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Registration Form: 1017153783 9vwknbue90

This document is a registration form for the National Medical Admission Test (NMAT) for an applicant named Virginia Macapayad Songcal. It includes personal details, test location, and date, as well as payment instructions and required documents for the application process. The test is scheduled for April 12, 2025, and applicants must ensure payment and document submission are completed on time.

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Via Songcal
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61 views1 page

Registration Form: 1017153783 9vwknbue90

This document is a registration form for the National Medical Admission Test (NMAT) for an applicant named Virginia Macapayad Songcal. It includes personal details, test location, and date, as well as payment instructions and required documents for the application process. The test is scheduled for April 12, 2025, and applicants must ensure payment and document submission are completed on time.

Uploaded by

Via Songcal
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

NMAT REGISTRATION FORM

National Medical Admission Test (This Form will NOT be collected on test day)

Application No.: 1017153783 SONGCAL, VIRGINIA MACAPAYAD


Reference No.: 9VWKNBUE90 Name of Applicant
(Name that will appear on your Examinee Report Form)

2002-01-19 Female Philippines Single


Birthdate Sex Nationality Civil Status
8714 HOSANNA CHRISTIAN INTERNATIONAL SCHOOL SOUTH POB P-2, SOUTH POBLACION, MARAMAG, BUKIDNON 8714 Philippines

2 X 2 ID Picture Mailing Address (Address where your Examinee Report Form will be delivered)
N/A +63-9672174735 [email protected]
Landline No. Mobile No. Email Address

FOR FOREIGN APPLICANT

Passport No. Expiry Date Place of Issue


Test Location: Domestic
Test Date: April 12, 2025 7AM to 11AM

REMINDERS

A. PAYMENT
1. Payment instructions have been sent to your official email address. Please pay the exact amount indicated in your payment
instructions.
2. Only successfully paid applicants will be able to take the online NMAT. Make sure that applicable fees have been settled on or before
the date and time indicated in your payment instructions. Payment made beyond the holding period will not be honored.
3. Confirm the details of your transaction receipt. Keep the copy of proof of payment for future reference.
4. A surcharge fee of Php200.00 will be collected to process refund request due to over or double payment and processing of any special
request or correction (i.e. change of mailing address etc.)

B. REQUIRED DOCUMENTS
1. Email a PDF file of Transcript of Records (for graduate applicants) or Certificate to Graduate (for graduating applicants) to
[email protected] . Indicate in the subject line the following format:
Application Number_Complete Name_Scheduled Test Date.
Page 1 of 1

2. For updates, visit the website at www.cem-inc.org.ph/nmat.


Downloaded on: Apr 10, 2025 09:37pm

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