Republic of the Philippines

Department of Education
CARAGA
(Region)
SURIGAO DEL SUR
(Division)
CLARENCE TY PIMENTEL NATIONAL HIGH SCHOOL
(School)
Sumo-sumo, Tago, Surigao del Sur
(School Address)

M E D I C AL C E R T I F I C AT E
__________________
(Date)

To Whom It May Concern:

This is to certify that I have personally examine

FROILAN CALIPAYAN FERNANDEZ

Name

16 sex Male born on 16- November- 1998 and have found that he/she is physically fit,
during the time of examination, to join and compete in the lower meets and Palarong
Pambansa.

Event:Baseball
Physical Examination
Date examined: _______________
Height
Pulse, Resting
Other Remarks:

Weight:

Blood Pressure
Respiratory Rate

____________________________
Physician/Medical Officer
(Signature over printed name)
License No. __________________
PTR.:
____________________
Date:
____________________

age

Republic of the Philippines

Department of Education
CARAGA
(Region)
SURIGAO DEL SUR
(Division)
CLARENCE TY PIMENTEL NATIONAL HIGH SCHOOL
(School)
Sumo-sumo, Tago, Surigao del Sur
(School Address)

M E D I C AL C E R T I F I C AT E
__________________
(Date)

To Whom It May Concern:

This is to certify that I have personally examine

JHETTERALD MAKINANO SAMPIANO

Name

age 14 sex Male born on 30-November 2001 and have found that he/she is physically fit,
during the time of examination, to join and compete in the lower meets and Palarong
Pambansa.

Event:Baseball
Physical Examination
Date examined: _______________
Height
Pulse, Resting
Other Remarks:

Weight:

Blood Pressure
Respiratory Rate

____________________________
Physician/Medical Officer
(Signature over printed name)
License No. __________________
PTR.:
____________________

Republic of the Philippines

Department of Education
CARAGA
(Region)
SURIGAO DEL SUR
(Division)
CLARENCE TY PIMENTEL NATIONAL HIGH SCHOOL
(School)
Sumo-sumo, Tago, Surigao del Sur
(School Address)

M E D I C AL C E R T I F I C AT E
__________________
(Date)

To Whom It May Concern:

This is to certify that I have personally examine

ACE LUENGAS LUGATIMAN

Name

age

17sex Male born on 20 APRIL 1998 and have found that he/she is physically fit, during the
time of examination, to join and compete in the lower meets and Palarong Pambansa.

Event:Baseball
Physical Examination
Date examined: _______________
Height
Pulse, Resting
Other Remarks:

Weight:

Blood Pressure
Respiratory Rate

____________________________
Physician/Medical Officer
(Signature over printed name)
License No. __________________
PTR.:
____________________

Republic of the Philippines

Department of Education
CARAGA
(Region)
SURIGAO DEL SUR
(Division)
CLARENCE TY PIMENTEL NATIONAL HIGH SCHOOL
(School)
Sumo-sumo, Tago, Surigao del Sur
(School Address)

M E D I C AL C E R T I F I C AT E
__________________
(Date)

To Whom It May Concern:

This is to certify that I have personally examine

LOURENCE BADBAD CUAREZ

Name

age 16

sex Male born on 22-OCTOBER 98 and have found that he/she is physically fit, during the
time of examination, to join and compete in the lower meets and Palarong Pambansa.

Event:Baseball
Physical Examination
Date examined: _______________
Height
Pulse, Resting
Other Remarks:

Weight:

Blood Pressure
Respiratory Rate

____________________________
Physician/Medical Officer
(Signature over printed name)
License No. __________________
PTR.:
____________________

Republic of the Philippines

Department of Education
CARAGA
(Region)
SURIGAO DEL SUR
(Division)
CLARENCE TY PIMENTEL NATIONAL HIGH SCHOOL
(School)
Sumo-sumo, Tago, Surigao del Sur
(School Address)

M E D I C AL C E R T I F I C AT E
__________________
(Date)

To Whom It May Concern:

This is to certify that I have personally examine

ERWIN LOQUENCIO MEDRANO

Name

age 16

sex Male born on 23- November- 1998 and have found that he/she is physically fit, during
the time of examination, to join and compete in the lower meets and Palarong Pambansa.

Event:Baseball
Physical Examination
Date examined: _______________
Height
Pulse, Resting
Other Remarks:

Weight:

Blood Pressure
Respiratory Rate

____________________________
Physician/Medical Officer
(Signature over printed name)
License No. __________________
PTR.:
____________________

Republic of the Philippines

Department of Education
CARAGA
(Region)
SURIGAO DEL SUR
(Division)
CLARENCE TY PIMENTEL NATIONAL HIGH SCHOOL
(School)
Sumo-sumo, Tago, Surigao del Sur
(School Address)

M E D I C AL C E R T I F I C AT E
__________________
(Date)

To Whom It May Concern:

This is to certify that I have personally examine FLORENTINO JR. PACHECO BUAR
Name

age 16 sex Male born on 1- JUNE- 1998 and have found that he/she is physically fit,
during the time of examination, to join and compete in the lower meets and Palarong
Pambansa.

