Republic of the Philippines
Department of Education
Region V – Bicol
Region
Camarines Sur
Division
AR-I (ATHLETE RECORD)
A. PERSONAL DATA
Name: PAO CASSANDRA P. Sex: FEMALE
(Last) (First) (M.I.)
Date of Birth: 12-30-2006 Age: 11 Place of LIBMANAN
(mm/dd/yy) Birth:
School: MAMBULO VIEJO ELEMENTARY Learner’s Reference
SCHOOL Number (LRN): 112670120014
Address of School: AWAYAN, LIBMANAN,CAM.SUR Student Number: _______________________
Home Address: AWAYAN, LIBMANAN CAMARINES SUR
Parents: ROLANDO BORROMEO BERNADETTE G.BORROMEO _______________________
Father’s Name Mother’s Name Guardian
Address of AWAYAN, LIBMANAN, CAMARINES SUR
Parents:
B. ATHELETE’S PARTICIPATION IN LOCAL/INTERNATIONAL COMPETITION
Inclusive Dates Sports Event Athletic Meet Remarks
July 29, 2018 ATHLETICS Intramurals
August 30 – 31, 2018 ATHLETICS Sectoral Meet
(Use separate sheet if necessary)
_____________________
Athlete’s Signature
C. ATHLETE’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/ Asst. Coach Signature Division PESS
Supervisor/s
School Intramurals ROSEMARIE S. FRANCISCO
Sectoral Meet ROSEMARIE S. FRANCISCO
(Use separate sheet if necessary)
Screened by:
Regional Meet
Division Meet
__________________________________
__________________________________
(Signature over Printed Name)
(Signature over Printed Name)
Date: ____________________
Date: ____________________
Republic of the Philippines
Department of Education
Region V
Division of Camarines Sur
AWAYAN ELEMENTARY SCHOOL
(School)
CERTIFICATE OF COMPLETION
Date: September 19,
2018
To Whom It May Concern:
This is to certify that ROBERT G. BORROMEO has been enrolled for the
School Year 2018 – 2019 and has actually completed said school year.
GERONIMO M. ECHANO
ESHT-I
(Signature over Printed Name)
Republic of the Philippines
Department of Education
Region V – Bicol
Region
Camarines Sur
Division
AR-I (ATHLETE
RECORD)
A. PERSONAL DATA
Name: LAUTA MARK JOHN WAYNE M. Sex: MALE
(Last) (First) (M.I.)
Date of Birth: 18-7-2009 Age: 9 Place of LIBMANAN
(mm/dd/yy) Birth:
School: AWAYAN ELEMENTARY SCHOOL Learner’s Reference Number 112670140007
SCHOOL (LRN):
Address of School: AWAYAN, LIBMANAN, CAM. SUR Student Number: _________________________
Home Address: AWAYAN, LIBMANAN CAMARINES SUR
Parents: MARWIN F. LAUTA MICHELLE M. LAUTA _________________________
Father’s Name Mother’s Name Guardian
Address of Parents: AWAYAN, LIBMANAN, CAMARINES SUR
B. ATHELETE’S PARTICIPATION IN LOCAL/INTERNATIONAL COMPETITION
Inclusive Dates Sports Event Athletic Meet Remarks
July 29, 2018 ATHLETICS Intramurals
August 30 – 31, 2018 ATHLETICS Sectoral Meet
(Use separate sheet if necessary)
______________
___________
Athlete’s
Signature
C. ATHLETE’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/ Asst. Coach Signature Division PESS
Supervisor/s
School Intramurals ROSEMARIE S. FRANCISCO
Sectoral Meet ROSEMARIE S. FRANCISCO
(Use separate sheet if necessary)
Screened by:
Division Meet Regional Meet
__________________________________ __________________________________
______ ______
(Signature over Printed Name) (Signature over Printed Name)
Date: ____________________ Date: ____________________
Republic of the Philippines
Department of Education
Region V
Division of Camarines Sur
AWAYAN ELEMENTARY SCHOOL
(School)
CERTIFICATE OF COMPLETION
Date: September 19,
2018
To Whom It May Concern:
This is to certify that MARK JOHN WAYNE F. LAUTA has been enrolled for
the
School Year 2018 – 2019 and has actually completed said school year.
