Revised as of September 26, 2019
CACR (COACH / ASST. COACH RECORD)
REGION XI
Region
SCHOOLS DIVISION OF DAVAO DE ORO
Division
Latest 1½ x 1½ picture
A. PERSONAL DATA
Name: CACHUELA GRACEZEL D.
(Last) (First) (M.I.)
Sex: MALE Mobile Phone Number:
Date of Birth: (mm/dd/yy) 07/01/88 Age: 35 Place of Birth: MACO, DAVAO DE ORO
School: MABINI NATIONAL HIGH SCHOOL Employee Number: 8401945
Current Position: TEACHER I Years in Service: 9 YEARS
Address of School: MABNI, DAVAO DE ORO
Present Address: PUROK AGUINALDO, LANGGAM, MACO DAVAO DE ORO
In Case of Emergency Please
Contact: TESSIE S. TORRALBA Contact Number: 9279469421
B. Educational Qualifications
Course (College/Post
School Year Graduated Credits Earned Awards Received
Graduate)
MAED_PE UMTC ONGOING 41 N/A
C. Sports Training Attended for the last Three (3) Years
Title of Sports Training Date of Training No. of Hours Conducted by
DISTRICT SPORTS CLINIC FEBRUARY 22-23,2023 16 MABINI DISTRICT
DIVISION SPORTS CLINIC MARCH 10-12, 2023 24 DIVISION OF DAVAO DE ORO
D. Sports Track Record / Experience
Athletic Meet Attended Inclusive Dates Event Awards Received
SCHOOL INTRAMURAL FEBRUARY 17-18,2023 SEPAK TAKRAW BOYS GOLD
MABINI MUNICIPAL ATHLETIC ASSOCIATION MEET FEBRUARY 24-26, 2023 SEPAK TAKRAW BOYS GOLD
Prepared by: Attested by: Verified by:
GRACEZEL D. CACHUELA DEXTER A. CEQUIÑA, EdD ROMMEL R. JANDAYAN, CESO VI
Coach/Asst. Coach Signature over Printed Name Division Sports Officer Signature over Printed Name Division AO/SDS Signature over Printed Name
Screened by:
Division Meet Regional Meet Palarong Pambansa
ROXIE R. ABORDO ATTY. LORENZA C. PITULAN ATTY. CORNELIO A. PACALA
Signature of DSAC over Printed Name Signature of RSAC over Printed Name Signature of NSAC over Printed Name
Date: ______________ Date: ______________ Date: ______________
FOR SCHOOL SPORTS (Lower Meets up to Palarong Pambansa)