Association of Local Colleges and Universities

3rd ALCU Games

Form 1 – Athletes Profile
Table Tennis
SPORTS
SINGLES MEN
EVENT CATEGORY
Latest 2x2 Picture

A. PERSONAL DATA

Name: ______SUERTE JOHN PAUL ANTHONY RAMAS____ ____

Last Name First Name Middle Name
Birthday: _June 13, 2001__________ Age: __22_______ Nationality: __Filipino__________
Birthplace: _Dalama, Baroy, LDN___ Sex: __Male_________ Insurance No.: __12345_________
Course: __BS Criminology_____________________________ Contact No.: _09386885674______
School (Don’t abbreviate):
_____________________Tubod College________________________________________________
School Address: ____San Antonio, Tubod, Lanao del Norte_______________________________

Currently/Formerly GAB/National Athlete: ▢ Yes √ No

B. ATHLETES PARTICIPATION IN LOCAL/INTERNATIONAL COMPETITION

Inclusive Dates Sports Event Athletic Meet Remarks

June 2023 Brgy. Fiesta Competition Bronze Medalist

2021 Linamon Open League 6 medals

(Use separate sheet if necessary)

______________________
Athlete’s Signature

School ID (Front) School ID (Back)

By answering this Form, I hereby express my consent for the ALCU X Executive Organizing Committee to collect, record,
organize, update or modify, retrieve, consult, use, consolidate, block, erase or destruct my personal data and be indemnified in
case of damages pursuant to the provisions of the Republic Act No. 10173 of the Philippines, Data Privacy Act of 2012 and its
corresponding Implementing Rules and Regulations.
 Association of Local Colleges and Universities
3rd ALCU Games

Form 1 – Athletes Profile

Table Tennis
SPORTS
DOUBLES MEN
EVENT CATEGORY
Latest 2x2 Picture

A. PERSONAL DATA

Name: _____AMESOLA FRANCIS RHAY SUMALPONG___ ___

Last Name First Name Middle Name
Birthday: _June 28, 2004__________ Age: __19_______ Nationality: __Filipino__________
Birthplace: _Sto. Nino, Baroy, LDN__ Sex: __Male_________ Insurance No.: __12345_________
Course: __BS Criminology_____________________________ Contact No.: _09107178136______
School (Don’t abbreviate):
_____________________Tubod College________________________________________________
School Address: ____San Antonio, Tubod, Lanao del Norte_______________________________

Currently/Formerly GAB/National Athlete: ▢ Yes √ No

B. ATHLETES PARTICIPATION IN LOCAL/INTERNATIONAL COMPETITION

Inclusive Dates Sports Event Athletic Meet Remarks

(Use separate sheet if necessary)

______________________
Athlete’s Signature

School ID (Front) School ID (Back)

By answering this Form, I hereby express my consent for the ALCU X Executive Organizing Committee to collect, record,
organize, update or modify, retrieve, consult, use, consolidate, block, erase or destruct my personal data and be indemnified in
case of damages pursuant to the provisions of the Republic Act No. 10173 of the Philippines, Data Privacy Act of 2012 and its
corresponding Implementing Rules and Regulations.
 Association of Local Colleges and Universities
3rd ALCU Games

Form 1 – Athletes Profile

Table Tennis
SPORTS
DOUBLES MEN
EVENT CATEGORY
Latest 2x2 Picture

A. PERSONAL DATA

Name: ______ RAMA ELVIN MONTAÑO _

Last Name First Name Middle Name
Birthday: _October 28, 2002________ Age: __21_______ Nationality: __Filipino__________
Birthplace: _Malingao, Tubod, LDN___Sex: __Male_________Insurance No.: __12345_________
Course: __BS Criminology_____________________________ Contact No.: _09386885674______
School (Don’t abbreviate):
_____________________Tubod College________________________________________________
School Address: ____San Antonio, Tubod, Lanao del Norte_______________________________

Currently/Formerly GAB/National Athlete: ▢ Yes √ No

B. ATHLETES PARTICIPATION IN LOCAL/INTERNATIONAL COMPETITION

Inclusive Dates Sports Event Athletic Meet Remarks

May 2-6, 2023 Tables Tennis 2nd ALCU X Games Bronze

(Use separate sheet if necessary)

______________________
Athlete’s Signature

By answering this Form, I hereby express my consent for the ALCU X Executive Organizing Committee to collect, record,
organize, update or modify,School
retrieve,ID (Front)
consult, Schoolmy
use, consolidate, block, erase or destruct ID personal
(Back) data and be indemnified in
case of damages pursuant to the provisions of the Republic Act No. 10173 of the Philippines, Data Privacy Act of 2012 and its
corresponding Implementing Rules and Regulations.
 Association of Local Colleges and Universities
3rd ALCU Games

