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    2020 Athlete Record

    Uploaded by

    lewandrewster

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd

    2020 Athlete Record

    Uploaded by

    lewandrewster
    3 views2 pages

    Original Title

    2020-Athlete-Record

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    © © All Rights Reserved

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    Download as xls, pdf, or txt
    3 views2 pages

    2020 Athlete Record

    Uploaded by

    lewandrewster

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Download as xls, pdf, or txt
    of 2

    Revised July 2019

    AR-I (ATHLETE RECORD)


    CALABARZON
    Region

    BIÑAN CITY
    Latest 1½ x 1½ picture
    Division

    A. PERSONAL DATA:

    Name: VILLANUEVA EMMANUEL A


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

    Sex: MALE Learner Reference Number (LRN) 164513080147 Contact Number 09755295565

    Date of Birth: (mm/dd/yyyy) FEBRUARY 21, 2003 Age: 17 Place of Birth: PERPETUAL BIÑAN
    School: BIÑAN CITY SENIOR HIGH SCHOOL - SAN ANTONIO CAMPUS Grade Level 11
    Address of School: PEDRO H. ESCUETA ST., BARANGAY SAN ANTONIO, CITY OF BIÑAN LAGUNA
    Present Address: 5632 ZONE I ILAYA ST. MALABAN, BIÑAN CITY OF LAGUNA
    Parents: ROGER A. VILLANUEVA JUANITA A. VILLANUEVA
    Fathers Name Mother/Guardian
    Address of Parents: 5632 ZONE I ILAYA ST. MALABAN, BIÑAN CITY OF LAGUNA

    B. Participation in the previous Palarong Pambansa. Yes ____ No _____ . If Yes, kindly fill up the table below
    Year of Participation Sports Event Venue Remarks

    C. Athlete's Participation in Local/International Competition (For the Current School Year)


    Inclusive Dates Sports Event Athletic Meet Remarks
    SEPTEMBER 12-13, 2019 BASKETBALL CLUSTER MEET

    (Use separate sheet if necessary)

    EMMANUEL A. VILLANUEVA
    Athlete Signature over Printed Name

    D. Certification on Athlete's Participation


    This is to certify that based on our knowledge the above-mentioned athlete has participated in the lower meets.

    Name and Signature of Division Name and Signature of


    Division/Regional Meet Name and Signature of Coach
    Sports Officer (DSO) Regional Sports Officer (RSO)

    CLUSTER MEET LEW ANDREW A. ARANAS GERTRUDE ANUNCIACION


    CITY MEET
    ONE LAGUNA MEET
    REGIONAL MEET
    PALARONG PAMBANSA
    (Use separate sheet if necessary)

    Screened by:

    Division Meet Regional Meet Palarong Pambansa

    (Signature of DSAC over Printed Name) (Signature of RSAC over Printed Name) (Signature of NSAC over Printed Name)

    Date: ______________ Date: ______________ Date: ______________


    FOR SCHOOL SPORTS (Lower Meet up to Palarong Pambansa)

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