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Republic of the Philippines

Recent Photo
Department of the Interior and Local Government
with name tag
Philippine Public Safety College
Original Copy
PHILIPPINE NATIONAL POLICE ACADEMY
(Passport Size)
Camp General Mariano N Castañeda, Silang, Cavite 4129
[1.5’ x 2”]
Tel # (02) 396-4076/Tele Fax # (049) 545-5939)

PNPACAT Application Form


Revised 2008
APPLICATION FOR PNPA CADET ADMISSION TEST
(IMPORTANT: READ INSTRUCTIONS AT THE BACK OF THIS FORM. ACCOMPLISH THIS FORM COMPLETELY & ACCURATELY)

TEST CENTER PREFERENCE:__________________________________________________________________________ CODE: ___________

1. SURNAME 2.GENDER :
Male
FIRST NAME Female

MIDDLE NAME

3. COMPLETE MAILING ADDRESS with ZIP Code: REGION:______ Email Address:______________________


TEL NO.: (Res)_____________________
(Mobile)___________________________
4. CIVIL STATUS: 5. CITIZENSHIP: 6. HEIGHT: (cm) 7. WEIGHT: (kg)

8. AGE : BIRTHDATE : 9. BIRTHPLACE:_______________________________________________


Month Date Year (City/Town/Province)

10. FATHER’S NAME: _____________________________ ADDRESS ______________________________________________


11. MOTHER’S NAME: _____________________________ ADDRESS______________________________________________
12. GUARDIAN’S NAME: ___________________________ Relationship ________________ ADDRESS___________________
13. EDUCATION: (Please check highest educational achievement only)
High School Graduate: College Undergraduate: College Graduate:
School: ________________________ Year 1st 2nd 3rd 4th 5th Degree: ________________________
_______________________________ Level: [ ] [ ] [ ] [ ] [ ] School: ________________________
Year Graduated: ____________________ Course: ________________________ __________________________________
School: Year Graduated:
14. ELIGIBILITY(IES): TYPE OF EXAMINATION: DATE/PLACE OF EXAMINATION:

15. ARE YOU EMPLOYED: Yes No


Office____________________________________________________________ Position __________________________
Address____________________________________________________________________________________________
Period of Employment _________________________

16. Have you ever been dismissed from any employment, forced to resign or otherwise disciplined as a result of administrative case,
or convicted of any violation of law, ordinance or regulations before any civil court and/or military tribunal? : YES NO
If YES, attach copy of decision:
17. Do you have any criminal, administrative, or civil case on file before any Prosecutor’s Office or Court of Justice or other
derogatory record(s)? YES NO
18. Do you have any parental obligation, or has 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. I also authorize the agency head or his/her representative to verify/validate the
contents stated herein.
_______________________________
(Signature of Applicant)

SUBSCRIBED AND SWORN TO before me this _______ day of ________ at _______________________________ affiant
exhibiting to me his/her community tax certificate number ________ issued on ______ at ___________________________________.

_______________________________
Administering Officer

DO NOT FILL THIS PORTION Evaluated by:


APPLICATION NO:_____________________________
Signature
QUALIFIED DISQUALIFIED
REMARKS:____________________________________
Date

(REPRODUCTION OF THIS FORM IS ALLOWED)


Application Form can be downloaded at www.pnpa.edu.ph or www.pinagod.com
INSTRUCTIONS
Please read instructions carefully. Strictly comply with the qualification requirements. Inaccurate or incomplete
information shall be a ground for disqualification. PLEASE SUBMIT ONE (1) APPLICATION ONLY.
1. Check if you have the following QUALIFICATIONS FOR ADMISSION:
• A natural born Filipino citizen;
• Of good moral character;
• Male or female, single and with no legal obligation to support a child or children;
• 17 to 21 years old at the time of admission;
• Height of at least 162.5 cm (5ft 4 in) for male, and 157.5 cm (5ft 2 in) for female;
• Weight of not more nor less than five (5) kilograms of the standard weight measurement
corresponding to height, age and sex;
• At least high school graduate;
• Must be able to perform the following physical fitness exercises:

Exercises Male Female


Pull-Ups 10
Full Arms Hanging 40 sec
2 min Push-Ups 40 35
2 min Sit-Ups 55 50
100 meter dash 17 sec 20 sec
1000 meter run 4:30 5:30

• Physically and mentally fit for cadetship;


• No criminal, administrative or civil case on file before any Prosecutor’s Office or any Court of
Justice and other derogatory record(s);
• Not a former cadet of PNPA or other service academies.
2. Submit duly accomplished application together with a self-stamped WINDOW ENVELOPE to the Office of
the Registrar or mail to: The Director, Philippine National Police Academy, Camp General Mariano N
Castañeda, Silang, Cavite 4129.
3. DEADLINE FOR SUBMISSION OF APPLICATION: Sept. 2009. No WALK-IN applicants will be
allowed to take the examination.
4. NOTICE OF EXAMINATION shall be sent through mail or visit: www.pnpa.edu.ph & www.ppsc.gov.ph
for the list of examinees, place of examination, and test requirements.
APPLY NOW : The PNPA Cadet Admission Test will be on October 2009, at the following areas. (Test
Centers to be stated in your Notice of Examination)
Region AREAS CODE
1 Laoag City 001
San Fernando City, La Union 002
2 Tuguegarao City 003
Cauayan, Isabela 004
3 Cabanatuan City 005
San Fernando City, Pampanga 006
4A&B Calamba City 007
Lucena City 008
5 Legaspi City 009
6 Iloilo City 010
Bacolod City 011
7 Cebu City 012
8 Tacloban City 013
9 Zamboanga City 014
10 Cagayan de Oro City 015
11 Davao City 016
12 General Santos City 017
NCR Taguig City 018
Quezon City 019
City of Manila 020
CAR Baguio City 021
CARAGA Butuan City 022
ARMM Cotabato City 023
Camarines Norte Camarines Norte, Daet 024
Ifugao ISCAF, Nayon, Lamut, Ifugao 025

MOTTO: TO LEARN TODAY, TO LEAD TOMORROW