Form 1 – Athletes Profile

Table Tennis
SPORTS
SINGLES WOMEN
EVENT CATEGORY
Latest 2x2 Picture

A. PERSONAL DATA

Name: _______ONTI ANGELICA TANDUYAN_______

Last Name First Name Middle Name
Birthday: _April 8, 2003__________ Age: __20_______ Nationality: __Filipino__________
Birthplace: _Dalama, Tubod, LDN___ Sex: __Female______ Insurance No.: __12345_________
Course: __BS Social Work_____________________________ Contact No.: _09974214945______
School (Don’t abbreviate):
_____________________Tubod College________________________________________________
School Address: ____San Antonio, Tubod, Lanao del Norte_______________________________

Currently/Formerly GAB/National Athlete: ▢ Yes √ No

B. ATHLETES PARTICIPATION IN LOCAL/INTERNATIONAL COMPETITION

Inclusive Dates Sports Event Athletic Meet Remarks

2018 Tables Tennis Unit Meet

May 2-6, 2023 Tables Tennis 2nd ALCU X Games

(Use separate sheet if necessary)

______________________
Athlete’s Signature

By answering this Form, I hereby express my consent for the ALCU X Executive Organizing Committee to collect, record,
organize, update or modify, retrieve, consult, use, consolidate, block, erase or destruct my personal data and be indemnified in
case of damages pursuant to the provisions of the Republic Act No. 10173 of the Philippines, Data Privacy Act of 2012 and its
corresponding Implementing Rules and Regulations.

School ID (Front) School ID (Back)

 Association of Local Colleges and Universities
3rd ALCU Games

Form 1 – Athletes Profile

Table Tennis
SPORTS
DOUBLES WOMEN
EVENT CATEGORY
Latest 2x2 Picture

A. PERSONAL DATA

Name: _____ CANOY JOHANNAH CALUNSAG_______

Last Name First Name Middle Name
Birthday: _June 13, 2004__________ Age: __19_______ Nationality: __Filipino__________
Birthplace: _Magsaysay, LDN___ Sex: __Female_______ Insurance No.: __12345_________
Course: __BS Social Work_____________________________ Contact No.: _09092943122______
School (Don’t abbreviate):
_____________________Tubod College________________________________________________
School Address: ____San Antonio, Tubod, Lanao del Norte_______________________________

Currently/Formerly GAB/National Athlete: ▢ Yes √ No

B. ATHLETES PARTICIPATION IN LOCAL/INTERNATIONAL COMPETITION

Inclusive Dates Sports Event Athletic Meet Remarks

2018 Tables Tennis Unit Meet

(Use separate sheet if necessary)

______________________
By answering this Form, I hereby express my consent for the ALCU X Executive Organizing Committee to collect, record,
organize, update or modify, retrieve, consult, use, consolidate, block, erase or destruct my personal data and be indemnified in
case of damages pursuant to the provisions of the Republic Act No. 10173 of the Philippines, Data Privacy Act of 2012 and its
corresponding Implementing Rules and Regulations.
 Association of Local Colleges and Universities
3rd ALCU Games

Athlete’s Signature

School ID (Front) School ID (Back)

Form 1 – Athletes Profile

Table Tennis
SPORTS
DOUBLES WOMEN
EVENT CATEGORY
Latest 2x2 Picture

A. PERSONAL DATA

Name: _______BUALE QUEENIE PEARL PERALES________

Last Name First Name Middle Name
Birthday: _October 26, 2002________ Age: __21_______ Nationality: __Filipino__________
BirthplacBe: _Poblacion, Tubod, LDN___ Sex: __Male_________ Insurance No.: __12345______
Course: __BS Social Work_____________________________ Contact No.: _09386885674______
School (Don’t abbreviate):
_____________________Tubod College________________________________________________
School Address: ____San Antonio, Tubod, Lanao del Norte_______________________________

Currently/Formerly GAB/National Athlete: ▢ Yes √ No

B. ATHLETES PARTICIPATION IN LOCAL/INTERNATIONAL COMPETITION

Inclusive Dates Sports Event Athletic Meet Remarks

May 2-6, 2023 Tables Tennis 2nd ALCU X Games

By answering this Form, I hereby express my consent for the ALCU X Executive Organizing Committee to collect, record,
organize, update or modify, retrieve, consult, use, consolidate, block, erase or destruct my personal data and be indemnified in
case of damages pursuant to the provisions of the Republic Act No. 10173 of the Philippines, Data Privacy Act of 2012 and its
corresponding Implementing Rules and Regulations.
 Association of Local Colleges and Universities
3rd ALCU Games

(Use separate sheet if necessary)

______________________
Athlete’s Signature

School ID (Front) School ID (Back)

By answering this Form, I hereby express my consent for the ALCU X Executive Organizing Committee to collect, record,
organize, update or modify, retrieve, consult, use, consolidate, block, erase or destruct my personal data and be indemnified in
case of damages pursuant to the provisions of the Republic Act No. 10173 of the Philippines, Data Privacy Act of 2012 and its
corresponding Implementing Rules and Regulations.