F-006

Issue 0 Rev. 4
March 18, 2006

MARITIME ACADEMY OF ASIA AND THE PACIFIC–KAMAYA POINT

BOARD OF ADMISSIONS 2X2
Associated Marine Officers’ and Seamen’s Union of the Philippines – PTGWO - ITF COLORED
Kamaya Pt., Brgy. Alas-asin, Mariveles, Bataan PICTURE

MIDSHIPMEN APPLICATION FORM

Application No. Preferred Course
 AMOSUP Dependent  College Level  High School
 BSMT  BSMarE  BSMTE

Last Name Given Name Middl e Name Middle Initial

P E R S O N A L

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 Age AMOSUP I.D. No. Occupation Living/ Deceased

(Father)
F A M I L Y

(Mother)

Parents’ Mailing Address Contact Number

Do you have any relatives abroad? Name? Relationship Rank/ Position Company/ Location

Inclusive Date Public Private Gen.

Level Name of School Honors/ Awards Received
from to School School Ave.
EDUCA TION

Elementary

High School

Vocational
Course

College
Course

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

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

MAAP Examination Grade Application Status Evaluator’s Remarks Evaluator

 Accepted  Denied

Place of Testing Center Examination Date/ Time

CAN BE PHOTOCOPIED. NOT FOR SALE.

 MARITIME ACADEMY OF ASIA AND THE PACIFIC

KAMAYA POINT
Associated Marine Officers’ and Seamen’s Union of the Philippines - PTGWO-ITF 2X2
Kamaya Pt., Brgy. Alas-asin, Mariveles, Bataan
COLORED
PICTURE
ENTRANCE EXAMINATION PERMIT
Name of Applicant Preferred Course

 BSMT  BSMarE  BSMTE

Place of Testing Center Examination Date/ Time

Mode of Payment Test Permit No. Evaluator

 Cash  Check/ Money Order Payable to MAAP

BRING THE FOLLOWING ON THE SCHEDULED EXAMINATION: NOTE :

1. Test permit 3. Black Ball Pen 1. Calculator is not allowed during the examination.
2. Valid School ID 2. Failure to submit application requirements may be a
ground for disqualification.