STUDENT’S APPLICATION FORM F-NTMA-001 Examinee Code No. ______________ (Please print all entries.) Name 1” x 1” photo (passport size) White background : ________________________________________________________________________ (Surname, Given Name and Middle Name) Date of Birth : ___________________ BSMT ____ Course : Age: ________ (month/day/year) BSMARE Place of Birth : ___________________ Height (feet and inches) : _______ Weight (lbs) : ________ Mailing Address : ___________________________________________________________________________________________ (No./Street/Barangay/Municipality/City/Province/Zip Code) Home Tel. No. : _______________ Cell No. : ______________ E-mail address : ____________________________ Provincial Address : ___________________________________________________________________________________________ (No./Street/Barangay/Municipality/City/Province/Zip Code) Father Mother Guardian (if not living with parents) Name Occupation Contact Number Estimated Annual Income No. of Members living with the Family : ____________ Brother __________ Sister ___________ Others Educational Background: Name of School Location Course Year Covered Type of School (Private or Public) College High School Awards/Honors/Citations/Extra-curricular Activities Reason(s) for choosing a maritime degree: Have you taken the NTMA Entrance Exam before? Yes (please specify the year) ___________________________________ No How did you know about NTMA? Career Orientation Seminar Facebook Guidance Counselor / School Officials Internet search (e.g. Google) Newspaper Guidance NTMACounselor Alumni / School Officials NTMA Cadets Internet search (e.g Google) NTMA Website Leaflets / Flyers Posters Parents / Relatives Others, please specify : _________________________________________ Revision 13 as of 2015 July 02 Mark “X” the location of Test Center where you prefer to take the Entrance Exam. Send/File your application form so you will be informed of the details of the exam. Remember your exam date and proceed to the test center before 0700H: Entrance Exam on 2015 November 07 Baguio City National High School Please contact NTMA at (049) 549-0939 or (02) 584-4255 for the schedule of entrance exam in the following provinces: Baler, Aurora Laoag, Ilocos Norte Camarines Sur National High School Iloilo National High School Bontoc, Mt. Province Calapan, Oriental Mindoro Legazpi, Albay Ormoc, Leyte Manila, TBA Daet, Camarines Norte Sagada, Mt. Province NTMA, Canlubang, Calamba City Dumaguete, Negros Oriental General Santos, South Cotabato Tacloban, Leyte Vigan, Ilocos Sur Gusa, Cagayan De Oro Lamut, Ifugao Virac, Catanduanes STUDENT’S COPY ADMISSION REQUIREMENTS 1. 2. 3. 4. 5. 6. 7. Male and single Filipino Citizen At least 16-21 years old upon enrollment in NTMA At least 5'4" in height, weighing 100-135 lbs (+5 lbs for every inch above 5'7") At least a high school graduate (applicants with college background are acceptable) Belongs to the upper 50% of the graduates' academic ranking Speaks and writes good English Passed the Entrance Examinations; Interview; Ishihara Test; Yellow Fever Skin test, Audiometry; Physical, Medical, Dental, and Neuro-Psychological Tests 8. Must have vision of not more than 20/30 when not wearing corrective eye glasses 9. Does not have asthma of whatever kind NO ENTRANCE EXAMINATION FEE ASSURED SHIPBOARD TRAINING ON THE FOURTH YEAR WITH MONTHLY ALLOWANCE OF USD 400 EMPLOYMENT OPPORTUNITIES ON BOARD NYK LINE VESSELS AFTER GRADUATION Available Financial Assistance: Study Now, Pay Later Plan For inquiries, please contact NTMA at 049-549-0933; 049-549-0923; 049-549-0939; 02-584-4255; 0998-481-2716 (Smart); 0936-155-8887 (Globe); or e-mail us at registrar@ntma.edu.ph Visit NTMA website at http://www.ntma.edu.ph Like us on facebook ----------------------------------------------------------------------------------------------------INSTRUCTIONS FOR APPLICANTS WHO WERE INTERVIEWED Open the website of NTMA at www.ntma.edu.ph by 2015 November 16 for final results of interview. Passers posted in the website will be asked to attend a Pre-Enrolment Briefing in NTMA starting middle of January. Schedule of the briefing and documents to be submitted will be advised through e-mail not later than end of November. Passers who did not receive any e-mail or call from NTMA until 15 December should contact the Office of the Registrar at (049) 549-0923, (02) 584-4255 or send an e-mail to registrar@ntma.edu.ph. Only passers who attended the Pre-Enrolment Briefing will be allowed to proceed to the Pre-Enrolment Medical Exam (PEME) that will be conducted by the Transnational Diagnostic and Medical Center (TMDC) in Intramuros, Manila. PEME will be conducted between January-February. Medical exams are FREE and start at 0800H and end at 1700H. Please bring official school ID, 4 copies of 1” x 1” photo with a white background. Results of the PEME will be advised through e-mail and text/SMS by the Office of the Registrar one (1) week after the medical exam. However, passers are encouraged to follow-up the results with NTMA at (049) 549-0923, (02) 584-4255 or send an e-mail to registrar@ntma.edu.ph. For details and requirements of the Study Now Pay Later Program, please call the Student Loan Financial Assistance (SLAF) Office at 02-908-4940 or send an e-mail to slaf@ntma.edu.ph.