GERONIMO M. ECHANO
ESHT-I
(Signature over Printed Name)
Republic of the Philippines
Department of Education
Region V – Bicol
Region
Camarines Sur
Division
AR-I (ATHLETE
RECORD)
A. PERSONAL DATA
Name: DAYANDANTE JONAS C. Sex: MALE
(Last) (First) (M.I.)
Date of Birth: 06-5-2006 Age: 12 Place of LIBMANAN
(mm/dd/yy) Birth:
School: AWAYAN ELEMENTARY SCHOOL Learner’s Reference Number 112670120009
SCHOOL (LRN):
Address of School: AWAYAN, LIBMANAN, CAM. SUR Student Number: _________________________
Home Address: AWAYAN, LIBMANAN CAMARINES SUR
Parents: TIRSO DAYANDANTE HELEN C. DAYANDANTE _________________________
Father’s Name Mother’s Name Guardian
Address of Parents: AWAYAN, LIBMANAN, CAMARINES SUR
B. ATHELETE’S PARTICIPATION IN LOCAL/INTERNATIONAL COMPETITION
Inclusive Dates Sports Event Athletic Meet Remarks
July 29, 2018 ATHLETICS Intramurals
August 30 – 31, 2018 ATHLETICS Sectoral Meet
(Use separate sheet if necessary)
______________
___________
Athlete’s
Signature
C. ATHLETE’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/ Asst. Coach Signature Division PESS
Supervisor/s
School Intramurals ROSEMARIE S. FRANCISCO
Sectoral Meet ROSEMARIE S. FRANCISCO
(Use separate sheet if necessary)
Screened by:
Division Meet Regional Meet
__________________________________ __________________________________
______ ______
(Signature over Printed Name) (Signature over Printed Name)
Date: ____________________ Date: ____________________
Republic of the Philippines
Department of Education
Region V
Division of Camarines Sur
AWAYAN ELEMENTARY SCHOOL
(School)
CERTIFICATE OF COMPLETION
Date: September 19,
2018
To Whom It May Concern:
This is to certify that JONAS C. DAYANDANTE has been enrolled for the
School Year 2018 – 2019 and has actually completed said school year.
GERONIMO M. ECHANO
ESHT-I
(Signature over Printed Name)
Republic of the Philippines
Department of Education
Region V – Bicol
Region
Camarines Sur
Division
AR-I (ATHLETE
RECORD)
A. PERSONAL DATA
Name: SENDON GERAD B. Sex: MALE
(Last) (First) (M.I.)
Date of Birth: 27-3-2007 Age: 11 Place of LIBMANAN
(mm/dd/yy) Birth:
School: AWAYAN ELEMENTARY SCHOOL Learner’s Reference Number 112670120009
SCHOOL (LRN):
Address of School: AWAYAN, LIBMANAN, CAM. SUR Student Number: _________________________
Home Address: AWAYAN, LIBMANAN CAMARINES SUR
Parents: JESSE A.SENDON ERLIN B. SENDON _________________________
Father’s Name Mother’s Name Guardian
Address of Parents: AWAYAN, LIBMANAN, CAMARINES SUR
B. ATHELETE’S PARTICIPATION IN LOCAL/INTERNATIONAL COMPETITION
Inclusive Dates Sports Event Athletic Meet Remarks
July 29, 2018 ATHLETICS Intramurals
August 30 – 31, 2018 ATHLETICS Sectoral Meet
(Use separate sheet if necessary)
______________
___________
Athlete’s
Signature
C. ATHLETE’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/ Asst. Coach Signature Division PESS
Supervisor/s
School Intramurals ROSEMAARIE S.
FRANCISCO
Sectoral Meet ROSEMARIE S. FRANCISCO
(Use separate sheet if necessary)
Screened by:
Division Meet Regional Meet
__________________________________ __________________________________
______ ______
(Signature over Printed Name) (Signature over Printed Name)
Date: ____________________ Date: ____________________
Republic of the Philippines
Department of Education
Region V
Division of Camarines Sur
AWAYAN ELEMENTARY SCHOOL
(School)
CERTIFICATE OF COMPLETION
Date: September 19,
2018
To Whom It May Concern:
This is to certify that GERALD B. SENDON has been enrolled for the
School Year 2018 – 2019 and has actually completed said school year.
