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Body Mass Index Form: Philippine National Police Academy

The document is a body mass index (BMI) form for applicants to the Philippine National Police Academy cadet admission test. It requires a government physician or nurse to record the applicant's name, address, age, height, weight, sex, and BMI based on an examination. The physician or nurse must then sign and date the form along with their license number and contact information for their hospital or clinic.

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Jarryl Maas
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1K views

Body Mass Index Form: Philippine National Police Academy

The document is a body mass index (BMI) form for applicants to the Philippine National Police Academy cadet admission test. It requires a government physician or nurse to record the applicant's name, address, age, height, weight, sex, and BMI based on an examination. The physician or nurse must then sign and date the form along with their license number and contact information for their hospital or clinic.

Uploaded by

Jarryl Maas
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
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PHILIPPINE NATIONAL POLICE ACADEMY

CADET ADMISSION TEST APPLICATION

BODY MASS INDEX FORM


(To be accomplished by a Government Physician/Registered Nurse)

Name:

Address:
______________________________________________________________
________________________________________________________

Age: _______ years old upon application

Height: _______ in cm (Bare Foot)

Weight: _______ in kgs.

Sex: Male Female

Normal Obese I
BMI:

Underweight Obese II

Overweight

I HEREBY CERTIFY that I personally examined the above-named applicant, to determine


his/her height and weight measurement.

______________ _____________________________ ____________


Date Examined Name & signature of Physician/Nurse License No.

Name of Hospital/Clinic: __________________________________

Contact No. __________________________________

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