1 - Athlete Record

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AR-I (ATHLETE RECORD)

X-10
Region

MISAMIS ORIENTAL
Division Latest 1½ x 1½ picture

A. PERSONAL DATA:

Name: PAGALAN NOVE M.


(Last) (First) (M.I.)

Sex: F Learner Reference Number (LRN) 127937090026


Date of Birth: (mm/dd/yy) 21-Nov-02 Age: 15 Place of Birth: PATAG, NAAWAN MIS. OR.
School: MAT-I (NAAWAN) NATIONAL HIGH SCHOOL
Address of School: MAT-I, NAAWAN MISAMIS ORIENTAL
Present Home Address: PATAG, NAAWAN MISAMIS ORIENTAL
Parents: ERNIE N. PAGALAN IVY J. MAGLASANG
Fathers Name Mother/Guardian
Address of Parents: PATAG, NAAWAN MISAMIS ORIENTAL

B. Athlete's Participation in Local/International Competition


Inclusive Dates Sports Event Athletic Meet Remarks
20-Jul-18 JAVELIN THROW INTRAMURAL 1ST
22-Aug-18 JAVELIN THROW DISTRICT MEET 1ST

(Use separate sheet if necessary)

Athlete's Signature
C. Athlete's Participation
This is to certify that based on our knowledge the above-mentioned athlete has participated
in the lower meets.
Athletic meet Name of Coach Signature Division Sports Coordinator/SGOD Chief
INTRAMURAL ALFRED G. TINGCANG
DISTRICT MEET ALFRED G. TINGCANG
UNIT MEET
DIVISION/PROVINCIAL MEET
REGIONAL MEET

(Use separate sheet if necessary)

Screened by:

Division Meet Regional Meet

MELENDE B. CATID
(Signature over Printed Name) (Signature over Printed Name)

Date: Date:
AR-I (ATHLETE RECORD)
X-10
Region

MISAMIS ORIENTAL
Division Latest 1½ x 1½ picture

A. PERSONAL DATA:

Name: DOMLO-AN KATRINA M.


(Last) (First) (M.I.)

Sex: F Learner Reference Number (LRN) 127930090020


Date of Birth: (mm/dd/yy) 17-Jun-03 Age: 15 Place of Birth: LUBILAN, NAAWAN MIS. OR.
School: MAT-I (NAAWAN) NATIONAL HIGH SCHOOL
Address of School: MAT-I, NAAWAN MISAMIS ORIENTAL
Present Home Address: LUBILAN, NAAWAN MISAMIS ORIENTAL
Parents: MARCOS D. DOMLO-AN IMELDA L. MAJORENOS
Fathers Name Mother/Guardian
Address of Parents: LBILAN, NAAWAN MISAMIS ORIENTAL

B. Athlete's Participation in Local/International Competition


Inclusive Dates Sports Event Athletic Meet Remarks
20-Jul-18 100 M RUN INTRAMURAL 1ST
22-Aug-18 200M RUN DISTRICT MEET 1ST

(Use separate sheet if necessary)

Athlete's Signature
C. Athlete's Participation
This is to certify that based on our knowledge the above-mentioned athlete has participated
in the lower meets.
Athletic meet Name of Coach Signature Division Sports Coordinator/SGOD Chief
INTRAMURAL ALFRED G. TINGCANG
DISTRICT MEET ALFRED G. TINGCANG
UNIT MEET
DIVISION/PROVINCIAL MEET
REGIONAL MEET

(Use separate sheet if necessary)

Screened by:

Division Meet Regional Meet

MELENDE B. CATID
(Signature over Printed Name) (Signature over Printed Name)

Date: Date:
AR-I (ATHLETE RECORD)
X-10
Region

MISAMIS ORIENTAL
Division Latest 1½ x 1½ picture

A. PERSONAL DATA:

Name: LABADAN TRISH KAYE H.


(Last) (First) (M.I.)

Sex: F Learner Reference Number (LRN) 127935090030


Date of Birth: (mm/dd/yy) 31-May-03 Age: 15 Place of Birth: INITAO MIS. OR.
School: MAT-I (NAAWAN) NATIONAL HIGH SCHOOL
Address of School: MAT-I, NAAWAN MISAMIS ORIENTAL
Present Home Address: MAT-I, NAAWAN MISAMIS ORIENTAL
Parents: DANNY T. LABADAN EVE R. HAMBRE
Fathers Name Mother/Guardian
Address of Parents: MAT-I, NAAWAN MISAMIS ORIENTAL

B. Athlete's Participation in Local/International Competition


Inclusive Dates Sports Event Athletic Meet Remarks
20-Jul-18 100 M RUN INTRAMURAL 2ND
22-Aug-18 100M RUN DISTRICT MEET 2ND

(Use separate sheet if necessary)

Athlete's Signature
C. Athlete's Participation
This is to certify that based on our knowledge the above-mentioned athlete has participated
in the lower meets.
Athletic meet Name of Coach Signature Division Sports Coordinator/SGOD Chief
INTRAMURAL ALFRED G. TINGCANG
DISTRICT MEET ALFRED G. TINGCANG
UNIT MEET
DIVISION/PROVINCIAL MEET
REGIONAL MEET

(Use separate sheet if necessary)

Screened by:

Division Meet Regional Meet

MELENDE B. CATID
(Signature over Printed Name) (Signature over Printed Name)

Date: Date:
AR-I (ATHLETE RECORD)
X-10
Region

MISAMIS ORIENTAL
Division Latest 1½ x 1½ picture

A. PERSONAL DATA:

Name: ABUT IAN JEPPIE A.


