Revised as of February 2024
CACR (COACH /ASST.COACH RECORD)
NATIONAL CAPITAL REGION
Region
QUEZON CITY
Division
Latest 1½ x 1½ picture
A. PERSONAL DATA:
Name: FAUSTINO CARIZA B.
(Last) (First) (M.I.)
Sex: FEMALE Mobile Phone Number: 09671672774
Date of Birth: (mm/dd/yy) 06/07/93 Age: 31 Place of Birth: QUEZON CITY
School: COMMONWEALTH HIGH SCHOOL Employee Number: 5917293
Current Position: TEACHER III Years in Service: 7
Address of School: ECOL ST. BRGY. COMMONWEALTH QUEZON CITY
Present Address: BKL 3 LOT 17 KASOY ST. COMMONWEALTH QC
In Case of Emergency Please
Contact: ELIZABETH FAUSTINO Contact Number: 09171527557
B. Educational Qualifications:
Course (College/Post Graduate) School Year Graduated Credits Earned Awards Received
BACHELOR IN PHYSICAL EDUCATION POLYTECHNIC UNIVERSITY OF THE PHILIPPINES 2014 FINISHED
MASTER INPHYSICAL EDUCATION AND SPORTS POLYTECHNIC UNIVERSITY OF THE PHILIPPINES 2019 32
C. Sports Training Attended for the last three (3) years
Title of Sports Training Date of Training No. of Hours Conducted by
D. Sports Track Record/Experience
Athletic Meet Attended Inclusive Dates Event Awards Received
DIVISION MEET 2022-2023 TAEKWONDO CHAMPION
NCR MEET 2022-2023 TAEKWONDO QUALIFIER
DIVISION MEET 2023-2024 TAEKWONDO QUALIFIER
Prepared by: Attested by: Verified by:
CARIZA B. FAUSTINO
(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
(Signature of DSAC over Printed Name) (Signature of RSAC over Printed Name) (Signature of NSAC over Printed Name)
Date: ______________ Date: ______________ Date: ______________
FOR SCHOOL SPORTS (Division, Region, Palarong Pambansa)