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AR-1 (ATHLETE RECORD)

III
____________________________________
Region
Olongapo City
_________________________________
Division

A. PERSONAL DATA
FEMALE
ALEJOS, JESSELLE E.
Name:_________________________________________________________Sex:_______________
Olongapo City
10
JUNE 21, 2003
Date of Birth (mm/dd/yy):________________________________
Age____________Place
of Birth_________________________
GORDON HEIGHTS I ELEM. SCHOOL Learner Reference Number (LRN)______________________
107126080012
School:____________________________________
KAUFFMAN ST., GORDON HEIGHTS, OLONGAPO CITY Student Number_____________________
Address of School:__________________________________________________
BLK. 6 CASOY ST., GORDON HEIGHTS, OLONGAPO CITY
Home Address:____________________________________________________________________________
JESUS M. ALEJOS
Parents:__________________________________________

ANNIE E. ALEJOS
_________________________________________

Fathers Name

Mothers Name

BLK. 6 CASOY ST., GORDON HEIGHTS, OLONGAPO CITY


Address of Parents:_____________________________________________________________________________

B. Athletes Participation in Local/International Competition


Inclusive Dates
Oct. 18, 2013
Nov, 9-10, 2013
Dec. 9-13, 2013

Sports Events
Volleyball
Volleyball
Volleyball

Athletic Meet
District/Unit Meet
Division/Provincial Meet
Regional Meet
Palarong Pambansa
Others

Remarks
Champion
Champion

(Use separate sheet if necessary)

______________________________
Athletes Signature

C. Athletes 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 Supervisors
District/Unit Meet
Jessie D. Manglicmot
Division/Provincial Meet
Jessie D. Manglicmot
Regional Meet
Jessie D. Manglicmot
Palarong Pambansa
Others

(Use separate sheet if necessary)

Screened by:
Division Meet

Regional Meet

___________________________________

____________________________________

(Signature over Printed Name)


Date:_____________________________________

(Signature over Printed Name)


Date:______________________________________

AR-1 (ATHLETE RECORD)


III
____________________________________
Region
Olongapo City
_________________________________
Division

A. PERSONAL DATA
FEMALE
BOMBASE, JUSTINE NICOLE D.
Name:_________________________________________________________Sex:_______________
Balanga City. Bataan
11
APRIL 5, 2002
Date of Birth (mm/dd/yy):________________________________
Age____________Place
of Birth_________________________
GORDON HEIGHTS I ELEM. SCHOOL Learner Reference Number (LRN)______________________
107126070062
School:____________________________________
KAUFFMAN ST., GORDON HEIGHTS, OLONGAPO CITY Student Number_____________________
Address of School:__________________________________________________
BLK. 23 UBAS ST., GORDON HEIGHTS, OLONGAPO CITY
Home Address:____________________________________________________________________________
JOEL A. BOMBASE
Parents:__________________________________________

RUTH D. BOMBASE
_________________________________________

Fathers Name

Mothers Name

BLK. 23 UBAS_________________________________________________________________
ST., GORDON HEIGHTS, OLONGAPO CITY
Address of Parents:____________

B. Athletes Participation in Local/International Competition


Inclusive Dates
Oct. 18, 2013
Nov, 9-10, 2013
Dec. 9-13, 2013

Sports Events
Volleyball
Volleyball
Volleyball

Athletic Meet
District/Unit Meet
Division/Provincial Meet
Regional Meet
Palarong Pambansa
Others

Remarks
Champion
Champion

(Use separate sheet if necessary)

______________________________
Athletes Signature

C. Athletes 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 Supervisors
District/Unit Meet
Jessie D. Manglicmot
Division/Provincial Meet
Jessie D. Manglicmot
Regional Meet
Jessie D. Manglicmot
Palarong Pambansa
Others

(Use separate sheet if necessary)

Screened by:
Division Meet

Regional Meet

___________________________________

____________________________________

(Signature over Printed Name)


Date:_____________________________________

(Signature over Printed Name)


Date:______________________________________

AR-1 (ATHLETE RECORD)


III
____________________________________
Region
Olongapo City
_________________________________
Division

A. PERSONAL DATA
FEMALE
DIZON, ROXZETH JAN L.
Name:_________________________________________________________Sex:_______________
Olongapo City
11
JANUARY 28, 2002
Date of Birth (mm/dd/yy):________________________________
Age____________Place
of Birth_________________________
GORDON HEIGHTS I ELEM. SCHOOL Learner Reference Number (LRN)______________________
107126070126
School:____________________________________
KAUFFMAN ST., GORDON HEIGHTS, OLONGAPO CITY Student Number_____________________
Address of School:__________________________________________________
BLK. 11 HERBABUENA ST., GORDON HEIGHTS, OLONGAPO CITY
Home Address:____________________________________________________________________________
ANDRES S. DIZON
Parents:__________________________________________