(Last) (First) (M.I.)

Sex: M Learner Reference Number (LRN) 127938070001


Date of Birth: (mm/dd/yy) 16-Aug-01 Age: 17 Place of Birth: TAGBALOGO, NAAWAN MIS OR.
School: MAT-I (NAAWAN) NATIONAL HIGH SCHOOL
Address of School: MAT-I, NAAWAN MISAMIS ORIENTAL
Present Home Address: TAGBALOGO, NAAWAN MISAMIS ORIENTAL
Parents: ROGER Y. ABUT RITCHELL P. VICOY
Fathers Name Mother/Guardian
Address of Parents: TAGBALOGO, NAAWAN MISAMIS ORIENTAL

B. Athlete's Participation in Local/International Competition


Inclusive Dates Sports Event Athletic Meet Remarks
20-Jul-18 200M RUN INTRAMURAL 2ND
22-Aug-18 400M RUN DISTRICT MEET 1ST

(Use separate sheet if necessary)

Athlete's Signature
C. Athlete's Participation
This is to certify that based on our knowledge the above-mentioned athlete has participated
in the lower meets.
Athletic meet Name of Coach Signature Division Sports Coordinator/SGOD Chief
INTRAMURAL ALFRED G. TINGCANG
DISTRICT MEET ALFRED G. TINGCANG
UNIT MEET
DIVISION/PROVINCIAL MEET
REGIONAL MEET

(Use separate sheet if necessary)

Screened by:

Division Meet Regional Meet

MELENDE B. CATID
(Signature over Printed Name) (Signature over Printed Name)

Date: Date:
AR-I (ATHLETE RECORD)
X-10
Region

MISAMIS ORIENTAL
Division Latest 1½ x 1½ picture

A. PERSONAL DATA:

Name: CABALLERO RONALYN C.


(Last) (First) (M.I.)

Sex: F Learner Reference Number (LRN) 127934090012


Date of Birth: (mm/dd/yy) 15-Oct-03 Age: 14 Place of Birth: BUENAVISTA, AGUSAN DEL NORTE
School: MAT-I (NAAWAN) NATIONAL HIGH SCHOOL
Address of School: MAT-I, NAAWAN MISAMIS ORIENTAL
Present Home Address: MAT-I, NAAWAN MISAMIS ORIENTAL
Parents: ROWEL S. CABALLERO DAHPNY L. CANOY
Fathers Name Mother/Guardian
Address of Parents: TAGBALOGO, NAAWAN MISAMIS ORIENTAL

B. Athlete's Participation in Local/International Competition


Inclusive Dates Sports Event Athletic Meet Remarks
20-Jul-18 SHOT PUT INTRAMURAL 1ST
22-Aug-18 SHOT PUT DISTRICT MEET 1ST

(Use separate sheet if necessary)

Athlete's Signature
C. Athlete's Participation
This is to certify that based on our knowledge the above-mentioned athlete has participated
in the lower meets.
Athletic meet Name of Coach Signature Division Sports Coordinator/SGOD Chief
INTRAMURAL ALFRED G. TINGCANG
DISTRICT MEET ALFRED G. TINGCANG
UNIT MEET
DIVISION/PROVINCIAL MEET
REGIONAL MEET

(Use separate sheet if necessary)

Screened by:

Division Meet Regional Meet

MELENDE B. CATID
(Signature over Printed Name) (Signature over Printed Name)

Date: Date:
AR-I (ATHLETE RECORD)
X-10
Region

MISAMIS ORIENTAL
Division Latest 1½ x 1½ picture

A. PERSONAL DATA:

Name: GASANG AJEE HERNIE M.


(Last) (First) (M.I.)

Sex: M Learner Reference Number (LRN) 127928080014


Date of Birth: (mm/dd/yy) 14-Oct-02 Age: 15 Place of Birth: CAGAYAN DE ORO CITY
School: MAT-I (NAAWAN) NATIONAL HIGH SCHOOL
Address of School: MAT-I, NAAWAN MISAMIS ORIENTAL
Present Home Address: DON PEDRO, NAAWAN MISAMIS ORIENTAL
Parents: CRIS S. GASANG VETUISE M. MAGAN
Fathers Name Mother/Guardian
Address of Parents: DON PEDRO , NAAWAN MISAMIS ORIENTAL

B. Athlete's Participation in Local/International Competition


Inclusive Dates Sports Event Athletic Meet Remarks
20-Jul-18 DISCUS THROW INTRAMURAL 1ST
22-Aug-18 DISCUS THROW DISTRICT MEET 2ND

(Use separate sheet if necessary)

Athlete's Signature
C. Athlete's Participation
This is to certify that based on our knowledge the above-mentioned athlete has participated
in the lower meets.
Athletic meet Name of Coach Signature Division Sports Coordinator/SGOD Chief
INTRAMURAL ALFRED G. TINGCANG
DISTRICT MEET ALFRED G. TINGCANG
UNIT MEET
DIVISION/PROVINCIAL MEET
REGIONAL MEET

(Use separate sheet if necessary)

Screened by:

Division Meet Regional Meet

MELENDE B. CATID
(Signature over Printed Name) (Signature over Printed Name)

Date: Date:

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