Event:Baseball
Physical Examination
Date examined: _______________
Height
Pulse, Resting
Other Remarks:

Weight:

Blood Pressure
Respiratory Rate

____________________________
Physician/Medical Officer
(Signature over printed name)
License No. __________________
PTR.:
____________________

Republic of the Philippines

Department of Education
CARAGA
(Region)
SURIGAO DEL SUR
(Division)
CLARENCE TY PIMENTEL NATIONAL HIGH SCHOOL
(School)
Sumo-sumo, Tago, Surigao del Sur
(School Address)

M E D I C AL C E R T I F I C AT E
__________________
(Date)

To Whom It May Concern:

This is to certify that I have personally examine

BUENAVENTURA MONTENEGRO CABAJES

Name

age 16 sex Male born on 25- JULY- 1998 and have found that he/she is physically fit,
during the time of examination, to join and compete in the lower meets and Palarong
Pambansa.

Event:Baseball
Physical Examination
Date examined: _______________
Height
Pulse, Resting
Other Remarks:

Weight:

Blood Pressure
Respiratory Rate

____________________________
Physician/Medical Officer
(Signature over printed name)
License No. __________________
PTR.:
____________________

Republic of the Philippines

Department of Education
CARAGA
(Region)
SURIGAO DEL SUR
(Division)
CLARENCE TY PIMENTEL NATIONAL HIGH SCHOOL
(School)
Sumo-sumo, Tago, Surigao del Sur
(School Address)

M E D I C AL C E R T I F I C AT E
__________________
(Date)

To Whom It May Concern:

This is to certify that I have personally examine

JOHN HEARTWIN ESPERA LOZADA

Name

age 14 sex Male born on 2- JUNE- 2001 and have found that he/she is physically fit,
during the time of examination, to join and compete in the lower meets and Palarong
Pambansa.

Event:Baseball
Physical Examination
Date examined: _______________
Height
Pulse, Resting
Other Remarks:

Weight:

Blood Pressure
Respiratory Rate

____________________________
Physician/Medical Officer
(Signature over printed name)
License No. __________________
PTR.:
____________________

Republic of the Philippines

Department of Education
CARAGA
(Region)
SURIGAO DEL SUR
(Division)
CLARENCE TY PIMENTEL NATIONAL HIGH SCHOOL
(School)
Sumo-sumo, Tago, Surigao del Sur
(School Address)

M E D I C AL C E R T I F I C AT E
__________________
(Date)

To Whom It May Concern:

This is to certify that I have personally examine

JOHN LOYD RECANEL DINGAL age

Name

sex Male born on 11- MAY- 1998 and have found that he/she is physically fit, during the
time of examination, to join and compete in the lower meets and Palarong Pambansa.

Event:Baseball
Physical Examination
Date examined: _______________
Height
Pulse, Resting
Other Remarks:

Weight:

Blood Pressure
Respiratory Rate

____________________________
Physician/Medical Officer
(Signature over printed name)
License No. __________________
PTR.:
____________________

16

Republic of the Philippines

Department of Education
CARAGA
(Region)
SURIGAO DEL SUR
(Division)
CLARENCE TY PIMENTEL NATIONAL HIGH SCHOOL
(School)
Sumo-sumo, Tago, Surigao del Sur
(School Address)

M E D I C AL C E R T I F I C AT E
__________________
(Date)

To Whom It May Concern:

This is to certify that I have personally examine

DIOSBERT ESAGA SUBRICARAY age

Name

16

sex Male born on 22-OCTOBER- 1998 and have found that he/she is physically fit, during
the time of examination, to join and compete in the lower meets and Palarong Pambansa.

Event:Baseball
Physical Examination
Date examined: _______________
Height
Pulse, Resting
Other Remarks:

Weight:

Blood Pressure
Respiratory Rate

____________________________
Physician/Medical Officer
(Signature over printed name)
License No. __________________
PTR.:
____________________

Republic of the Philippines

Department of Education
CARAGA
(Region)
SURIGAO DEL SUR
(Division)
CLARENCE TY PIMENTEL NATIONAL HIGH SCHOOL
(School)
Sumo-sumo, Tago, Surigao del Sur
(School Address)

M E D I C AL C E R T I F I C AT E
__________________
(Date)

To Whom It May Concern:

This is to certify that I have personally examine

BELFRICH PASO ESPINOZA age

Name

16

sex Male born on 26- JUNE- 1998 and have found that he/she is physically fit, during the
time of examination, to join and compete in the lower meets and Palarong Pambansa.

Event:Baseball
Physical Examination
Date examined: _______________
Height
Pulse, Resting
Other Remarks:

Weight:

Blood Pressure
Respiratory Rate

____________________________
Physician/Medical Officer
(Signature over printed name)
License No. __________________
PTR.:
____________________

Republic of the Philippines

Department of Education
CARAGA
(Region)
SURIGAO DEL SUR
(Division)
CLARENCE TY PIMENTEL NATIONAL HIGH SCHOOL
(School)
Sumo-sumo, Tago, Surigao del Sur
(School Address)

M E D I C AL C E R T I F I C AT E
__________________
(Date)

To Whom It May Concern:

This is to certify that I have personally examine

JUNREX SALGADO MAANO

Name

age 16

sex Male born on 18- APRIL- 1998 and have found that he/she is physically fit, during the
time of examination, to join and compete in the lower meets and Palarong Pambansa.

Event:Baseball
Physical Examination
Date examined: _______________
Height
Pulse, Resting
Other Remarks:

Weight:

Blood Pressure
Respiratory Rate

____________________________
Physician/Medical Officer
(Signature over printed name)
License No. __________________
PTR.:
____________________