POLOMOLOK CREEK INTEGRATED SCHOOL

POLOMOLOK SOUTH DISTRICT

MAGSAYSAY, POLOMOLOK SOUTH COTABATO
July 24, 2019

CERTIFICATE OF ENROLLMENT

This is to certify that the names listed below are bonafide students of
POLOMOLOK CREEK INTEGRATED SCHOOL for school year 2019-2020.
This certification is issued to qualify them to play in the District meet
on July 25-26, 2019 in Nicolas Barreras National High School in Glamang,
Polomolok South Cotabato.

1. PASILAN, MARK JAY C.

2. CARO, JANLOYD D.
3. FERRAREN, LORENCE U.
4. DE ASIS, MARK STEPHEN B.
 REDEN F. FAJAGUTANA HT1
School Head

POLOMOLOK CREEK INTEGRATED SCHOOL

POLOMOLOK SOUTH DISTRICT
MAGSAYSAY, POLOMOLOK SOUTH COTABATO
July 24, 2019

MEDICALCERTIFICATE

This is to certify that I have personally examined the following athletes

listed below and have found physically fit during the examination to join and
compete in the lower meet.
NAMES PULSE RATE BLOOD PRESSURE REMARKS
1. PASILAN, MARK JAY C. _________ ____________ ______________
2. CARO, JANLOYD D. _________ ____________ ______________
3. FERRAREN, LORENCE U. ________ ____________ ______________
4. DE ASIS, MARK STEPHEN B._______ __________ ______________

_____________________
Physician/Medical Officer