Revised as of September 26, 2019
CACR (COACH /ASST.COACH RECORD)
1
Region
SCHOOLS DIVISION OFFICE 1 PANGASINAN
Division
Latest 1½ x 1½ picture
A. PERSONAL DATA:
Name: MANALO LITO F.
(Last) (First) (M.I.)
Sex: MALE Mobile Phone Number: 092177777777
Date of Birth: (mm/dd/yy) 01/24/1979 Age: 40 Place of Birth: MALIGAYA, PANGASINAN
School: MALINIS ELEMENTARY SCHOOL Employee Number: 2121212
Current Position: TEACHER II Years in Service: FIVE YEARS
Address of School: MALINIS, MALIGAYA, PANGASINAN
Present Address: MALINIS, MALIGAYA, PANGASINAN
In Case of Emergency Please
Contact: MANALO, JUANITA P. Contact Number: 09200000000
B. Educational Qualifications:
Course (College/Post
School Year Graduated Credits Earned Awards Received
Graduate)
BEED UNIVERSITY OF PANGASINAN 2000 OUTSTANDING
C. Sports Training Attended for the last three (3) years
Title of Sports Training Date of Training No. of Hours Conducted by
THE COACHING BEGINNER IN TENNIS DECEMBER 5 - 7, 2018 24 INTERNATIONAL TENNIS FEDERATION
D. Sports Track Record/Experience
Athletic Meet Attended Inclusive Dates Event Awards Received
DISTRICT MEET AUGUST 11-12, 2018 TENNIS GOLD
DIVISION MEET NOVEMBER 4-6, 2018 TENNIS RUNNER - UP
DISTRICT MEET SEPTMBER 26-27, 2019 TENNIS GOLD
DIVISION MEET NOVEMBER 12-14, 2019 TENNIS
Prepared by: Attested by: Verified by:
(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)