AMELITA L. DIZON
_________________________________________

Fathers Name

Mothers Name

BLK. 11 HERBABUENA ST., GORDON HEIGHTS, OLONGAPO CITY


Address of Parents:_____________________________________________________________________________

B. Athletes Participation in Local/International Competition


Inclusive Dates
Oct. 18, 2013
Nov, 9-10, 2013
Dec. 9-13, 2013

Sports Events
Volleyball
Volleyball
Volleyball

Athletic Meet
District/Unit Meet
Division/Provincial Meet
Regional Meet
Palarong Pambansa
Others

Remarks
Champion
Champion

(Use separate sheet if necessary)

______________________________
Athletes Signature

C. Athletes 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 Supervisors
District/Unit Meet
Jessie D. Manglicmot
Division/Provincial Meet
Jessie D. Manglicmot
Regional Meet
Jessie D. Manglicmot
Palarong Pambansa
Others

(Use separate sheet if necessary)

Screened by:
Division Meet

Regional Meet

___________________________________

____________________________________

(Signature over Printed Name)


Date:_____________________________________

(Signature over Printed Name)


Date:______________________________________

AR-1 (ATHLETE RECORD)


III
____________________________________
Region
Olongapo City
_________________________________
Division

A. PERSONAL DATA
FEMALE
SONIDO, DANIELA NEIZAREY M.
Name:_________________________________________________________Sex:_______________
10
Lambunao, Ilo-Ilo City
MAY 5, 2003
Date of Birth (mm/dd/yy):________________________________
Age____________Place
of Birth_________________________
GORDON HEIGHTS I ELEM. SCHOOL Learner Reference Number (LRN)______________________
107126080356
School:____________________________________
KAUFFMAN ST., GORDON HEIGHTS, OLONGAPO CITY Student Number_____________________
Address of School:__________________________________________________
BLK. 1 UPPER FEDERICO ST., GORDON HEIGHTS, OLONGAPO CITY
Home Address:____________________________________________________________________________
JOSE REY SONIDO
Parents:__________________________________________

_________________________________________

Fathers Name

Mothers Name

BLK. 1 UPPER FEDERICO ST., GORDON HEIGHTS, OLONGAPO CITY


Address of Parents:_____________________________________________________________________________

B. Athletes Participation in Local/International Competition


Inclusive Dates
Oct. 18, 2013
Nov, 9-10, 2013
Dec. 9-13, 2013

Sports Events
Volleyball
Volleyball
Volleyball

Athletic Meet
District/Unit Meet
Division/Provincial Meet
Regional Meet
Palarong Pambansa
Others

Remarks
Champion
Champion

(Use separate sheet if necessary)

______________________________
Athletes Signature

C. Athletes 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 Supervisors
District/Unit Meet
Jessie D. Manglicmot
Division/Provincial Meet
Jessie D. Manglicmot
Regional Meet
Jessie D. Manglicmot
Palarong Pambansa
Others

(Use separate sheet if necessary)

Screened by:
Division Meet

Regional Meet

___________________________________

____________________________________

(Signature over Printed Name)


Date:_____________________________________

(Signature over Printed Name)


Date:______________________________________

AR-1 (ATHLETE RECORD)


III
____________________________________
Region
Olongapo City
_________________________________
Division

A. PERSONAL DATA
FEMALE
HERNANDEZ, LEA M.
Name:_________________________________________________________Sex:_______________
Olongapo City
12
AUGUST 12, 2001
Date of Birth (mm/dd/yy):________________________________
Age____________Place
of Birth_________________________
GORDON HEIGHTS I ELEM. SCHOOL Learner Reference Number (LRN)______________________
107126070186
School:____________________________________
KAUFFMAN ST., GORDON HEIGHTS, OLONGAPO CITY Student Number_____________________
Address of School:__________________________________________________
BLK. 1 UPPER
FEDERICO ST., GORDON HEIGHTS, OLONGAPO CITY
Home Address:___________
_________________________________________________________________
RAFAEL E. HERNANDEZ
Parents:__________________________________________

