1

REGION
SCHOOLS DIVISION OFFICE 1 PANGASINAN
DIVISION

VOLLEYBALL GIRLS HIGH SCHOOL

EVENT

CERTIFICATE OF EMPLOYMENT(Notarized)
CONTRACT OF SERVICE( Notarized)
AFFIDAVIT (Notarized) / SWORN STATEMENT
athlete PERSONAL DATA SHEET
MEDICAL CERTIFICATE Assistant Coach/Chaperon
CERTIFICATE OF TRAINING
CERTIFICATE OF SPORTS MEMBERSHIP
CERTIFICATE OF SPORTS RECOGNITION

ELISEO R. VICTORIO, JR. (COACH) NAME ELSON S. CASIPIT (ASST. COACH)

PSAT-DepEd SCHOOL PSAT-DepEd

CERTIFICATE OF EMPLOYMENT(Notarized)
CONTRACT OF SERVICE( Notarized)
AFFIDAVIT (Notarized) / SWORN STATEMENT
PERSONAL DATA SHEET
athlete MEDICAL CERTIFICATE X
CERTIFICATE OF TRAINING
CERTIFICATE OF SPORTS MEMBERSHIP
CERTIFICATE OF SPORTS RECOGNITION

MA. ESTER BERLIESE G. FRIAS (CHAPERON) NAME

PSAT-DepEd SCHOOL

AR - 1
PHOTOCOPY OF N S O
NSO
FORM - 137
athlete CERTIFICATE OF ENROLMENT athlete
CERTIFICATE OF COMPLETION
PARENTAL CONSENT
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
INTERVIEWED
BERNAL, KIME ROSE S. NAME OF ATHLETE JONI PAMELA F. BRAVO
101509070091 LRN 101509090016
9-May-02 DATE OF BIRTH 22-Aug-03
PSAT-DepEd SCHOOL PSAT-DepEd

AR - 1
PHOTOCOPY OF N S O
NSO
FORM - 137
athlete CERTIFICATE OF ENROLMENT athlete
CERTIFICATE OF COMPLETION
PARENTAL CONSENT
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
INTERVIEWED
HANNAH LIEZL V. CALICDAN NAME OF ATHLETE RICA MARIE M. CASTILLO
101509090018 LRN 101509120022
29-Feb-04 DATE OF BIRTH 22-Nov-06
PSAT-DepEd SCHOOL PSAT-DepEd
NOTE:
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 1
REGION
SCHOOLS DIVISION OFFICE 1 PANGASINAN
DIVISION
VOLLEYBALL GIRLS HIGH SCHOOL

EVENT

AR - 1
PHOTOCOPY OF N S O
NSO
FORM - 137
athlete CERTIFICATE OF ENROLMENT
athlete
CERTIFICATE OF COMPLETION
PARENTAL CONSENT
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
INTERVIEWED
GELIAN V. CHING NAME OF ATHLETE MA. LUISA C. CRUZ
101509120048 LRN 101509120049
10-Mar-07 DATE OF BIRTH 20-Feb-07
PSAT-DepEd SCHOOL PSAT-DepEd

AR - 1
PHOTOCOPY OF N S O
NSO
FORM - 137
athlete CERTIFICATE OF ENROLMENT
athlete
CERTIFICATE OF COMPLETION
PARENTAL CONSENT
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
INTERVIEWED
JARA ANTOINETTE S. DELA TORRE NAME OF ATHLETE FLORIDA DC. FERRER
101509120064 LRN 101327070036
28-Aug-04 DATE OF BIRTH 27-Jan-03
PSAT-DepEd SCHOOL PSAT-DepEd

AR - 1
PHOTOCOPY OF N S O
NSO
FORM - 137
athlete CERTIFICATE OF ENROLMENT
athlete
CERTIFICATE OF COMPLETION
PARENTAL CONSENT
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
INTERVIEWED
GINABEL MAE DV. MANANGAN NAME OF ATHLETE MA. ROCENE FLOR F. SANCHEZ
101487120067 LRN 101509120110
10-Oct-06 DATE OF BIRTH 12-Mar-07
PSAT-DepEd SCHOOL PSAT-DepEd

AR - 1
PHOTOCOPY OF N S O
NSO
FORM - 137
athlete CERTIFICATE OF ENROLMENT
X
CERTIFICATE OF COMPLETION
PARENTAL CONSENT
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
INTERVIEWED
JAYME LEE D. SISON NAME OF ATHLETE MA. ISABELLA F. VIRAY
101509070089 LRN 101509090138
20-Mar-02 DATE OF BIRTH 18-Nov-03
PSAT-DepEd SCHOOL PSAT-DepEd

NOTE:
PLEASE USE A4 SIZE COPY PAPER
 1
REGION
SCHOOLS DIVISION OFFICE 1 PANGASINAN
DIVISION
VOLLEYBALL GIRLS HIGH SCHOOL

EVENT

AR - 1
PHOTOCOPY OF N S O
NSO
FORM - 137
athlete CERTIFICATE OF ENROLMENT
athlete
CERTIFICATE OF COMPLETION
PARENTAL CONSENT
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
INTERVIEWED
CABRERA, CLARISSA J. NAME OF ATHLETE DE GUZMAN, RESLIE V.
106855070026 LRN 101509090035
17-Apr-02 DATE OF BIRTH 3-Oct-02
PANGASINAN NATIONAL HIGH SCHOOL SCHOOL PANGASINAN NATIONAL HIGH SCHOOL

AR - 1
PHOTOCOPY OF N S O
NSO
FORM - 137
athlete CERTIFICATE OF ENROLMENT
athlete
CERTIFICATE OF COMPLETION
PARENTAL CONSENT
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
INTERVIEWED
DE GUZMAN, SAMANTHA LOUISE S. NAME OF ATHLETE LINCOD, DESIREE KYLE A.
400168150965 LRN 101509070050
27-Nov-03 DATE OF BIRTH 6-Jul-02
PANGASINAN NATIONAL HIGH SCHOOL SCHOOL PANGASINAN NATIONAL HIGH SCHOOL

AR - 1
PHOTOCOPY OF N S O
NSO
FORM - 137
athlete CERTIFICATE OF ENROLMENT
athlete
CERTIFICATE OF COMPLETION
PARENTAL CONSENT
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
INTERVIEWED
NAME OF ATHLETE
LRN
DATE OF BIRTH
SCHOOL

AR - 1
PHOTOCOPY OF N S O
NSO
FORM - 137
athlete CERTIFICATE OF ENROLMENT
X
CERTIFICATE OF COMPLETION
PARENTAL CONSENT
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
INTERVIEWED
NAME OF ATHLETE
LRN
DATE OF BIRTH
SCHOOL

NOTE:
PLEASE USE A4 SIZE COPY PAPER