Form 1

CPSU SPORTS, LITERARY, ARTS & CULTURAL COMPETITION 2019 OFFICIAL ENTRY FORM AND GALLERY OF
___________LITERARY____________
(Event) Page 2 of 2

UNIT/CAMPUS/ES: UNIT VII-ILOG Category PAGSUSULAT NG

SANAYSAY

ATHLETE ATHLETE ATHLETE ATHLETE ATHLETE ATHLETE

Name VARGAS, GEBAMBIE B.

Date of Birth NOVEMBER11, 1999
Course & Year BEED 2
College or Campus ILOG
Remark (Q- Qualified/ DQ-
Disqualified)
COACH ASST. COACH Eligibility Requirements:
SLAC Competition
a. Notarized 3 in 1 form 2019
(Medical Certificate,
Parents’ Consent and
Waiver.
b. Photocopy of School
____________________
ID or Enrollment form
Unit Manager/
(first semester) Representative
c. Photocopy of
PSA/NSO Birth
Name
Certificate except for
Age
Contact no#/ Mobile no# the Sports Competition.
Email Address