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  • Ar - I Athlete Record

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    Jerome Patungan
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    The document contains athlete record forms for three students from Lokeb Norte National High School in Pangasinan, Philippines: 1) Jhanica Mae De Guzman, who participated in table tennis competitions at the school, zone, and municipal levels in 2017. 2) Daniel V. Bulatao, who also participated in table tennis competitions at multiple levels from 2016-2017. 3) Rica Mae F. Andaya, whose competitions included table tennis at the school and zone levels in 2018. Each form provides personal details and is signed by coaches and supervisors to certify the students' participation.

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    Ar for Athlete

    Original Title

    Ar - i Athlete Record

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    The document contains athlete record forms for three students from Lokeb Norte National High School in Pangasinan, Philippines: 1) Jhanica Mae De Guzman, who participated in table tennis competitions at the school, zone, and municipal levels in 2017. 2) Daniel V. Bulatao, who also participated in table tennis competitions at multiple levels from 2016-2017. 3) Rica Mae F. Andaya, whose competitions included table tennis at the school and zone levels in 2018. Each form provides personal details and is signed by coaches and supervisors to certify the students' participation.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    Download as docx, pdf, or txt
    10 views7 pages

    Ar - I Athlete Record

    Uploaded by

    Jerome Patungan
    The document contains athlete record forms for three students from Lokeb Norte National High School in Pangasinan, Philippines: 1) Jhanica Mae De Guzman, who participated in table tennis competitions at the school, zone, and municipal levels in 2017. 2) Daniel V. Bulatao, who also participated in table tennis competitions at multiple levels from 2016-2017. 3) Rica Mae F. Andaya, whose competitions included table tennis at the school and zone levels in 2018. Each form provides personal details and is signed by coaches and supervisors to certify the students' participation.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 7

    TFSS Form No.

    AR 001

    AR-I ( ATHLETE RECORD)

    REGION I

    Pangasinan I

    A. PERSONAL DATA

    Name: JHANICA MAE DE GUZMAN Sex: Male


    Date of Birth: ________________ Age: 15 Place of Birth: Lokeb Norte Malasiqui, Pangasinan
    School: Lokeb Norte National High School Learner Reference Number ( LRN): 101543070037
    Address of School: Lokeb Norte Malasiqui, Pangasinan Student Number: ________________
    Home Address: Lokeb Norte Malasiqui, Pangasinan
    Parents: Loudencio F. Pascua Ma. Lovella U. Pascua
    Father’s Name Mother’s Name

    Address of Parents: Lokeb Norte Malasiqui, Pangasinan

    B. ATHLETE’S PARTICIPATION IN LOCAL/INTERNATIONAL COMPETITION


    Inclusive Dates Sports Event Athletic Meet Remarks
    August 17, 2017 Table Tennis School Intramurals Champion
    August 24-25, 2017 Table Tennis Zone Meet Champion
    September 5-, 2017 Table Tennis Municipal Meet Champion

    (Use separate sheet if necessary)


    _________________________
    Athlete’s Signature

    C. ATHELETE’S PARTICIPATION

    This is to certify that based on our knowledge the above-mentioned athlete has participated in the lower meets.

    Athletic Meet Name of Coach Signature Division PESS Supervisor/s


    School Intramurals Melchor B. Delos Reyes Bernardo S. De Guzman, Ed.D.
    Zone I Athletic Meet Melchor B. Delos Reyes Bernardo S. De Guzman, Ed.D.
    Municipal Meet Melchor B. Delos Reyes Bernardo S. De Guzman, Ed.D.

    (Use separate sheet if necessary)

    Screened by:

    Division Meet Regional Meet

    ______________________________________ ______________________________________
    (Signature over Printed Name) (Signature over Printed Name)
    Date: _________________________ Date: _________________________
    TFSS Form No. AR 001

    AR-I ( ATHLETE RECORD)

    REGION I

    Pangasinan I

    A. PERSONAL DATA

    Name: ____Daniel V. Bulatao____________________ Sex: Male


    Date of Birth: _May 28,2001 Age: 16 Place of Birth: Lokeb Norte Malasiqui, Pangasinan
    School: Lokeb Norte National High School Learner Reference Number ( LRN): 101543070006
    Address of School: Lokeb Norte Malasiqui, Pangasinan Student Number: ________________
    Home Address: Lokeb Norte Malasiqui, Pangasinan
    Parents: Alfredo F. Bulatao Arlene V. Bulatao
    Father’s Name Mother’s Name

    Address of Parents: Lokeb Norte Malasiqui, Pangasinan

    B. ATHLETE’S PARTICIPATION IN LOCAL/INTERNATIONAL COMPETITION


    Inclusive Dates Sports Event Athletic Meet Remarks
    August 17, 2017 Table Tennis School Intramurals Champion
    August 24-25, 2017 Table Tennis Zone Meet Champion
    September 5-6, 2017 Table Tennis Municipal Meet Champion

    (Use separate sheet if necessary)


    ________________________
    Athlete’s Signature

    C. ATHELETE’S PARTICIPATION

    This is to certify that based on our knowledge the above-mentioned athlete has participated in the lower meets.

