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FORM 1

Athletes Profile

2023 PHILIPPINE ROTC GAMES

NORTH EASTERN MINDANAO STATE UNIVERSITY -CANTILAN CAMPUS

Latest 1½ x 1½
SCHOOL
picture

CITY

SPORTS

EVENT

Branch of Service: ______________________NEMSU CANTILAN ROTC UNIT

A. PERSONAL DATA:

Name: CARESO KENITH. TECSON


(Last Name) (First Name) (Middle Name)

Birthday: NOVEMBER_20, 2003_____ Age: _19_ Nationality:FILIPINO


Birth Place : PATONG SANMIGUEL SDS Philhealth no. 230015041906_
Course : BS-CRIMINOLOGY
School : NORTH EASTERN MINDANAO STAE UNIVERSITY CANTILAN CAMPUS
Address of School : PAG-ANTAYAN CANTILAN SURIGAO DEL SUR
Home Address: P-5 Patong San Miguel SURIGAO DEL SUR

B. Athlete's Participation in Local/International Competition


Inclusive Dates Sports Event Athletic Meet Remarks

(Use separate sheet if necessary)


Athlete's Signature

SCHOOL ID FONT

SCHOOL ID BACK

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