PERLY M. HERNANDEZ
_________________________________________

Fathers Name

Mothers Name

BLK. 1 UPPER FEDERICO ST., GORDON HEIGHTS, OLONGAPO CITY


Address of Parents:_____________________________________________________________________________

B. Athletes Participation in Local/International Competition


Inclusive Dates
Oct. 18, 2013
Nov, 9-10, 2013
Dec. 9-13, 2013

Sports Events
Volleyball
Volleyball
Volleyball

Athletic Meet
District/Unit Meet
Division/Provincial Meet
Regional Meet
Palarong Pambansa
Others

Remarks
Champion
Champion

(Use separate sheet if necessary)

______________________________
Athletes Signature

C. Athletes 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 Supervisors
District/Unit Meet
Jessie D. Manglicmot
Division/Provincial Meet
Jessie D. Manglicmot
Regional Meet
Jessie D. Manglicmot
Palarong Pambansa
Others

(Use separate sheet if necessary)

Screened by:
Division Meet

Regional Meet

___________________________________

____________________________________

(Signature over Printed Name)


Date:_____________________________________

(Signature over Printed Name)


Date:______________________________________

AR-1 (ATHLETE RECORD)


III
____________________________________
Region
Olongapo City
_________________________________
Division

A. PERSONAL DATA
FEMALE
SISOL, HOLY ANGEL B.
Name:_________________________________________________________Sex:_______________
Olongapo City
11
DECEMBER 25, 2001
Date of Birth (mm/dd/yy):________________________________
Age____________Place
of Birth_________________________
GORDON HEIGHTS I ELEM. SCHOOL Learner Reference Number (LRN)______________________
107126070354
School:____________________________________
KAUFFMAN ST., GORDON HEIGHTS, OLONGAPO CITY Student Number_____________________
Address of School:__________________________________________________
BLK. 27 UPPER ZENIA ST., GORDON HEIGHTS, OLONGAPO CITY
Home Address:____________________________________________________________________________
RODOLFO SISOL
Parents:__________________________________________

MELCHORA B. SISOL
_________________________________________

Fathers Name

Mothers Name

BLK. 27 UPPER ZENIA ST., GORDON HEIGHTS, OLONGAPO CITY


Address of Parents:_____________________________________________________________________________

B. Athletes Participation in Local/International Competition


Inclusive Dates
Oct. 18, 2013
Nov, 9-10, 2013
Dec. 9-13, 2013

Sports Events
Volleyball
Volleyball
Volleyball

Athletic Meet
District/Unit Meet
Division/Provincial Meet
Regional Meet
Palarong Pambansa
Others

Remarks
Champion
Champion

(Use separate sheet if necessary)

______________________________
Athletes Signature

C. Athletes 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 Supervisors
District/Unit Meet
Jessie D. Manglicmot
Division/Provincial Meet
Jessie D. Manglicmot
Regional Meet
Jessie D. Manglicmot
Palarong Pambansa
Others

(Use separate sheet if necessary)

Screened by:
Division Meet

Regional Meet

___________________________________

____________________________________

(Signature over Printed Name)


Date:_____________________________________

(Signature over Printed Name)


Date:______________________________________

AR-1 (ATHLETE RECORD)


III
____________________________________
Region
Olongapo City
_________________________________
Division

A. PERSONAL DATA
BUENAVENTURA, LUANNE MARIE
FEMALE
Name:_________________________________________________________Sex:_______________
Olongapo City
12
AUGUST 6, 2001
Date of Birth (mm/dd/yy):________________________________
Age____________Place
of Birth_________________________
COLUMBAN COLLEGE
School:____________________________________
Learner Reference Number (LRN)______________________
1 MT. APO ST., EAST TAPINAC , OLONGAPO CITY
Address of School:__________________________________________________
Student Number_____________________
TH

12- 26 ST., EAST BAJAC-BAJAC, OLONGAPO CITY


Home Address:____________________________________________________________________________
Parents:__________________________________________

DOROTHY BUENAVENTURA
_________________________________________

Fathers Name

Mothers Name

TH

12- 26 ST., EAST BAJAC-BAJAC, OLONGAPO CITY


Address of Parents:_____________________________________________________________________________

B. Athletes Participation in Local/International Competition


Inclusive Dates

Sports Events

Athletic Meet

Remarks

District/Unit Meet
Division/Provincial Meet
Regional Meet
Palarong Pambansa
Others
(Use separate sheet if necessary)

______________________________
Athletes Signature

C. Athletes 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 Supervisors
District/Unit Meet
Division/Provincial Meet
Regional Meet
Palarong Pambansa
Others

