SORSOGON

DIVISION
ELEMENTARY
LEVEL

BASKETBALL
EVENT

CERTIFICATE OF EMPLOYMENT
AFFIDAVIT / SWORN STATEMENT
PERSONAL DATA SHEET
MEDICAL CERTIFICATE
COACH CHAPERON

DENNIS E. DOMALAON NAME

AR - 1
NSO
FORM - 137
CERTIFICATE OF ENROLMENT
ATHLETE CERTIFICATE OF COMPLETION ATHLETE
PARENTAL CONSENT
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
INTERVIEWED
Advincula, Jefferson NAME OF ATHLETE Aguilar, Jethruel M.
August 09, 2004 DATE OF BIRTH September 04, 2004
Donsol East Central School SCHOOL San Juan Elementary School
114144 BEIS SCHOOL ID 114093
Donsol, Sorsogon SCHOOL ADDRESS San Juan, Casiguran, Sorsogon

AR - 1
NSO
FORM - 137
CERTIFICATE OF ENROLMENT
ATHLETE CERTIFICATE OF COMPLETION ATHLETE
PARENTAL CONSENT
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
INTERVIEWED
Dolosa John Ezekiel E. NAME OF ATHLETE Duran, Marjon Jeru G.
January 01, 2004 DATE OF BIRTH January 24, 2004
Gubat North Central School SCHOOL Landmark Baptist Academy
BEIS SCHOOL ID 435011
Pinontingan, Gubat, Sorsogon SCHOOL ADDRESS Gubat, Sorsogon

AR - 1
NSO
FORM - 137
CERTIFICATE OF ENROLMENT
ATHLETE CERTIFICATE OF COMPLETION ATHLETE
PARENTAL CONSENT
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
INTERVIEWED
Furtuno, Sean Ivan G. NAME OF ATHLETE Janoras, Arvin B.
October 04, 2004 DATE OF BIRTH January 29, 2004
Layog Elem. Sch. SCHOOL Casiguran Central School
113986 BEIS SCHOOL ID 114083
Laayog, Barcelona, Sorsogon SCHOOL ADDRESS Central, Casiguran, Sor.
 ATHLETE AR - 1 ATHLETE
NSO
FORM - 137
CERTIFICATE OF ENROLMENT
CERTIFICATE OF COMPLETION
PARENTAL CONSENT
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
INTERVIEWED
Lalo, Noman NAME OF ATHLETE Lopez, Benedetto B.
March 23, 2004 DATE OF BIRTH March 14, 2004
Donsol East Central School SCHOOL Irosin Central School
114144 BEIS SCHOOL ID 114235
Donsol, Sorsogon SCHOOL ADDRESS San Julian, Irosin, Sorsogon

ATHLETE AR - 1 ATHLETE
NSO
FORM - 137
CERTIFICATE OF ENROLMENT
CERTIFICATE OF COMPLETION
PARENTAL CONSENT
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
INTERVIEWED
Non, Paul Ryan L. NAME OF ATHLETE Picaso, Kenneth B.
October 28, 2004 DATE OF BIRTH April 15, 2004
Jesus Cares Christian School SCHOOL Irosin Central School
114114 BEIS SCHOOL ID 114235
Cumadcad, Castilla, Sorsogon SCHOOL ADDRESS San Julian, Irosin, Sorsogon

ATHLETE AR - 1 ATHLETE
NSO
FORM - 137
CERTIFICATE OF ENROLMENT
CERTIFICATE OF COMPLETION
PARENTAL CONSENT
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
INTERVIEWED
Rebueno, Angelo I. NAME OF ATHLETE Tuanio, Adrian H.
January 26, 2005 DATE OF BIRTH September 05, 2004
Jesus Cares Christian Academy SCHOOL Ponong Elementary School
435014 BEIS SCHOOL ID 114089
Cumadcad, Castilla, Sorsogon Ponong, Casiguran, Sorsogon
SCHOOL ADDRESS