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JUNTILLA

1) This document contains athlete registration information for Honey Joy C. Juntilla from Misamis Oriental who attends Casinglot National High School. 2) It details her participation and achievements in basketball at the intramural, district, and municipal levels for the current school year. 3) Her coach and sports officers from the division and region certify her participation in the lower meets leading up to the Palarong Pambansa national games.

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Mark Khien Cordova
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34 views1 page

JUNTILLA

1) This document contains athlete registration information for Honey Joy C. Juntilla from Misamis Oriental who attends Casinglot National High School. 2) It details her participation and achievements in basketball at the intramural, district, and municipal levels for the current school year. 3) Her coach and sports officers from the division and region certify her participation in the lower meets leading up to the Palarong Pambansa national games.

Uploaded by

Mark Khien Cordova
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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Revised as of September 26, 2019

AR (ATHLETE RECORD)
REGION X
Region

MISAMIS ORIENTAL
Latest 1½ x 1½ picture
Division

A. PERSONAL DATA:

Name: JUNTILLA HONEY JOY C.


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

Sex: FEMALE Learner Reference Number (LRN) 127866140092 Contact Number

Date of Birth: (mm/dd/yyyy) 02/24/2008 Age: 15 Place of Birth: TAGOLOAN, MIS. OR.
School: CASINGLOT NATIONAL HIGH SCHOOL Grade Level 9
Address of School: CASINGLOT, TAGOLOAN, MISAMIS ORIENTAL
Present Address: CASINGLOT, TAGOLOAN, MISAMIS ORIENTAL
Parents: JUNIE S. JUNTILLA CRISTITA C. JUNTILLA
Fathers Name Mother/Guardian
Address of Parents/Guardian: CASINGLOT, TAGOLOAN, MISAMIS ORIENTAL

√ . If Yes, kindly fill up the table below


B. Participation in the previous Palarong Pambansa. Yes ____ No _____
Year of Participation Sports Event Venue Remarks

C. Athlete's Participation in the Lower Meets (For the Current School Year)
Inclusive Dates Sports Event Athletic Meet Remarks

7/11/2023 BASKETBALL INTRAMURALS GOLD


11/24/2023 BASKETBALL DISTRICT MEET GOLD
11/30/2023 BASKETBALL MUNICIPAL MEET GOLD

(Use separate sheet if necessary)

HONEY JOY C. JUNTILLA


Athlete's 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


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

INTRAMURALS CLAUDINE DIANE T. PAPAURAN


DISTRICT MEET CLAUDINE DIANE T. PAPAURAN
MUNICIPAL MEET CLAUDINE DIANE T. PAPAURAN

(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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