(Use separate sheet if necessary)

Screened by:
Division Meet

Regional Meet

___________________________________

____________________________________

(Signature over Printed Name)


Date:_____________________________________

(Signature over Printed Name)


Date:______________________________________

AR-1 (ATHLETE RECORD)


III
____________________________________
Region
Olongapo City
_________________________________
Division

A. PERSONAL DATA
FEMALE
MENES, RHENZEL L.
Name:_________________________________________________________Sex:_______________
Olongapo City
12
SEPTEMBER 6, 2001
Date of Birth (mm/dd/yy):________________________________
Age____________Place
of Birth_________________________
JAMES L. GFORDON INTEGRATED SCHOOL Learner Reference Number (LRN)______________________
107134070091
School:____________________________________

NEW KABABAE WEST TAPINAC , OLONGAPO CITY


Address of School:__________________________________________________
Student Number_____________________
TH

39 5 ST., WEST TAPINAC, OLONGAPO CITY


Home Address:____________________________________________________________________________
ARNEL G. MENES
Parents:__________________________________________

IRENE L. MENES
_________________________________________

Fathers Name

Mothers Name

TH

39 5 ST., WEST TAPINAC, OLONGAPO CITY


Address of Parents:_____________________________________________________________________________

B. Athletes Participation in Local/International Competition


Inclusive Dates

Sports Events

Athletic Meet

Remarks

District/Unit Meet
Division/Provincial Meet
Regional Meet
Palarong Pambansa
Others
(Use separate sheet if necessary)

______________________________
Athletes Signature

C. Athletes 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 Supervisors
District/Unit Meet
Division/Provincial Meet
Regional Meet
Palarong Pambansa
Others

(Use separate sheet if necessary)

Screened by:
Division Meet

Regional Meet

___________________________________

____________________________________

(Signature over Printed Name)


Date:_____________________________________

(Signature over Printed Name)


Date:______________________________________

AR-1 (ATHLETE RECORD)


III
____________________________________
Region
Olongapo City
_________________________________
Division

A. PERSONAL DATA
FEMALE
DABU, STEPHANIE
Name:_________________________________________________________Sex:_______________
Olongapo City
12
NOVEMBER 17, 2001
Date of Birth (mm/dd/yy):________________________________
Age____________Place
of Birth_________________________
KALALAKE ELEM. SCHOOL
107139070059
School:____________________________________
Learner Reference Number (LRN)______________________
MURPHY ST., PAG-ASA, OLONGAPO CITY
Address of School:__________________________________________________
Student Number_____________________
TH

31-12 ST., NEW KALALAKE, OLONGAPO CITY


Home Address:____________________________________________________________________________
Parents:__________________________________________

VICTORIA DABU
_________________________________________

Fathers Name

Mothers Name

TH

31-12 ST., NEW KALALAKE, OLONGAPO CITY


Address of Parents:_____________________________________________________________________________

B. Athletes Participation in Local/International Competition


Inclusive Dates
Oct. 4, 2013

Sports Events
Volleyball

Athletic Meet
District/Unit Meet
Division/Provincial Meet
Regional Meet
Palarong Pambansa
Others

Remarks
Champion

(Use separate sheet if necessary)

______________________________
Athletes Signature

C. Athletes 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 Supervisors
District/Unit Meet
Division/Provincial Meet
Regional Meet
Palarong Pambansa
Others

(Use separate sheet if necessary)

Screened by:
Division Meet

Regional Meet

___________________________________

____________________________________

(Signature over Printed Name)


Date:_____________________________________

(Signature over Printed Name)


Date:______________________________________

AR-1 (ATHLETE RECORD)


III
____________________________________
Region
Olongapo City
_________________________________
Division

A. PERSONAL DATA
FEMALE
FERNANDEZ, ESTEFFANY B.
Name:_________________________________________________________Sex:_______________
Olongapo City
11
JUNE 11, ____________________
2002
Date of Birth (mm/dd/yy):____________
Age____________Place
of Birth_________________________
KALALAKE ELEM.
SCHOOL
107139070091
School:___________
_________________________
Learner Reference Number (LRN)______________________
MURPHY ST., PAG-ASA, OLONGAPO CITY
Address of School:__________________________________________________
Student Number_____________________
56 FONTAINE ST., EAST BAJAC-BAJAC, OLONGAPO CITY
Home Address:_______________________________________________________________________________________
EDDIE G. FERNANDEZ
Parents:__________________________________________

