IV-A CALABARZON

REGION
RIZAl
DIVISION
Athletics
EVENT
CERTIFICATE OF EMPLOYMENT

APPOINTMENT/ CONTRACT OF
SERVICE

AFFIDAVIT / SWORN STATEMENT

PERSONAL DATA SHEET
Coach Assistant Coach/Chaperon
MEDICAL CERTIFICATE

CERTIFICATE OF TRAINING
CERTIFICATE OF SPORTS MEMBERSHIP
CERTIFICATE OF SPORTS RECOGNITION

EMILY L. GIWAO NAME

JFDMNHS SCHOOL

AR - 1
PHOTOCOPY OF NSO
NSO
FORM - 137
CERTIFICATE OF ENROLMENT
athlete athlete
CERTIFICATE OF COMPLETION
PARENTAL CONSENT
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
INTERVIEWED
Jewell C. Abarra NAME OF ATHLETE John Eiron Esplana
10948810001 LRN 109488080074

DATE OF BIRTH 10/11/2002

JFDNHS SCHOOL JFDMNHS

AR - 1
PHOTOCOPY OF NSO
NSO
FORM - 137
CERTIFICATE OF ENROLMENT
athlete athlete
CERTIFICATE OF COMPLETION
PARENTAL CONSENT
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
INTERVIEWED
Vincent Gerome Canoy NAME OF ATHLETE John Rey S. Garcia
109496110055 LRN 109488140269
6/8/2006 DATE OF BIRTH 12/31/2004
JFDMHS SCHOOL JFDMNHS

AR - 1
PHOTOCOPY OF NSO
NSO
FORM - 137
CERTIFICATE OF ENROLMENT
athlete athlete
CERTIFICATE OF COMPLETION
PARENTAL CONSENT
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
INTERVIEWED
Garnette Ebriega NAME OF ATHLETE Mark Joseph L. Macas
109488100107 LRN 109488100158
5/26/2004 DATE OF BIRTH 10/28/2004
JFDMNHS SCHOOL JFDMNHS
 ____________________________
REGION

______________________________
DIVISION
__________________________________
EVENT
AR - 1
PHOTOCOPY OF NSO
NSO
FORM - 137
CERTIFICATE OF ENROLMENT
athlete athlete
CERTIFICATE OF COMPLETION
PARENTAL CONSENT
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
INTERVIEWED
Reanthony A. Padero NAME OF ATHLETE Marvin A. Redo
109488100192 LRN 10949610034

DATE OF BIRTH
JFDMNHS SCHOOL JFDMNHS

AR - 1
PHOTOCOPY OF NSO
NSO
FORM - 137
CERTIFICATE OF ENROLMENT athlete
athlete
CERTIFICATE OF COMPLETION
PARENTAL CONSENT
MEDICAL CERTIFICATE
DENTAL CERTIFICATE

INTERVIEWED John Feter A. Tabasa

Wendell T. Pamanian NAME OF ATHLETE
LRN
DATE OF BIRTH JFDMNHS
JFDMNHS SCHOOL

AR - 1
PHOTOCOPY OF NSO
NSO
FORM - 137
CERTIFICATE OF ENROLMENT
athlete athlete
CERTIFICATE OF COMPLETION
PARENTAL CONSENT
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
INTERVIEWED
Ric Andrei C. Polinag NAME OF ATHLETE John Amar A. Sadullo
LRN 10949610034
DATE OF BIRTH
JFDMNHS SCHOOL JFDMNHS

AR - 1
PHOTOCOPY OF NSO
NSO
FORM - 137
CERTIFICATE OF ENROLMENT
athlete athlete
CERTIFICATE OF COMPLETION
PARENTAL CONSENT
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
INTERVIEWED
Crish Andrei S. Quinones NAME OF ATHLETE Asriel R. Udarde
LRN 102381120047
DATE OF BIRTH
JFDMNHS SCHOOL JFDMNHS