √√                                                    PHOTO IS NOT ACCEPTED)

SEX                          AGE       WEIGHT(kg)      CIVIL STATUS                                       HEIGHT
. MALE         FEMALE E                                  SINGLE     SINGLE PARENT         SEPARATED       5 BELOW 5’2
                                                         MARRIED WIDOWED                  ANNULLED          BELOW   5’4
COMPLETE MAILING ADDRESS with ZIP Code:                                                                     5’2
                                                                                                            5’3
                                                                                                            5’4
                                                                                                                          EMAIL ADDRESS:
BIRTHDATE(date/month/year)             BIRTHPLACE (city/town/province)                  CITIZENSHIP         5’5
                                                                                                                          ___________________
                                                                                                            5’6           ___________________
                                                                                                            5’7           TEL/LANDLINE NUMBER:
FAMILY BACKGROUND                                                                                           5’8           ___________________
 FATHER’S NAME:____________________________ CONTACT NUMBER:_______________                                  5’9           ___________________
 ADDRESS: _________________________________________________________________                                 5’10
 MOTHER’S NAME:___________________________ CONTACT NUMBER: ______________               MOBILE PHONE NUMBER:5’11
                                                                                        ____________________6’0
 ADDRESS: _________________________________________________________________
                                                                                        ____________________
                                                                                                          ___ OTHERS
 GUARDIAN’S NAME: _________________________ RELATIONSHIP:___________________
 ADDRESS: _________________________________ CONTACT NUMBER:_______________
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:___________________________________________________________________________________________

Have you ever been dismissed from any employment, forced to resign or otherwise disciplined as a result of an administrative
case, or convicted for any violation of law, ordinance or regulations before any civil court and/or military tribunal? YES NO
If YES, please attach copy of the decision.

Do you have any pending criminal or administrative case or civil case on file before any Prosecutor’s Office or Court of Justice
or other derogatory record(s)?    YES     NO
Do you have any parental and/or financial obligation, or have sired a child or children?   YES     NO

       I hereby declare under the penalties of perjury that this application has been accomplished in good faith, verified by
me and to the best of my knowledge and belief and is a true, correct and complete statement pursuant to the provisions of
pertinent laws, rules and regulations of the Republic of the Philippines.

                                                                                                   __________________________
                                                                                                      (Signature of Applicant)

NOTICE OF EXAMINATION OR ADMISSION NOTICE from the PNPA REGISTRAR shall be sent through mail. Applicants
who fail to receive notice of examination may visit the PNPA website at www.pnpa,edu.ph to check if he/she is
included in the List of Qualified Examinees. If found qualified, applicants may go directly at the designated
examination areas on the date of examination even without the notice of examination. Applicants shall present
valid personal identification cards (ID’s) together with other requirements.
                                        “ TO    LEARN TODAY, TO LEAD TOMORROW”
                                              (REPRODUCTION OF THIS FORM IS ALLOWED)
                                     Application form can be downloaded at www.pnpa.edu.ph
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. REQUIREMENTS FOR ADMISSION: (DO NOT APPLY if you are NOT QUALIFIED)
     • Natural born Filipino citizen;
     • Of good moral character;
     • No financial obligations;
     • Male or female, single and with no parental obligation;
     • 17 to 21 years old at the time of admission;
     • Preferably 5feet 4inches in height for male, and 5feet 2inches for female except for indigenous people;
     • Weight must not be more than or not less than five (5) kilograms of the standard weight corresponding
        to height, age, and sex;
     • At least high school graduate;
     • Must be able to pass the minimum required physical fitness exercises:
                                Exercises            Male         Female
                                Pull-Ups             3
                                Full Arms Hanging                 30seconds
                                Push-Ups(2 minutes) 15            10
                                Sit-Ups (2 minutes) 30            25
                                100 meter dash       18seconds 20seconds
                                3 km run             27minutes 30minutes
     • Physically and mentally fit for cadetship training;
     • Have no criminal, administrative, or civil case and other derogatory record(s);
     • Must not be a former cadet of PNPA or other service academies;
2. GROUNDS FOR MEDICAL DISQUALIFICATIONS:
     • Defective Visual Perception (color blindness, near sighted/far sighted with corrective eyeglasses or lens, nystagmus);
     • Physical Deformities (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; sexually transmitted infection 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. 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). Cadets shall reimburse the government expenses for his/her scholarship should he/she fail to complete the Cadetship
    Program.
4. COVERAGE OF EXAMINATION
     • Communication Skills                                                       • General Information and Current Events
     • Logical and Reasoning Ability                                              • Values and Aptitude for the Service
     • Math and Sciences
5. Submit duly accomplished application together with a 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, 4129 Silang, Cavite.
6. DEADLINE FOR SUBMISSION OF APPLICATION:              September 24, 2012 PNPA Cadet Admission Test will be on October 28, 2012
7. PLEASE CHOOSE YOUR TEST CENTER PREFERENCE INDICATED BELOW. PUT A CHECK ON THE BOX BESIDE THE TEST CENTER CODE.
                                                       TEST CENTER PREFERENCE
 REGION            LOCATION                              CODE            REGION                   LOCATION                   CODE