EVANGELINE B. FERNANDEZ
_________________________________________

Fathers Name

Mothers Name

56 FONTAINE ST., EAST BAJAC-BAJAC, OLONGAPO CITY


Address of Parents:_____________________________________________________________________________

B. Athletes Participation in Local/International Competition


Inclusive Dates
Oct. 4, 2013

Sports Events
Volleyball

Athletic Meet
District/Unit Meet
Division/Provincial Meet
Regional Meet
Palarong Pambansa
Others

Remarks
Champion

(Use separate sheet if necessary)

______________________________
Athletes Signature

C. Athletes 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 Supervisors
District/Unit Meet
Division/Provincial Meet
Regional Meet
Palarong Pambansa
Others

(Use separate sheet if necessary)

Screened by:
Division Meet

Regional Meet

___________________________________

____________________________________

(Signature over Printed Name)


Date:_____________________________________

(Signature over Printed Name)


Date:______________________________________

AR-1 (ATHLETE RECORD)


III
____________________________________
Region
Olongapo City
_________________________________
Division

A. PERSONAL DATA
FEMALE
EMOND, DANICA FAYE
Name:_________________________________________________________Sex:_______________
Olongapo City
12
OCTOBER 20, 2001
Date of Birth (mm/dd/yy):________________________________
Age____________Place
of Birth_________________________
ST. JOSEPH COLLEGE
School:____________________________________
Learner Reference Number (LRN)______________________
CANDA ST., EAST BAJAC-BAJAC, OLONGAPO CITY
28101047
Address of School:__________________________________________________
Student Number_____________________
TH

7-20 PLACE WEST BAJC-BAJAC, OLONGAPO CITY


Home Address:____________________________________________________________________________
Parents:__________________________________________

ELISA DONNA S. EMOND


_________________________________________

Fathers Name

Mothers Name

TH

7-20 PLACE WEST BAJC-BAJAC, OLONGAPO CITY


Address of Parents:_____________________________________________________________________________

B. Athletes Participation in Local/International Competition


Inclusive Dates

Sports Events

Athletic Meet

Remarks

District/Unit Meet
Division/Provincial Meet
Regional Meet
Palarong Pambansa
Others
(Use separate sheet if necessary)

______________________________
Athletes Signature

C. Athletes 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 Supervisors
District/Unit Meet
Division/Provincial Meet
Regional Meet
Palarong Pambansa
Others

(Use separate sheet if necessary)

Screened by:
Division Meet

Regional Meet

___________________________________

____________________________________

(Signature over Printed Name)


Date:_____________________________________

(Signature over Printed Name)


Date:______________________________________

AR-1 (ATHLETE RECORD)


III
____________________________________
Region
Olongapo City
_________________________________
Division

A. PERSONAL DATA
FEMALE
BRITO, MEIRELYN FAITH
Name:_________________________________________________________Sex:_______________
Olongapo City
12
FEBRUARY 12, 2001
Date of Birth (mm/dd/yy):________________________________
Age____________Place
of Birth_________________________
GORDON HEIGHTS I ELEM. SCHOOL Learner Reference Number (LRN)______________________
107126070021
School:____________________________________
KAUFFMAN ST., GORDON HEIGHTS, OLONGAPO CITY Student Number_____________________
Address of School:__________________________________________________
BLK. 17 NARRA ST., GORDON HEIGHTS, OLONGAPO CITY
Home Address:____________________________________________________________________________
Parents:__________________________________________

TRIXIA RICHELLE BRITO


_________________________________________

Fathers Name

Mothers Name

BLK. 17 NARRA ST., GORDON HEIGHTS, OLONGAPO CITY


Address of Parents:_____________________________________________________________________________

B. Athletes Participation in Local/International Competition


Inclusive Dates
Oct. 18, 2013
Nov, 9-10, 2013
Dec. 9-13, 2013

Sports Events
Volleyball
Volleyball
Volleyball

Athletic Meet
District/Unit Meet
Division/Provincial Meet
Regional Meet
Palarong Pambansa
Others

Remarks
Champion
Champion

(Use separate sheet if necessary)

______________________________
Athletes Signature

C. Athletes 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 Supervisors
District/Unit Meet
Jessie D. Manglicmot
Division/Provincial Meet
Jessie D. Manglicmot
Regional Meet
Jessie D. Manglicmot
Palarong Pambansa
Others

(Use separate sheet if necessary)

Screened by:
Division Meet

Regional Meet

___________________________________

____________________________________

(Signature over Printed Name)


Date:_____________________________________

(Signature over Printed Name)


Date:______________________________________