Revised as of February 2024
CACR (COACH /ASST.COACH RECORD)
REGION III, CENTRAL LUZON
Region
OLONGAPO CITY
Division
Latest 1½ x 1½ picture
A. PERSONAL DATA:
Name: AJON FRITZ B.
(Last) (First) (M.I.)
Sex: MALE Mobile Phone Number:
Date of Birth: (mm/dd/yy) 12/5/1988 Age: 35 Place of Birth: TANDAG CITY
School: BALET ELEMENTARY SCHOOL Employee Number: 7703250
Current Position: TEACHER I Years in Service: 8
Address of School: BRGY. BALET BABAK IGACOS
Present Address: P5 BRGY. COGON BABAK IGACOS
In Case of Emergency
Please Contact: AMORMIA L. AJON Contact Number: 9972103575
B. Educational Qualifications:
Course (College/Post
School Year Graduated Credits Earned Awards Received
Graduate)
BEED SAINT THERESA COLLEGE OF TANDAG INC. 2009 N/A
C. Sports Training Attended for the last three (3) years
Title of Sports Training Date of Training No. of Hours Conducted by
DIVISION SPORTS CLINIC FEBRUARY 3,4,8- 2024 24 DEPED IGACOS
SEPAKTAKRAW REFEREE LEVELING COURSE MARCH 14-16,2019 72 DAVAO DEL NORTE PROVINCE
D. Sports Track Record/Experience
Athletic Meet Attended Inclusive Dates Event Awards Received
BABAK DISTRICT ATHLETIC MEET FEBRUARY 16,17,2024 SEPAKTAKRAW
Prepared by: Attested by: Verified by:
SATURNINO D. DUMLAO
(Coach /Asst. Coach Signature over Printed Name) (Division Sports Officer Signature over Printed Name) (Division AO/SDS Signature over Printed Name)
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 (Division, Region, Palarong Pambansa)