GERONIMO M. ECHANO
ESHT-I
(Signature over Printed Name)
Republic of the Philippines
Department of Education
Region V – Bicol
Region
Camarines Sur
Division
AR-I (ATHLETE
RECORD)
A. PERSONAL DATA
Name: AUREUS LYKA M. Sex: MALE
(Last) (First) (M.I.)
Date of Birth: 19-6-2008 Age: 10 Place of LIBMANAN
(mm/dd/yy) Birth:
School: AWAYAN ELEMENTARY SCHOOL Learner’s Reference Number 112670130001
SCHOOL (LRN):
Address of School: AWAYAN, LIBMANAN, CAM. SUR Student Number: _________________________
Home Address: AWAYAN, LIBMANAN CAMARINES SUR
Parents: RUEL P. AUREUS IRENE P. MUJAR _________________________
Father’s Name Mother’s Name Guardian
Address of Parents: AWAYAN, LIBMANAN, CAMARINES SUR
B. ATHELETE’S PARTICIPATION IN LOCAL/INTERNATIONAL COMPETITION
Inclusive Dates Sports Event Athletic Meet Remarks
July 29, 2018 ATHLETICS Intramurals
August 30 – 31, 2018 ATHLETICS Sectoral Meet
(Use separate sheet if necessary)
______________
___________
Athlete’s
Signature
C. ATHLETE’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/ Asst. Coach Signature Division PESS
Supervisor/s
School Intramurals MERCEDES L. SALVA
Sectoral Meet MERCEDES L.
SALVA
(Use separate sheet if necessary)
Screened by:
Division Meet Regional Meet
__________________________________ __________________________________
______ ______
(Signature over Printed Name) (Signature over Printed Name)
Date: ____________________ Date: ____________________
Republic of the Philippines
Department of Education
Region V
Division of Camarines Sur
AWAYAN ELEMENTARY SCHOOL
(School)
CERTIFICATE OF COMPLETION
Date: September 19,
2018
To Whom It May Concern:
This is to certify that LYKA M. AUREUS has been enrolled for the
School Year 2018 – 2019 and has actually completed said school year.
GERONIMO M. ECHANO
ESHT-I
(Signature over Printed Name)
Republic of the Philippines
Department of Education
Region V – Bicol
Region
Camarines Sur
Division
AR-I (ATHLETE RECORD)
A. PERSONAL DATA
Name: DELA CRUZ DARLING MAE B. Sex: MALE
(Last) (First) (M.I.)
Date of Birth: 30-11-2007 Age: 10 Place of LIBMANAN
(mm/dd/yy) Birth:
School: AWAYAN ELEMENTARY SCHOOL Learner’s Reference Number 112670130001
SCHOOL (LRN):
Address of School: AWAYAN, LIBMANAN, CAM. SUR Student Number: _________________________
Home Address: AWAYAN, LIBMANAN CAMARINES SUR
Parents: SALVADOR DELA CRUZ VILMA B. DELA CRUZ _________________________
Father’s Name Mother’s Name Guardian
Address of Parents: AWAYAN, LIBMANAN, CAMARINES SUR
B. ATHELETE’S PARTICIPATION IN LOCAL/INTERNATIONAL COMPETITION
Inclusive Dates Sports Event Athletic Meet Remarks
July 29, 2018 ATHLETICS Intramurals
August 30 – 31, 2018 ATHLETICS Sectoral Meet
(Use separate sheet if necessary)
______________
___________
Athlete’s
Signature
C. ATHLETE’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/ Asst. Coach Signature Division PESS
Supervisor/s
School Intramurals MERCEDES L. SALVA
Sectoral Meet MERCEDES L.
SALVA
(Use separate sheet if necessary)
Screened by:
Division Meet Regional Meet
__________________________________ __________________________________
______ ______
(Signature over Printed Name) (Signature over Printed Name)
Date: ____________________ Date: ____________________
Republic of the Philippines
Department of Education
Region V
Division of Camarines Sur
AWAYAN ELEMENTARY SCHOOL
(School)
CERTIFICATE OF COMPLETION
Date: September 19,
2018
To Whom It May Concern:
This is to certify that DARLING MAE B. DELA CRUZ has been enrolled for
the
School Year 2018 – 2019 and has actually completed said school year.
GERONIMO M. ECHANO
ESHT-I
(Signature over Printed Name)
