Be a Competent Merchant Marine and Naval Officer Travel the World for Free BE A PART OF THE LONG BLUE LINE www.pmma.edu.ph Affix 2x2 ID Photo with name tag here SCHEDULE OF EXAMINATION: EVERY LAST SATURDAY OF SEPTEMBER Mail Application Forms to: CHAIRMAN ADMISSIONS OFFICE Philippine Merchant Marine Academy San Narciso, Zambales 2205 Tel.: (047) 9132239 / 9134396 loc. 166 APPLICATION FORM (READ THE GUIDELINES AT THE BACK BEFORE FILLING-IN THIS FORM) 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) Civil Status: Date of Birth (DD/MM/YYYY): Mobile1: Contacts Mobile2: (Town/City) (Province) Citizenship: (Region) Gender: Height (ft.): Age: Home: Area Code (Zip Code) Weight (kgs): Email: Telephone Number EDUCATIONAL BACKGROUND SENIOR HIGH SCHOOL COLLEGE Grade 12: Senior High School Graduate Year Graduated: Year Level: Name of School: (Last Semester Attended): Address of School: Name of School: Address of School: Year Graduated: FAMILY BACKGROUND FATHER’S NAME: MOTHER’S NAME: GUARDIAN’S NAME: CODE 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 Relationship: TESTING CENTERS PMMA, ZAMBALES (Philippine Merchant Marine Academy) AGUSAN (Agusan Sur National High School, Agusan Del Sur) ALBAY (Tabaco National High School, Tabaco City) BATANGAS (Batangas National High School, Batangas City) BENGUET (Baguio City National High School) BOHOL (Dr. Cecilio Putong National HS, Tagbilaran City) BULACAN (Marcelo H. Del Pilar National High School, Malolos City) CAGAYAN (Cagayan National High School, Tuguegarao) CAMARINES NORTE (Camarines Norte State College,Daet) CAMARINES SUR (Camarines Sur National School, Naga City) CAVITE (Bacoor National High School- Tabing Dagat) CEBU (Abellana National School, Cebu City) DAVAO (Sta Ana National High School- Guerrero Campus, Davao City) IFUGAO (Ifugao State University, Nayon, Lamut) ILIGAN (Iligan City National High School, Iligan City) ILOCOS NORTE (Ilocos Norte National High School, Laoag City) CODE 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Address: TESTING CENTERS ILOILO CITY (Iloilo National High School, Lapaz) ISABELA (Rizal National High School, Santiago City) SAN PEDRO, LAGUNA (Pacita Complex National High School) LA UNION (La Union National High School, San Fernando) MISAMIS ORIENTAL (Misamis Oriental Gen. Comp. HS, Cagayan de Oro) MT. PROVINCE (Mt. Province Gen. Comp. HS, Bontoc) NCR- FAIRVIEW (Batasan Hills National High School) NCR-MAKATI (Benigno Ninoy S. Aquino High School, Makati City) NUEVA VIZCAYA (Solano High School, Solano) PAMPANGA (Pampanga High School, San Fernando) PANGASINAN (Dagupan City National High School) QUEZON PROVINCE (Quezon National High School, Lucena City) SOUTH COTABATO (Gen. San. City High School-Main, Calumpang) SOUTHERN LEYTE (Sogod National High School) TARLAC (Tarlac National High School, Tarlac) Note: Subject to change without prior notice. Please check the website for the updated of testing centers TESTING CENTER CODE (Fill –up with the code of your 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 For Admissions Office use only Received by: Evaluated by: Qualified Disqualified PMMA- ADMISSIONS-001 Mail Date: Date: Remarks: Revision No.03 APPLICANT’S SIGNATURE: Permit No.: Revision Date: 09/17/2018 Page 1 of 2 PMMA ADMISSIONS OFFICE CALENDAR JUL AUG SUBMISSION OF APPLICATION FORMS Personal Mailed Wait for permit or call 047-9132239 SEPT OCT NOV DEC JAN FEB MAR APR MAY SUBMISSION OF APPLICATION FORMS EXAM JUN Call 047-9132239 Visit www.pmma.edu.ph DO NOT WAIT FOR MAILED NOTICE PSYCHOLOGICAL EXAM MEDICAL / DENTAL ONE- MONTH ORIENTATION TRAINING G U I D E L I NES 1. 2. 3. 4. 5. This Application Form can be photocopied/reproduced. Only true and correct entries on this form are accepted; any false information will be a ground for your disqualification. Write the code number in the testing center code box after selecting your preferred examination center from the table of Testing Centers. 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 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 of Test Permit and Examination Result. Certification from School Principal that applicant is currently enrolled as Grade 12, Photocopy of Senior High School Diploma or Form 138/Photocopy of Diploma for JUAN C. DELA CRUZ College graduate, Photocopy of Registration form, if College level. #98 Scout Castor St. Brgy. Pag-asa, Project 6 1100 Quezon City Certificate of No Marriage (Cenomar, to be submitted upon enrollment.) Photocopy of PSA Birth Certificate. THE CHAIRMAN Admissions Office Philippine Merchant Marine Academy San Narciso 2205 Zambales Note: Baptismal and Hospital Birth Certificate are not honored. 6. 7. 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 only Mongol Pencil Number 2 Calculators are not allowed 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 Applicant should/must be: Male or female, physically fit, natural born Filipino citizen; Single and never been married and has no children out of wedlock; Free from being accused or convicted of any crime against the law and the state; At least 17 years old and not more than 23 years old upon enrollment on August 01; At least Grade 12 student, College Level At least 160 centimeters (5 ft. & 3 in.) for male and 155 centimeters (5 ft. & 1 in.) for female; BMI of less than 25; At least good academic performance Has never been enrolled in PMMA. GROUNDS FOR MEDICAL DISQUALIFICATION Defective Visual Perception (color blindness, near sighted/far sighted with corrective eyeglasses or lens); Physical Deformities (bowlegged) 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, communicable diseases (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 anterior/posterior teeth. Tattoos and other brotherhood marks; Additional for Females: Goiter, History of pregnancy, presence of breast mass, 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. PMMA- ADMISSIONS-001 Revision No.03 Revision Date: 09/17/2018 Page 2 of 2