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2CY20 Regular Recruitment Program Physical Agility Test Score Sheet

This document is a physical agility test score sheet for applicant Leybert Laping Balogbog. It contains information on his personal details like name, date of birth, age, height, weight and blood pressure. The test consists of 3 events - 1 minute push ups, 1 minute sit ups, and a 3 kilometer run. There are columns to record the applicant's raw scores and whether they passed or failed each event, along with spaces for signatures of the attending physician, recorder and applicant.

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Carmehlyn Balogbog
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2K views2 pages

2CY20 Regular Recruitment Program Physical Agility Test Score Sheet

This document is a physical agility test score sheet for applicant Leybert Laping Balogbog. It contains information on his personal details like name, date of birth, age, height, weight and blood pressure. The test consists of 3 events - 1 minute push ups, 1 minute sit ups, and a 3 kilometer run. There are columns to record the applicant's raw scores and whether they passed or failed each event, along with spaces for signatures of the attending physician, recorder and applicant.

Uploaded by

Carmehlyn Balogbog
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

20.2CY.0000059.

9
PRSU/RSU COPY
Republic of the Philippines
NATIONAL POLICE COMMISSION
PHILIPPINE NATIONAL POLICE
RECRUITMENT AND SELECTION SERVICE
Camp PBGen Rafael T Crame, Quezon City

2CY20 Regular Recruitment Program


PHYSICAL AGILITY TEST SCORE SHEET
NAME OF APPLICANT: Balogbog, Leybert Laping
(Last Name), (First Name) (Middle Name) (Qualifier Name)
DATE OF BIRTH:___________________________________________
SEX: _________________________________
AGE:__________ HEIGHT (CM): ____________________________WEIGHT (KG): _________________________
BP: ______________________________________________________
GO/NO GO: ___________________________
SIGNATURE OF ATTENDING PHYSICIAN: _____________________ CONTROL NO.:________________________
REMARKS RANK/NAME AND SIGNATURE OF THE RECORDER
SEQ EVENT RAW SCORE
(PASSED/FAILED) NAPOLCOM REP Recruitment Secretariat
1 MIN PUSH UPS
MALE (35 REPS)
1
1 MIN BENCH PUSH UPS
FEMALE (25 REPS)
1 MIN SIT UPS
2 MALE (35 REPS)
FEMALE (25 REPS)
3 KILOMETER RUN
3 MALE (19 MINS)
FEMALE (21 MINS)

_______________________________________
NAME & SIGNATURE OF EXAMINEE
____________________
DATE

20.2CY.0000059.9
APPLICANT'S C OPY
Republic of the Philippines
NATIONAL POLICE COMMISSION
PHILIPPINE NATIONAL POLICE
RECRUITMENT AND SELECTION SERVICE
Camp PBGen Rafael T Crame, Quezon City

2CY20 Regular Recruitment Program


PHYSICAL AGILITY TEST SCORE SHEET

NAME OF APPLICANT: Balogbog, Leybert Laping


(Last Name), (First Name) (Middle Name) (Qualifier Name)
DATE OF BIRTH:___________________________________________
SEX: _________________________________
AGE:__________ HEIGHT (CM): ____________________________WEIGHT (KG): _________________________
BP: ______________________________________________________
GO/NO GO: ___________________________
SIGNATURE OF ATTENDING PHYSICIAN: _____________________ CONTROL NO.:________________________
REMARKS RANK/NAME AND SIGNATURE OF THE RECORDER
SEQ EVENT RAW SCORE
(PASSED/FAILED) NAPOLCOM REP Recruitment Secretariat
1 MIN PUSH UPS
MALE (35 REPS)
1
1 MIN BENCH PUSH UPS
FEMALE (25 REPS)
1 MIN SIT UPS
2 MALE (35 REPS)
FEMALE (25 REPS)
3 KILOMETER RUN
3 MALE (19 MINS)
FEMALE (21 MINS)

_______________________________________
NAME & SIGNATURE OF EXAMINEE
____________________
DATE

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