HEIGHT AND WEIGHT FORM

NAME: __________________________________________________
AGE: ___________ SEX: ___________ DATE: ______________

HEIGHT

WEIGHT

BMI

Processed by:

________________ ____________________
Signature of Applicant Rank/Name and Signature

Witness by:

__________________________ _________________________
IMEG Representative NAPOLCOM Representative
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - -

HEIGHT AND WEIGHT FORM

NAME: __________________________________________________
AGE: ___________ SEX: ___________ DATE: ______________

HEIGHT

WEIGHT

BMI

Processed by:

____________________ ____________________
Signature of Applicant Rank/Name and Signature

Witness by:

__________________________ _________________________
IMEG Representative NAPOLCOM Representative