    Athletic Meet Name of Coach Signature Division PESS Supervisor/s


    School Intramurals Melchor B. Delos Reyes Bernardo S. De Guzman, Ed.D.
    Zone I Athletic Meet Melchor B. Delos Reyes Bernardo S. De Guzman, Ed.D.
    Municipal Meet Melchor B. Delos Reyes Bernardo S. De Guzman, Ed.D.

    (Use separate sheet if necessary)

    Screened by:

    Division Meet Regional Meet

    ______________________________________ ______________________________________
    (Signature over Printed Name) (Signature over Printed Name)
    Date: _________________________ Date: _________________________
    TFSS Form No. AR 001

    AR-I ( ATHLETE RECORD)

    REGION I

    Pangasinan I

    D. PERSONAL DATA

    Name: Rica Mae F. Andaya Sex: Female


    Date of Birth: _December 15, 2002 Age: 15 Place of Birth: Pangasinan Provincial Hospital
    School: Lokeb Norte National High School Learner Reference Number ( LRN): 101543080001
    Address of School: Lokeb Norte Malasiqui, Pangasinan Student Number: ________________
    Home Address: Lokeb Norte Malasiqui, Pangasinan
    Parents: Raul DC. Andaya Remedios Andaya
    Father’s Name Mother’s Name

    Address of Parents: Lokeb Norte Malasiqui, Pangasinan

    E. ATHLETE’S PARTICIPATION IN LOCAL/INTERNATIONAL COMPETITION


    Inclusive Dates Sports Event Athletic Meet Remarks
    August 23, 2018 Table Tennis School Intramurals Champion
    August 30-31, 2018 Table Tennis Zone Meet Champion

    (Use separate sheet if necessary)


    ____________________
    Athlete’s Signature

    F. ATHELETE’S PARTICIPATION

    This is to certify that based on our knowledge the above-mentioned athlete has participated in the lower meets.

    Athletic Meet Name of Coach Signature Division PESS Supervisor/s


    School Intramurals Melchor B. Delos Reyes Bernardo S. De Guzman, Ed.D.
    Zone I Athletic Meet Melchor B. Delos Reyes Bernardo S. De Guzman, Ed.D.

    (Use separate sheet if necessary)

    Screened by:

    Division Meet Regional Meet

    ______________________________________ ______________________________________
    (Signature over Printed Name) (Signature over Printed Name)
    Date: _________________________ Date: _________________________
    TFSS Form No. AR 001

    AR-I ( ATHLETE RECORD)

    REGION I

    Pangasinan I

    D. PERSONAL DATA

    Name: ____Daniel V. Bulatao____________________ Sex: Male


    Date of Birth: _May 28,2001 Age: 15 Place of Birth: Lokeb Norte Malasiqui, Pangasinan
    School: Lokeb Norte National High School Learner Reference Number ( LRN): 10153070006
    Address of School: Lokeb Norte Malasiqui, Pangasinan Student Number: ________________
    Home Address: Lokeb Norte Malasiqui, Pangasinan
    Parents: Alfredo F. Bulatao Arlene V. Bulatao
    Father’s Name Mother’s Name

    Address of Parents: Lokeb Norte Malasiqui, Pangasinan

    E. ATHLETE’S PARTICIPATION IN LOCAL/INTERNATIONAL COMPETITION


    Inclusive Dates Sports Event Athletic Meet Remarks
    July 28-29, 2016 Table Tennis School Intramurals Champion
    August 10-11, 2016 Table Tennis Zone Meet Champion
    September 1-2, 2016 Table Tennis Municipal Meet Champion

    (Use separate sheet if necessary)


    John Paul U. Cayabyab
    Athlete’s Signature

    F. ATHELETE’S PARTICIPATION

    This is to certify that based on our knowledge the above-mentioned athlete has participated in the lower meets.

