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Affix
2x2 ID Photo
with nameplate
The PMMA Entrance Examination is conducted on
here
the LAST SATURDAY of SEPTEMBER every year.

APPLICATION FEE IS P350.00 (NON-REFUNDABLE)

APPLICATION FORM SY 2010 - 2011

(READ THE GUIDELINES AT THE BACK BEFORE FILLING-IN THIS FORM)

Last Name (Write Legibly in BOLD LETTERS)

First Name

Middle Name

COMPLETE MAILING ADDRESS:

(No.) (Street/Barangay) (Town/City) (Province) (Region) (Zip Code)

CONTACT NUMBERS: CODE TESTING CENTERS

Mobile1: ________________ Mobile2: ________________ 01 PMMA, ZAMBALES Philippine Merchant Marine Academy, San Narciso

Home: ____ ____________ Email: _________________ 02 NCR, CUBAO Ramon Magsaysay High School, Edsa

Area Code Telephone Number 03 NCR, FAIRVIEW Batasan Hills National High School
04 ALBAY Tabaco National High School, Tabaco City
DATE OF BIRTH: ____/____/________ AGE: _______ 05 AURORA Aurora State College of Technology, Baler, Aurora
DD MM YYYY
06 BATANGAS Batangas National High School
07 BENGUET Baguio City National High School
GENDER: _____ WEIGHT: ____(kgs) HEIGHT: _____(ft)
08 BOHOL Dr. Cecilio Putong National HS, Tagbilaran City
________________________________________________
09 BULACAN Marcelo H. Del Pilar High School, Malolos City
FATHER’S NAME:
10 CAGAYAN Cagayan National High School, Tuguegarao
________________________________________________ 11 CAMARINES SUR Camarines Sur National School, Naga City
MOTHER’S NAME:
12 CAVITE Bacoor National High School
________________________________________________ 13 CEBU CITY Cebu City National Science High School
GUARDIAN’S NAME: 14 DAVAO CITY Davao City High School

________________________________________________ 15 IFUGAO Ifugao State College of Agriculture & Forestry, Nayon Lamut

HIGHEST EDUCATIONAL ATTAINMENT: 16 ILOCOS NORTE Ilocos Norte National High School, Laoag City

________________________________________________ 17 ILOILO CITY Iloilo City National High School, Lapaz

NAME AND ADDRESS OF SCHOOL: 18 ISABELA Rizal National High School, Santiago City
19 LA UNION La Union National High School, San Fernando
________________________________________________
20 SAN PEDRO, LAGUNA Pacita Complex National High School

Application Filing Options: 21 STA CRUZ, LAGUNA Pedro Guevarra Memorial High School

 Personal  Walk-in  Mail 22 LEYTE Leyte National High School, Tacloban

23 MISAMIS ORIENTAL Misamis Oriental Gen. Comp. HS, Cagayan de Oro
24 MT. PROVINCE Mt. Province Gen. Comp. HS, Bontoc
25 NUEVA VIZCAYA Solano National High School
____________________________________
APPLICANT’S SIGNATURE 26 PALAWAN Palawan National High School, Puerto Princesa City
27 PAMPANGA Jose Abad Santos High School, San Fernando
28 PANGASINAN Dagupan City National High School

Mail Application Forms to the: 29 QUEZON PROVINCE Quezon National High School, Lucena City
30 SOUTH COTABATO Gen. San. City High School-Main, Calumpang
Chairman 31 SOUTHERN LEYTE San Juan National HS, San Jose, San Juan (Cabalian)
Committee on Admissions
32 TARLAC Tarlac National High School, Tarlac
Philippine Merchant Marine Academy
San Narciso, Zambales 33 ZAMBOANGA CITY Zamboanga City State Polytechnic College, R.T. Lim Blvd.
Tel. No. (047) 913-2239

NOT LATER THAN AUGUST 31.

