Be a Competent Merchant Marine and Naval Officer Affix Travel the World for Free 2x2 ID Photo BE A PART OF THE LONG BLUE LINE with name tag here www.pmma.edu.ph

SCHEDULE OF EXAMINATION: EVERY LAST SATURDAY OF SEPTEMBER

Mail Application Forms to:

APPLICATION FORM HEAD, ADMISSIONS OFFICE Philippine Merchant Marine Academy San Narciso, Zambales 2205 (READ THE GUIDELINES AT THE BACK BEFORE FILLING-IN THIS FORM) Tel.: (047) 9132239 / 9134396 loc. 166

NOT LATER THAN AUGUST 31 (Write Legibly in PRINT AND BOLD LETTERS) PERSONAL INFORMATION NAME:

LAST NAME FIRST NAME MIDDLE NAME COMPLETE MAILING ADDRESS:

(No.) (Street/Subdivision/Barangay) (Town/City) (Province) (Congressional District) (Region) (Zip Code) Civil Status: Citizenship: Gender: Date of Birth (DD/MM/YYYY): Age: Height (ft.): Weight (kgs): Mobile1: Home: Email: Contacts Mobile2: Area Code Telephone Number

EDUCATIONAL BACKGROUND SENIOR HIGH SCHOOL COLLEGE  Grade 12:  Senior High School Graduate Year Graduated: Year Level: Year Graduated: Name of School: (Last Semester Attended): Address of School: Name of School: Address of School:

FAMILY BACKGROUND FATHER’S NAME: Contact Number: MOTHER’S NAME: Contact Number: GUARDIAN’S NAME: Relationship: Contact Number: Address:

CODE TESTING CENTERS CODE TESTING CENTERS 01 PMMA, ZAMBALES (Philippine Merchant Marine Academy) 17 ILOILO CITY (Iloilo National High School, Lapaz) 02 AGUSAN (Agusan Sur National High School, Agusan Del Sur) 18 ISABELA (Rizal National High School, Santiago City) 03 ALBAY (Tabaco National High School, Tabaco City) 19 SAN PEDRO, LAGUNA (Pacita Complex National High School) 04 BATANGAS (Batangas National High School, Batangas City) 20 LA UNION (La Union National High School, San Fernando) 05 BENGUET (Baguio City National High School) 21 MISAMIS ORIENTAL (Misamis Oriental Gen. Comp. HS, Cagayan de Oro) 06 BOHOL (Dr. Cecilio Putong National HS, Tagbilaran City) 22 MT. PROVINCE (Mt. Province Gen. Comp. HS, Bontoc) 07 BULACAN (Marcelo H. Del Pilar National High School, Malolos City) 23 NCR- FAIRVIEW (Batasan Hills National High School) 08 CAGAYAN (Cagayan National High School, Tuguegarao) 24 NCR-MAKATI (Benigno Ninoy S. Aquino High School, Makati City) 09 CAMARINES NORTE (Camarines Norte State College,Daet) 25 NUEVA VIZCAYA (Solano High School, Solano) 10 CAMARINES SUR (Camarines Sur National School, Naga City) 26 PAMPANGA (Pampanga High School, San Fernando) 11 CAVITE (Bacoor National High School- Tabing Dagat) 27 PANGASINAN (Dagupan City National High School) 12 CEBU (Abellana National School, Cebu City) 28 QUEZON PROVINCE (Quezon National High School, Lucena City) 13 DAVAO (Sta Ana National High School- Guerrero Campus, Davao City) 29 SOUTH COTABATO (Gen. San. City High School-Main, Calumpang) 14 IFUGAO (Ifugao State University, Nayon, Lamut) 30 SOUTHERN LEYTE (Sogod National High School) 15 ILIGAN (Iligan City National High School, Iligan City) 31 TARLAC (Tarlac National High School, Tarlac) 16 ILOCOS NORTE (Ilocos Norte National High School, Laoag City) Note: Subject to change without prior notice. Please check the website for the updated of testing centers (Fill –up with the code of your TESTING CENTER CODE preferred Testing Center) I hereby certify that the information on this form are true and correct. Any false information will be a ground for my disqualification.