    Athletic Meet Name of Coach Signature Division PESS Supervisor/s


    School Intramurals Melchor B. Delos Reyes Bernardo S. De Guzman, Ed.D.
    Zone I Athletic Meet Melchor B. Delos Reyes Bernardo S. De Guzman, Ed.D.
    Municipal Meet Melchor B. Delos Reyes Bernardo S. De Guzman, Ed.D.

    (Use separate sheet if necessary)

    Screened by:

    Division Meet Regional Meet

    ______________________________________ ______________________________________
    (Signature over Printed Name) (Signature over Printed Name)
    Date: _________________________ Date: _________________________
    TFSS Form No. AR 001

    AR-I ( ATHLETE RECORD)

    REGION I

    Pangasinan I

    G. PERSONAL DATA

    Name: ____Miko Lydes V. Soriano____________________ Sex: Male


    Date of Birth: _September 11, 2001 Age: 16 Place of Birth: Dagupan City, Pangasinan
    School: Lokeb Norte National High School Learner Reference Number ( LRN): 101545070048
    Address of School: Lokeb Norte Malasiqui, Pangasinan Student Number: ________________
    Home Address: Lunec, Malasiqui, Pangasinan
    Parents: Modesto Soriano Liza V. Soriano
    Father’s Name Mother’s Name

    Address of Parents: Lunec, Malasiqui, Pangasinan

    H. ATHLETE’S PARTICIPATION IN LOCAL/INTERNATIONAL COMPETITION


    Inclusive Dates Sports Event Athletic Meet Remarks
    July 28-29, 2016 Table Tennis School Intramurals Champion
    August 10-11, 2016 Table Tennis Zone Meet Champion
    September 1-2, 2016 Table Tennis Municipal Meet Champion

    (Use separate sheet if necessary)


    Miko Lydes V. Soriano
    Athlete’s Signature

    I. ATHELETE’S PARTICIPATION

    This is to certify that based on our knowledge the above-mentioned athlete has participated in the lower meets.

    Athletic Meet Name of Coach Signature Division PESS Supervisor/s


    School Intramurals Melchor B. Delos Reyes Bernardo S. De Guzman, Ed.D.
    Zone I Athletic Meet Melchor B. Delos Reyes Bernardo S. De Guzman, Ed.D.
    Municipal Meet Melchor B. Delos Reyes Bernardo S. De Guzman, Ed.D.

    (Use separate sheet if necessary)

    Screened by:

    Division Meet Regional Meet

    ______________________________________ ______________________________________
    (Signature over Printed Name) (Signature over Printed Name)
    Date: _________________________ Date: _________________________
    TFSS Form No. AR 001

    AR-I ( ATHLETE RECORD)

    REGION I

    Pangasinan I

    G. PERSONAL DATA

    Name: ____John Paul U. Cayabyab____________________ Sex: Male


    Date of Birth: _May 24, 1999 Age: 17 Place of Birth: Lokeb Norte Malasiqui, Pangasinan
    School: Lokeb Norte National High School Learner Reference Number ( LRN): 1543050008
    Address of School: Lokeb Norte Malasiqui, Pangasinan Student Number: ________________
    Home Address: Lokeb Norte Malasiqui, Pangasinan
    Parents: Randy Cayabyab Lilibeth G. Untalan
    Father’s Name Mother’s Name

    Address of Parents: Lokeb Norte Malasiqui, Pangasinan

    H. ATHLETE’S PARTICIPATION IN LOCAL/INTERNATIONAL COMPETITION


    Inclusive Dates Sports Event Athletic Meet Remarks
    July 28-29, 2016 Table Tennis School Intramurals Champion
    August 10-11, 2016 Table Tennis Zone Meet Champion
    September 1-2, 2016 Table Tennis Municipal Meet Champion

    (Use separate sheet if necessary)


    John Paul U. Cayabyab
    Athlete’s Signature

    I. ATHELETE’S PARTICIPATION

    This is to certify that based on our knowledge the above-mentioned athlete has participated in the lower meets.

    Athletic Meet Name of Coach Signature Division PESS Supervisor/s


    School Intramurals Melchor B. Delos Reyes Bernardo S. De Guzman, Ed.D.
    Zone I Athletic Meet Melchor B. Delos Reyes Bernardo S. De Guzman, Ed.D.
    Municipal Meet Melchor B. Delos Reyes Bernardo S. De Guzman, Ed.D.

    (Use separate sheet if necessary)

    Screened by:

    Division Meet Regional Meet

    ______________________________________ ______________________________________
    (Signature over Printed Name) (Signature over Printed Name)
    Date: _________________________ Date: _________________________
    TFSS Form No. AR 001

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