 I                 Vigan City                         001                       VII              Cebu City                  013
                   Dagupan City                       002                       VIII             Tacloban City              014
 II                Tuguegarao City                    003                                        Catarman, Northern Samar   030
                  Cauayan, Isabela                    004                       IX               Zamboanga City             015
 III               Cabanatuan City                    005                                        Pagadian City              027
                   City of San Fernando, Pampanga     006                       X                Cagayan de Oro City        016
 IV A & B          Calamba City                       007                       XI               Davao City                 017
                   Lucena City                        008                       XII              General Santos City        018
                   Odiongan, Romblon                  025                       NCR              Quezon City                019
                   Dasmariñas City                    029                                        Manila                     020
 V                 Legazpi City                       009                       CAR              Baguio City                021
                   Naga City                          010                                        Lamut, Ifugao              022
 VI                Iloilo City                         011                      CARAGA           Butuan City                023
                   Bacolod City                       012                       ARMM             Cotabato City              024
                   Kalibo, Aklan                      026                                        Bongao, Tawi-Tawi          028

Contenu connexe

Similaire à PNPA Application Form Guide

Similaire à PNPA Application Form Guide (7)

Application form
Application formApplication form
Application form
 
Gaurav foundation
Gaurav foundationGaurav foundation
Gaurav foundation
 
Application form
Application formApplication form
Application form
 
Fm4 a jan15
Fm4 a jan15Fm4 a jan15
Fm4 a jan15
 
Application form
Application formApplication form
Application form
 
Cs form100rev nov2012
Cs form100rev nov2012Cs form100rev nov2012
Cs form100rev nov2012
 
APPLICATION FORM-acca cyprus
APPLICATION FORM-acca cyprusAPPLICATION FORM-acca cyprus
APPLICATION FORM-acca cyprus
 

Plus de Criminal Justice Education (7)

Police photography
Police photographyPolice photography
Police photography
 
ETHICS AND CONDUCT (POLICE)
ETHICS AND CONDUCT (POLICE)ETHICS AND CONDUCT (POLICE)
ETHICS AND CONDUCT (POLICE)
 
Civil Service Examination Form. revised November 2012
Civil Service Examination Form. revised November 2012Civil Service Examination Form. revised November 2012
Civil Service Examination Form. revised November 2012
 
Memorandum Of Agreement Sample
Memorandum Of Agreement SampleMemorandum Of Agreement Sample
Memorandum Of Agreement Sample
 
The revised rules of criminal procedure
The revised rules of criminal procedureThe revised rules of criminal procedure
The revised rules of criminal procedure
 
