Form No.

AR 001

AR-I (ATHLETE RECORD)

IV-A CALABARZON
Region

BATANGAS
Latest 1½ x 1½ picture Division
107715160047
LRN NO.

A. PERSONAL DATA:

Name: GUEVARRA JOHN LEXTER R. Sex: M

(Last) (First) STA(M.I.)
CLARA, STO. TOMAS,
Date of Birth: (mm/dd/yy) 9/6/2004 Age: 14/3/25 Place of Birth: BATANGAS
School: GREENVILLE ACADEMY OF STA. CLARA
Address of School: STA. CLARA STO. TOMAS BATANGAS
Home Address: STA CLARA, STO. TOMAS, BATANGAS
Parents: EDMAR GUEVARRA MYRA GUEVARRA
Fathers Name Mother/Guardian
Address of Parents: STA. CLARA , STO TOMAS, BATANGAS

B. Athlete's Participation in Local/International Competition

Inclusive Dates Sports Event Athletic Meet Remarks
July 19-20 Table Tennis School Intramurals 1st Place

(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 Coaches Division PESS Supervisor/s
SCHOOL INTRAMURALS VANESSSA S. BENET JIMMY J. MORILLO

(Use separate sheet if necessary)

Screened by:

Division Meet Regional Meet

(Signature over Printed Name) (Signature over Printed Name)

Date: Date:
Form No. AR 001

AR-I (ATHLETE RECORD)

IV-A CALABARZON
Region

BATANGAS
Latest 1½ x 1½ picture Division
107715080025
LRN NO.

A. PERSONAL DATA:

Name: CAMACHO CHRISTIAN JEMUEL L Sex: M

(Last) (First) STA. CLARA, STO TOMAS,
(M.I.)

Date of Birth: (mm/dd/yy) 3/31/2002 Age: 17/11/0 Place of Birth: BATANGAS

School: GREENVILLE ACADEMY OF STA. CLARA
Address of School: STA. CLARA STO. TOMAS BATANGAS
Home Address: STA. CLARA, STO. TOMAS, BATANGAS
Parents: JONATHAN CAMACHO CHRISTILINE CAMACHO
Fathers Name Mother/Guardian
Address of Parents: STA. CLARA , STO. TOMAS, BATANGAS

B. Athlete's Participation in Local/International Competition

Inclusive Dates Sports Event Athletic Meet Remarks
July 19-20 Table Tennis School Intramurals 1st Place

(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 Coaches Division PESS Supervisor/s
SCHOOL INTRAMURALS VANESSSA S. BENET JIMMY J. MORILLO

(Use separate sheet if necessary)

Screened by:

Division Meet Regional Meet

(Signature over Printed Name) (Signature over Printed Name)

Date: Date:
Form No. AR 001

AR-I (ATHLETE RECORD)

IV-A CALABARZON
Region

BATANGAS
Latest 1½ x 1½ picture
Division
107715090013
LRN NO.

A. PERSONAL DATA:

Name: BENAMER JOHN JAYMIEL I. Sex: M

(Last) (First) (M.I.)

Date of Birth: (mm/dd/yy) 6/5/2004 Age: 14/11/26 Place of Birth: TRANCA LAGUNA
School: GREENVILLE ACADEMY OF STA. CLARA
Address of School: STA. CLARA STO. TOMAS BATANGAS
Home Address: STA. CLARA STO. TOMAS BATANGAS
Parents: VELTRAN BENAMER TITA BENAMER
Fathers Name Mother/Guardian
Address of Parents: STA. CLARA STO. TOMAS BATANGAS

B. Athlete's Participation in Local/International Competition

Inclusive Dates Sports Event Athletic Meet Remarks
July 19-20 Table Tennis School Intramurals 1st Place

(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 Coaches Division PESS Supervisor/s
SCHOOL INTRAMURALS VANESSSA S. BENET JIMMY J. MORILLO

(Use separate sheet if necessary)

Screened by:

Division Meet Regional Meet

(Signature over Printed Name) (Signature over Printed Name)

Date: Date:
Form No. AR 001

AR-I (ATHLETE RECORD)

IV-A CALABARZON
Region

BATANGAS
Latest 1½ x 1½ picture
Division
107715080084
LRN NO.

A. PERSONAL DATA:

Name: VILLAPANDO ROBERT A Sex: M

(Last) (First) (M.I.)

Date of Birth: (mm/dd/yy) 1/31/2001 Age: 17/11/0 Place of Birth: STA. CLARA, STO. TOMAS, BATS
School: GREENVILLE ACADEMY OF STA. CLARA
Address of School: STA. CLARA STO. TOMAS BATANGAS
Home Address: STA. CLARA, STO. TOMAS, BATANGAS
Parents: JOSE DARIO VILLAPANDO CECIL VILLAPANDO
Fathers Name Mother/Guardian
Address of Parents: STA CLARA, STO. TOMAS, BATANGAS

B. Athlete's Participation in Local/International Competition

Inclusive Dates Sports Event Athletic Meet Remarks
July 19-20 Table Tennis School Intramurals 1st Place

(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 Coaches Division PESS Supervisor/s
SCHOOL INTRAMURALS VANESSSA S. BENET JIMMY J. MORILLO

(Use separate sheet if necessary)

Screened by:

Division Meet Regional Meet

(Signature over Printed Name) (Signature over Printed Name)

Date: Date: