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: [email protected]
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
BACKGROUND (DIGITAL
MIDDLE NAME
PHOTO IS NOT ACCEPTED)
√√
SEX
. MALE
AGE
WEIGHT(kg)
FEMALE E
CIVIL STATUS
SINGLE
SINGLE PARENT
MARRIED WIDOWED
SEPARATED
ANNULLED
COMPLETE MAILING ADDRESS with ZIP Code:
BIRTHDATE(date/month/year)
BIRTHPLACE (city/town/province)
CITIZENSHIP
HEIGHT
5 BELOW 5’2
BELOW
5’4
5’2
5’3
5’4
5’5
5’6
5’7
5’8
5’9
5’10
5’11
6’0
___ OTHERS
EMAIL ADDRESS:
___________________
___________________
TEL/LANDLINE NUMBER:
___________________
___________________
FAMILY BACKGROUND
FATHER’S NAME:____________________________ CONTACT NUMBER:_______________
ADDRESS: _________________________________________________________________
MOBILE PHONE NUMBER:
MOTHER’S NAME:___________________________ CONTACT NUMBER: ______________
____________________
ADDRESS: _________________________________________________________________
____________________
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
CODE
REGION
REGION
LOCATION
I
Vigan City
001
VII
Cebu City
013
Dagupan City
002
VIII
Tacloban City
014
Tuguegarao City
003
Catarman, Northern Samar
030
Zamboanga City
015
Pagadian City
027
II
Cauayan, Isabela
III
IV A & B
V
VI
26
004
IX
LOCATION
CODE
Cabanatuan City
005
City of San Fernando, Pampanga
006
X
Cagayan de Oro City
016
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
Legazpi City
009
Baguio City
021
Naga City
010
Lamut, Ifugao
022
Iloilo City
011
CARAGA
Butuan City
023
Bacolod City
012
ARMM
Cotabato City
024
Kalibo, Aklan
026
Bongao, Tawi-Tawi
028
CAR