Qde reviewer
Qde reviewerQde reviewer
Qde reviewer
 
Drugs
DrugsDrugs
Drugs
 

PNPA Application Form Guide

  • 1. PNPA CAT Application Form Revised 2012-A PNPA REGIST PHILIPPINE NATIONAL POLICE ACADEMY Camp General Mariano N Castaneda, Silang, Cavite 4129 Tele Fax # (049) 545-5939/ (0939) 9393769 Website: www.pnpa.edu.ph Email Add: info@pnpa.edu.ph APPLICATION FOR CADET ADMISSION TEST (IMPORTANT: READ THE INSTRUCTIONS AT THE BACK OF THIS PAGE BEFORE ACCOMPLISHING THIS APPLICATION FORM.) SURNAME FIRST NAME RECENT PHOTO IN PASSPORT SIZE WITH NAME TAG AND WHITE MIDDLE NAME BACKGROUND (DIGITAL √√ PHOTO IS NOT ACCEPTED) SEX AGE WEIGHT(kg) CIVIL STATUS HEIGHT . MALE FEMALE E SINGLE SINGLE PARENT SEPARATED 5 BELOW 5’2 MARRIED WIDOWED ANNULLED BELOW 5’4 COMPLETE MAILING ADDRESS with ZIP Code: 5’2 5’3 5’4 EMAIL ADDRESS: BIRTHDATE(date/month/year) BIRTHPLACE (city/town/province) CITIZENSHIP 5’5 ___________________ 5’6 ___________________ 5’7 TEL/LANDLINE NUMBER: FAMILY BACKGROUND 5’8 ___________________ FATHER’S NAME:____________________________ CONTACT NUMBER:_______________ 5’9 ___________________ ADDRESS: _________________________________________________________________ 5’10 MOTHER’S NAME:___________________________ CONTACT NUMBER: ______________ MOBILE PHONE NUMBER:5’11 ____________________6’0 ADDRESS: _________________________________________________________________ ____________________ ___ OTHERS GUARDIAN’S NAME: _________________________ RELATIONSHIP:___________________ ADDRESS: _________________________________ CONTACT NUMBER:_______________ 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:___________________________________________________________________________________________ Have you ever been dismissed from any employment, forced to resign or otherwise disciplined as a result of an administrative case, or convicted for any violation of law, ordinance or regulations before any civil court and/or military tribunal? YES NO If YES, please attach copy of the decision. Do you have any pending criminal or administrative case or civil case on file before any Prosecutor’s Office or Court of Justice or other derogatory record(s)? YES NO Do you have any parental and/or financial obligation, or have sired a child or children? YES NO I hereby declare under the penalties of perjury that this application has been accomplished in good faith, verified by me and to the best of my knowledge and belief and is a true, correct and complete statement pursuant to the provisions of pertinent laws, rules and regulations of the Republic of the Philippines. __________________________ (Signature of Applicant) NOTICE OF EXAMINATION OR ADMISSION NOTICE from the PNPA REGISTRAR shall be sent through mail. Applicants who fail to receive notice of examination may visit the PNPA website at www.pnpa,edu.ph to check if he/she is included in the List of Qualified Examinees. If found qualified, applicants may go directly at the designated examination areas on the date of examination even without the notice of examination. Applicants shall present valid personal identification cards (ID’s) together with other requirements. “ TO LEARN TODAY, TO LEAD TOMORROW” (REPRODUCTION OF THIS FORM IS ALLOWED) Application form can be downloaded at www.pnpa.edu.ph
  • 2. 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. REQUIREMENTS FOR ADMISSION: (DO NOT APPLY if you are NOT QUALIFIED) • Natural born Filipino citizen; • Of good moral character; • No financial obligations; • Male or female, single and with no parental obligation; • 17 to 21 years old at the time of admission; • Preferably 5feet 4inches in height for male, and 5feet 2inches for female except for indigenous people; • Weight must not be more than or not less than five (5) kilograms of the standard weight corresponding to height, age, and sex; • At least high school graduate; • Must be able to pass the minimum required physical fitness exercises: Exercises Male Female Pull-Ups 3 Full Arms Hanging 30seconds Push-Ups(2 minutes) 15 10 Sit-Ups (2 minutes) 30 25 100 meter dash 18seconds 20seconds 3 km run 27minutes 30minutes • Physically and mentally fit for cadetship training; • Have no criminal, administrative, or civil case and other derogatory record(s); • Must not be a former cadet of PNPA or other service academies; 2. GROUNDS FOR MEDICAL DISQUALIFICATIONS: • Defective Visual Perception (color blindness, near sighted/far sighted with corrective eyeglasses or lens, nystagmus); • Physical Deformities (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; sexually transmitted infection 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. 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). Cadets shall reimburse the government expenses for his/her scholarship should he/she fail to complete the Cadetship Program. 4. COVERAGE OF EXAMINATION • Communication Skills • General Information and Current Events • Logical and Reasoning Ability • Values and Aptitude for the Service • Math and Sciences 5. Submit duly accomplished application together with a 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, 4129 Silang, Cavite. 6. DEADLINE FOR SUBMISSION OF APPLICATION: September 24, 2012 PNPA Cadet Admission Test will be on October 28, 2012 7. PLEASE CHOOSE YOUR TEST CENTER PREFERENCE INDICATED BELOW. PUT A CHECK ON THE BOX BESIDE THE TEST CENTER CODE. TEST CENTER PREFERENCE REGION LOCATION CODE REGION LOCATION CODE I Vigan City 001 VII Cebu City 013 Dagupan City 002 VIII Tacloban City 014 II Tuguegarao City 003 Catarman, Northern Samar 030 Cauayan, Isabela 004 IX Zamboanga City 015 III Cabanatuan City 005 Pagadian City 027 City of San Fernando, Pampanga 006 X Cagayan de Oro City 016 IV A & B Calamba City 007 XI Davao City 017 Lucena City 008 XII General Santos City 018 Odiongan, Romblon 025 NCR Quezon City 019 Dasmariñas City 029 Manila 020 V Legazpi City 009 CAR Baguio City 021 Naga City 010 Lamut, Ifugao 022 VI Iloilo City 011 CARAGA Butuan City 023 Bacolod City 012 ARMM Cotabato City 024 Kalibo, Aklan 026 Bongao, Tawi-Tawi 028