2017 Gallery of Athletes For A4 Rev

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I

REGION
DAGUPAN CITY
DIVISION

TAEKWONDO
EVENT

CERTIFICATE OF EMPLOYMENT/Contract of Service/


Notarized
AFFIDAVIT / SWORN STATEMENT
PERSONAL DATA SHEET
MEDICAL CERTIFICATE
Coach CERTIFICATE OF TRAINING Assistant Coach/Chaperon
CERTIFICATE OF SPORTS MEMBERSHIP
CERTIFICATE OF SPORTS RECOGNITION

AMBAT, BJ R. NAME
ST. JOHN'S CATHEDRAL SCHOOL SCHOOL

AR - 1
PHOTOCOPY OF N S O
NSO
FORM - 137
athlete CERTIFICATE OF ENROLMENT athlete
CERTIFICATE OF COMPLETION
PARENTAL CONSENT
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
INTERVIEWED
CUNA, FREDERICH CARL S. NAME OF ATHLETE ROMERO, CHAD FRANCIS F.
40025515026 LRN 102171110081
MAY 8, 2005 DATE OF BIRTH OCTOBER 26, 2006
DWAD SCHOOL SABANGAN ELEM. SCHOOL

AR - 1
PHOTOCOPY OF N S O
NSO
FORM - 137
athlete CERTIFICATE OF ENROLMENT athlete
CERTIFICATE OF COMPLETION
PARENTAL CONSENT
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
INTERVIEWED
ROMERO, CYRUS TRITON S. NAME OF ATHLETE SORIANO, KIMI RAIKONNEN G.
400256150102 LRN 400265150126
NOVEMBER 27, 2006 DATE OF BIRTH NOVEMBER 16 2007
DOMINICAN SCHOOL SCHOOL UL

AR - 1
PHOTOCOPY OF N S O
NSO
FORM - 137
athlete CERTIFICATE OF ENROLMENT athlete
CERTIFICATE OF COMPLETION
PARENTAL CONSENT
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
INTERVIEWED
NAME OF ATHLETE
LRN
DATE OF BIRTH
SCHOOL

PLEASE USE A4 SIZE COPY PAPER


I
REGION
DAGUPAN CITY
DIVISION
TAEKWONDO

EVENT

AR - 1
PHOTOCOPY OF N S O
NSO
FORM - 137
athlete CERTIFICATE OF ENROLMENT
athlete
CERTIFICATE OF COMPLETION
PARENTAL CONSENT
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
INTERVIEWED
JUGUILON, JAKE LUIZ Q. NAME OF ATHLETE NARCISO, EMMANUELLE
102154090038 LRN 300168130026
NOVEMBER 11, 2003 DATE OF BIRTH JULY 11, 2001
EAST CENTRAL INTEGRATED SCHOOL SCHOOL UNIVERSITY OF LUZON

AR - 1
PHOTOCOPY OF N S O
NSO
FORM - 137
athlete CERTIFICATE OF ENROLMENT
athlete
CERTIFICATE OF COMPLETION
PARENTAL CONSENT
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
INTERVIEWED
RANCUDO, KIM JARED NAME OF ATHLETE ROMERO, TRISTAN IGNATIUS
102157060167 LRN 400256150247
NOVEMBER 19, 2000 DATE OF BIRTH MAY 20, 2003
LYCEUM NORTHWESTERN UNIVERSITY SCHOOL DOMINICAN SCHOOL

AR - 1
PHOTOCOPY OF N S O
NSO
FORM - 137
athlete CERTIFICATE OF ENROLMENT
athlete
CERTIFICATE OF COMPLETION
PARENTAL CONSENT
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
INTERVIEWED
NAME OF ATHLETE
LRN
DATE OF BIRTH
SCHOOL

AR - 1
PHOTOCOPY OF N S O
NSO
FORM - 137
athlete CERTIFICATE OF ENROLMENT
athlete
CERTIFICATE OF COMPLETION
PARENTAL CONSENT
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
INTERVIEWED
NAME OF ATHLETE
LRN
DATE OF BIRTH
SCHOOL

NOTE:
PLEASE USE A4 SIZE COPY PAPER

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