Ar-I (Athlete Record) : Duldulao Frederick L

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AR-I (ATHLETE RECORD)

Central Luzon Region - III


Region

TARLAC PROVINCE
Division
CORAZON C. AQUINO HIGH SCHOOL Latest 1½ x 1½ picture
School

A. PERSONAL DATA:

Name: DULDULAO FREDERICK L.


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

Sex: M Learner Reference Number (LRN) Contact Number: None


Date of Birth: (mm/dd/yy) 8/17/2002 Age: 16 Place of Birth: GERONA, TARLAC
School: CORAZON C. AQUINO HIGH SCHOOL LRN / BEIS (Private School Number ) N/A
Address of School: POB. 3, GERONA, TARLAC
Home Address: ABAGON ,GERONA, TARLAC
Parents: ALFREDO B. DULDULAO ANALYN A. LUNGA
Fathers Name Mother/Guardian
Address of Parents: ABAGON ,GERONA, TARLAC

B. Athlete's Participation in Local/International Competition


Inclusive Dates Sports Event Athletic Meet Remarks
September 26-28, 2018 BASKETBALL MUNICIPAL MEET CHAMPION
October 17-19, 2018 BASKETBALL CONGRESSIONAL DISTRICT MEET
November 19-23, 2018 BASKETBALL PROVINCIAL MEET

(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 PESS Supervisor/s
MUNICIPAL MEET James Patrick L. Ramos
CONGRESSIONAL DISTRICT MEET James Patrick L. Ramos
PROVINCIAL MEET PEDRO Q. URZAME
CLRAA MEET

(Use separate sheet if necessary)

Screened by:

Division Meet Regional Meet

ANGELITO S. MAGAT, Principal 4


(Signature over Printed Name) (Signature over Printed Name)

Date: Date:

FOR PALARONG PAMBANSA ONLY

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