Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
Scribd Logo
Upload

Welcome to Scribd!

  • 73 views

    Identification (Id) Form: Female

    Uploaded by

    Ma Athena Jireh Montes
    This document is an identification form for the National Medical Admission Test (NMAT). It contains personal information about the applicant such as their name, date of birth, nationality, contact details, photo, signature, and medical school choices. It specifies the applicant must submit this form and pay the testing fee before the deadline. It also contains a certification that the applicant has read and understood the testing policies and that the information provided is true.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Identification (Id) Form: Female

    Uploaded by

    Ma Athena Jireh Montes
    73 views1 page
    This document is an identification form for the National Medical Admission Test (NMAT). It contains personal information about the applicant such as their name, date of birth, nationality, contact details, photo, signature, and medical school choices. It specifies the applicant must submit this form and pay the testing fee before the deadline. It also contains a certification that the applicant has read and understood the testing policies and that the information provided is true.

    Original Description:

    Nmat id form

    Original Title

    0_NMAT ID form

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document is an identification form for the National Medical Admission Test (NMAT). It contains personal information about the applicant such as their name, date of birth, nationality, contact details, photo, signature, and medical school choices. It specifies the applicant must submit this form and pay the testing fee before the deadline. It also contains a certification that the applicant has read and understood the testing policies and that the information provided is true.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    73 views1 page

    Identification (Id) Form: Female

    Uploaded by

    Ma Athena Jireh Montes
    This document is an identification form for the National Medical Admission Test (NMAT). It contains personal information about the applicant such as their name, date of birth, nationality, contact details, photo, signature, and medical school choices. It specifies the applicant must submit this form and pay the testing fee before the deadline. It also contains a certification that the applicant has read and understood the testing policies and that the information provided is true.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    NMAT

    National Medical Admission Test


    IDENTIFICATION (ID) FORM
    (Must be SUBMITTED to the Examiner on the day of the test)

    Application No.: 1101911149


    MONTES, MA ATHENA JIREH APALLA
    Bank Reference No.: 3666974260
    Name of Applicant (name that will appear on your Answer Sheets and Examinee Report Form)
    1996-01-29 Female Philippines Single
    Birthdate Sex Nationality Civil Status
    University of Perpetual Help - Dr. Jose G. Tamayo Medical University, Biñan, Laguna
    Name of College Graduated From
    Laguna Philippines
    2 X 2 ID Picture
    State/Province of College Graduated From Country of College Graduated From
    BS in Pharmacy 2017-2018
    College Course (Bachelors Degree) School Year Graduated

    CONTACT INFORMATION
    74 REAL ST, LONGOS, KALAYAAN, LAGUNA 4015 Philippines
    Home Address
    Test Center: Manila
    74 REAL ST, LONGOS, KALAYAAN, LAGUNA 4015 Philippines
    Test Date: October 27, 2019
    Mailing Address
    Results to be: Sent via postal mail
    N/A +63-9157591343 maathenajireh@gmail.com
    Test results and NMAT ID information released
    to requesting medical schools? Yes Landline Mobile E-mail
    (For FOREIGN APPLICANT only)
    Medical School Choices:
    1. University of the Philippines - College of Medicine
    2. Pamantasan ng Lunsod ng Maynila - College of Medicine Passport No Expiry Date Place of Issue

    3. University of Northern Philippines - College of Medicine

    FOR THE NMAT APPLICANT


    1.  Bring this Form to the nearest payment Bank (BPI or BDO) and pay the full amount of ( PHP1900.00 ) on or before ___________________
    August 25, 2019 (Philippine
    Standard Time). Copy the Bank Reference Number found on the upper left portion of this Form. For account name or merchant’s name, write Center for
    Educational Measurement, Inc. Indicate the bank account number (BPI account number: 1881-0450-24 or BDO account number: 0048-8008-5327).
    2.  Check your email (including your spam mailbox) after three (3) business days for your payment confirmation email. You may also visit the NMAT website to
    verify the status of your NMAT application and to download the NMAT Practice Set after payment has been confirmed.
    3.  Visit the NMAT website atleast a week before the test date to know your room assignment and to download your Examination Permit.
    4.  Affix your signature on the certification below:

    I hereby certify that I have read, fully understood, and accepted all the information, terms and conditions specified on the NMAT Bulletin of Information and on
    the NMAT website www.cem-inc.org.ph/nmat, including, among others, the NMAT policies on refund of test fees, on cheating or improper test-taking behavior in
    any manner or form, and on failure to take or complete the test on the test date and test center indicated on this Form. I further certify that all information I gave
    on this Form is true and correct to the best of my knowledge and that any misinformation shall constitute grounds for my disqualification from taking the NMAT
    or invalidation of my NMAT results.

    Applicant’s Signature Date Signed

    Bring and submit also to your Examiner on the day of the test a photocopy of your official
    Transcript of Records (TOR) issued by the College where you graduated from. Your NMAT
    results shall be WITHELD indefinitely if you fail to submit a photocopy of your TOR and/
    or this NMAT ID Form.

    Downloaded on: Aug 20, 2019 07:41pm Page 1 of 1

    PoweredbyTCPDF(wwwct.pdo.frg)

    You might also like