Application filing options:  Personal  Mail APPLICANT’S SIGNATURE:

For Admissions Office use only Received by: Date: Evaluated by: Date: Permit No.:  Qualified  Disqualified Remarks:

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PMMA ADMISSIONS OFFICE CALENDAR JUN JUL AUG SEPT OCT NOV DEC JAN FEB MAR APR MAY

SUBMISSION OF APPLICATION FORMS SUBMISSION OF APPLICATION FORMS Personal

Mailed EXAM Wait for permit or call 047-9132239 Call 047-9132239 Visit www.pmma.edu.ph DO NOT WAIT FOR MAILED NOTICE PSYCHOLOGICAL MEDICAL / EXAM DENTAL ONE- MONTH ORIENTATION TRAINING

GUIDELINES 1. This Application Form can be photocopied/reproduced. 2. Only true and correct entries on this form are accepted; any false information will be a ground for your disqualification. 3. Write the code number in the testing center code box after selecting your preferred examination center from the table of Testing Centers. 4. Applicants have 2 options to file the Application Form:  Personal – From October (right after the last Entrance Examination) to September (the following year) @ PMMA Zambales only  Mail – From October (right after the last Entrance Examination) to August 31 (the following year) only 5. ADMISSIONS REQUIREMENTS:  3 copies of recent 2x2 colored pictures with name tag, front view, white background.  2 self-addressed long white mailing envelopes with P40.00 worth of mailing stamp per envelope for mailing Test Permit and Examination Result. HEAD, ADMISSIONS OFFICE  Photocopy of Birth Certification issued by PSA. Philippine Merchant Marine Academy  San Narciso 2205 Zambales Applicants who are currently Grade 12: JUAN C. DELA CRUZ o Certification from School Principal that applicant is currently enrolled as Grade 12 #98 Scout Castor St. Brgy. Pag-asa, Project 6 o Photocopy of Grade 11 Report Card 1100 Quezon City  Applicants who are Grade 12 Graduate and 1st year college o Photocopy of Senior High School Diploma o Photocopy of Grade 12 Report Card  Applicants who are currently enrolled in College o Photocopy of Registration Form o Certified True Copy of Grades  Applicants who are College Graduate o Photocopy of College Diploma o Photocopy of Transcript of Records  Certificate of No Marriage (Cenomar, to be submitted upon Enrollment as Probationary Midshipmen/women) Note: Baptismal and Hospital Birth Certificate are not honored. 6. EXAM: The PMMA entrance examination covers the following subjects/areas: English (Reading Comprehension, Grammar, Vocabulary), High school Mathematics (Algebra, Geometry, Statistics and Trigonometry), Science (Gen. Science, Chemistry & Physics), and Abstract Reasoning Each applicant whose qualifications have been approved shall be given a permit to take the test by the Admissions Office. For mailed applications, permit to take the test shall be sent to the applicant through mail. Please take note of the following:  Examination is from 8:00am – 12:00nn  Arrive one hour before the examination proper at your designated testing center  Bring your test permit (Show any valid I.D. if you did not receive your test permit)  Bring any valid Identification  Use pencil mongol #2  Wear casual clothes (Sleeveless shirt, Short pants and slippers are not allowed).  Calculators are not allowed 7. SCREENING: Successful examinees of the Entrance Examination will have to undergo and pass the following to qualify for admission: 7.1 Psychological Evaluation 7.2 Height/Weight, Color Perception Test (ISHIHARA), Snellens, Dental (Pre-Med/ Pre-Dental) 7.3 Physical Examination 7.4 Laboratory Examination 7.5 One-month Orientation Training (inside PMMA campus during the month of July)

QUALIFICATION REQUIREMENTS GROUNDS FOR MEDICAL DISQUALIFICATION Applicant should/must be:  Defective Visual Perception (color blindness, near sighted/far sighted with  Male or female, physically fit, natural born Filipino citizen; corrective eyeglasses or lens);  Single and never been married and has no children out of wedlock;  Physical Deformities (bowlegged) congenital defects;  Free from being accused or convicted of any crime against the law  Perforated ear drum, chronic sinusitis, bleeding tendencies, hemorrhoids, hernia and the state; (if not treated), varicocoele, extensive skin disorders;  At least 17 years old and not more than 23 years old upon  History of heart disease, hypertension, asthma, active PTB, kidney and liver enrollment on August 01; diseases, epileptic seizure disorders, major operations, communicable diseases  Grade 12 student; College Level (such as AIDS, Hepatitis, VD, etc.);  At least 160 centimeters (5 ft. & 3 in.) for male and 155  Full dentures, upper and lower; Cleft lip and palate, Malocclusion, Deformities of centimeters (5 ft. & 1 in.) for female; the face, Open bite, Tongue-tied; Missing of four anterior/posterior teeth.  BMI of 25;  Tattoos and other brotherhood marks;  Good academic performance  Additional for Females: Goiter, History of pregnancy, presence of breast mass,  Has never been enrolled in PMMA. painful menstruation.

For more details of the medical and dental disqualification, please visit our website at www.pmma.edu.ph The courses being offered in PMMA are:  Bachelor of Science in Marine Transportation  Bachelor of Science in Marine Engineering

NOTE: In order for a Testing Center to be opened, a MINIMUM number of 100 applicants is needed. In case the number of applicants is less than 100, those applicants will then be reassigned to another testing center nearest to the applicant’s preferred testing center.

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