TESTING CENTER CODE
(Preferred Testing Center)

For Committee on Admissions use only

Permit No.: _______________________ O.R. No.: _________________________
CoA FORM NO. 1
 PMMA ADMISSIONS CALENDAR
JUN JUL AUG SEPTEMBER OCT NOV DEC JAN FEB MAR APR MAY

SUBMISSION of APPLICATION FORMS SUBMISSION of APPLICATION FORMS

PERSONAL

WALK-IN
MAIL
WAIT FOR PERMIT / CALL (047) 913-2239 /
VISIT www.pmma.edu.ph

EXAM
CALL (047) 913-2239/
VISIT www.pmma.edu.ph
SCREENING
For RESULT:
CALL (047) 913-4396
Loc. 164 or VISIT
www.pmma.edu.ph
ONE-MONTH
ORIENTATION

PROCEDURE
QUALIFICATION REQUIREMENTS
1. This Application Form can be photocopied. Applicant should/must be:
Male or female, physically fit, natural born Filipino citizen;
2. Only true and correct entries on this form are accepted; any false
Single and never been married and has no children out of
information will be a ground for your disqualification. wedlock;
3. Write the code number in the testing center code box after Free from being accused or convicted of any crime against
selecting your preferred examination center from the table of the law and the state;
Testing Centers. Not a day younger than 16 years old or a day older than 22
4. SUBMISSION of APPLICATION FORMS : years old upon admission by June;
Applicants have 3 options to file the Application Form: At least high school graduate qualified to enroll in a four
Personal – From June to September @ PMMA Zambales only year course or graduating from high school on April of
Mail – From June to first week of September only next year;
At least 162.5 centimeters (5 ft. & 4 in.) weighs 55 kgs.
Walk-in – On the day of examination @ the Testing Centers only
(120 lbs.) stripped for male and 157.5 centimeters (5 ft. &
Note:
2 in.)weighs 50 kgs. (110 lbs.) stripped for female;
We have LIMITED seats for walk-in applicants. Our Examiners will At least average academic performance and preferably has
bring only limited number of controlled examination materials. taken Trigonometry in High School;
5. FILING REQUIREMENTS: Has never been previously enrolled in PMMA.
4 copies of recent 2x2 colored pictures with nameplate, front
view; white background
Examination fee of three hundred fifty pesos (P350.00) in
GROUNDS FOR MEDICAL DISQUALIFICATION
cash or postal money order payable to the PMMA
Defective Visual Perception (color blindness, near
Committee on Admissions (if application is filed through
sighted/far sighted with corrective eyeglasses or lens);
mail, only postal money order will be accepted); Physical Deformities (bowlegged) congenital defects;
Certified true copy of Birth Certificate issued by the Civil Perforated ear drum, chronic sinusitis, bleeding
Registrar; (Photocopy only) tendencies, hemorrhoids, hernia (if not treated),
Note: Baptismal and Hospital Birth Certificates are not varicocoele, extensive skin disorders;
honored. History of heart disease, hypertension, asthma, active PTB,
2 pcs. Self-addressed long white mailing envelopes with P30 kidney and liver diseases, epileptic seizure disorders,
worth of stamps per envelope major operations, communicable diseases (such as AIDS,
Hepatitis, VD, etc.);
6. EXAM:
Full dentures, upper and lower; Cleft lip and palate,
The PMMA entrance examination covers the following subjects/ Malocclusion, Deformities of the face, Open bite, Tongue-
areas: tied; Missing of four anterior or front teeth & Missing of
English four posterior/molar teeth;
High school Mathematics (Algebra, Geometry and Tattoos and other brotherhood marks;
Trigonometry General Mathematics); Additional for Females: Goiter, History of pregnancy,
Science (Gen. Science, Chemistry & Physics) presence of breast mass, painful menstruation.
Abstract Reasoning
7. SCREENING:
Successful examinees of the Entrance Examination still have to The Application Form should be duly accomplished by the
undergo the following to qualify for admission: applicant and submit or mail it to the Committee on
7.1 Psychological Evaluation Admissions together with the Filing Requirements:
7.2 Pre-Medical (NOTE: Application forms with incomplete
Height / Weight requirements will not be processed)
The courses being offered in PMMA are:
Color Perception Test (ISHIHARA)
Bachelor of Science in Marine Transportation
Snellens Bachelor of Science in Marine Engineering.
Pre-Dental Application Forms are also available at:
7.3 Laboratory Examinations All Testing Centers
7.4 Physical Examination www.pmma.edu.ph
8. ONE-MONTH ORIENTATION TRAINING

NOTE: In order for a Testing Center to be opened, a MINIMUM number of 50 applicants is needed. In case the number of applicants is less than 50, those
applicants will then be reassigned to another testing center nearest to the applicant’s preferred testing center.
CoA FORM NO. 1