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F-006 Issue 0 Rev.

8 April 24, 2012

MARITIME ACADEMY OF ASIA AND THE PACIFICKAMAYA POINT

BOARD OF ADMISSIONS
Associated Marine Officers and Seamens Union of the Philippines PTGWO - ITF Kamaya Pt., Brgy. Alas-asin, Mariveles, Bataan

2X2 RECENT
INPUT YOUR TESTING CENTER CODE HERE
(SEE REVERSE SIDE)

MIDSHIPMAN APPLICATION FORM


Application No.

COLORED PICTURE

AMOSUP Dependent

College Level
Given Name

High School
Middle Name

Preferred Course

BSMT

BSMarE

BSMTE Middle Initial

P E R S O N A L

Last Name

Residence Address

Region

Mailing Address

ZIP CODE

E-Mail Address

Birth date

Gender

Age

Status

Birth place

Religion

Height (cms/ ft)

Weight (lbs/ kg)

Parents Name
(Father)

Age

AMOSUP I.D. No.

Occupation

Living/ Deceased

F A M I L Y

(Mother)

Parents Mailing Address

Contact Number

Do you have any relatives abroad? Name?

Relationship

Rank/ Position

Company/ Location

Level

Name of School

Inclusive Date from to

Public School

Private School

Honors/ Awards Received

Gen. Ave.

EDUCATION

Elementary High School

Vocational Course

College Course

I hereby certify that the above information are true and correct
Applicants Signature Date of Filing Date application form received and evaluated

DO NOT FILL - IN THIS PART ( MAAP Use Only )


MAAP Examination Grade Application Status Evaluators Remarks Evaluator

Place of Testing Center

Accepted

Denied Examination Date/ Time

CAN BE PHOTOCOPIED. NOT FOR SALE.


MARITIME ACADEMY OF ASIA AND THE PACIFIC KAMAYA POINT
Associated Marine Officers and Seamens Union of the Philippines - PTGWO-ITF Kamaya Pt., Brgy. Alas-asin, Mariveles, Bataan

2X2 RECENT
COLORED PICTURE

ENTRANCE EXAMINATION PERMIT


Name of Applicant Preferred Course

Place of Testing Center

BSMT

BSMarE

BSMTE

Examination Date/ Time

Mode of Payment

Test Permit No.

Evaluator

Cash

Check/ Money Order Payable to MAAP


NOTE : 1. Calculator is not allowed during the examination. 2. Failure to submit application requirements may be a ground for disqualification.

BRING THE FOLLOWING ON THE SCHEDULED EXAMINATION: 1. Test permit 3. Black Ball Pen 2. Valid School ID 4. Pencil (Mongol No. 2)