AR-I (ATHLETE RECORD)

REGION IV - A
Region

Quezon
Division

Latest 1 x 1 picture

A. PERSONAL DATA:
Name:

MASAGA

JOHN CARLO
(Last)

Sex: M_

Learner Reference Number(LRN)

A.

(First)

(M.I.)

N/A___________________________

Contact Number:

______

Date of Birth: (mm/dd/yy)

8/16/2000
Age: 15-4-15
School:
CALAUAG MONTESSORI LEARNING CENTER FOUNDATION, INC.
Address of School: 119 JP RIZAL ST. BRGY PINAGKAMALIGAN CALAUAG, QUEZON
Home Address: BRGY SABANG UNO CALAUAG, QUEZON
Parents:
GASPAR P. MASAGA

Place of Birth:
CALAUAG, QUEZON
BEIS(Private School Number):
402721

FELOMENA G. ARQUINEZ

Father's Name

Address of Parents:

Mother/Guardian

BRGY SABANG UNO CALAUAG, QUEZON

B. Athlete's Participation in Local/International Competition

Inclusive Dates

Sports Event

Athletic Meet

Remarks

August 20, 2015

ARNIS

PRIVATE SELECTION

CHAMPION

September 1, 2015

ARNIS

TOWN MEET

CHAMPION

ARNIS

CONGRESSIONAL MEET

October

, 2015

(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.
SIGNATURE

Division PESS Supervisor/s

Athletic meet

Coaches

PRIVATE SELECTION

JAY P. PERA

MARITA A. PIONILLA

TOWN MEET

JAY P. PERA

MARITA A. PIONILLA

CONGRESSIONAL MEET

MARITA A. PIONILLA

(Use separate sheet if necessary)

Screened by:
Division Meet

Regional Meet

(Signature over Printed Name)

Date:

(Signature over Printed Name)

Date:

2015
2000
15

12
8
4

31
16
15

AR-I (ATHLETE RECORD)

REGION IV - A
Region

Quezon
Division

Latest 1 x 1 picture

A. PERSONAL DATA:
Name:

PARAISO,

RONALD
(Last)

Sex: M_

Learner Reference Number(LRN)

_________________________________

Date of Birth: (mm/dd/yy)

10/10/2000
Age: 15-2-21
School:
CALAUAG MONTESSORI LEARNING CENTER FOUNDATION, INC.
Address of School: 119 JP RIZAL ST. BRGY PINAGKAMALIGAN CALAUAG, QUEZON
Home Address: BRGY. PINAGKAMALIGAN CALAUAG, QUEZON
Parents:
ARNOLD PARAISO
Father's Name

Address of Parents:

O.

(First)

(M.I.)

Contact Number:

Place of Birth:
CALAUAG, QUEZON
BEIS(Private School Number):
402721

ELEONIDA B. OLIVAR
Mother/Guardian

METRO MANILA

B. Athlete's Participation in Local/International Competition

Athletic Meet
Inclusive Dates
Sports Event
August 20, 2015

ARNIS

September 1, 2015
October

, 2015

Remarks

PRIVATE SELECTION

CHAMPION

ARNIS

TOWN MEET

CHAMPION

ARNIS

CONGRESSIONAL MEET

(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.
Coaches
JAY P. PERA

MARITA A. PIONILLA

TOWN MEET

JAY P. PERA

MARITA A. PIONILLA

CONGRESSIONAL MEET

SIGNATURE

Division PESS Supervisor/s

Athletic meet
PRIVATE SELECTION

MARITA A. PIONILLA

(Use separate sheet if necessary)

Screened by:
Division Meet

Regional Meet

(Signature over Printed Name)

Date:

(Signature over Printed Name)

Date:

E RECORD)

1 x 1 picture

ALAUAG, QUEZON
402721

A B. OLIVAR

Guardian

Remarks
CHAMPION
CHAMPION

S Supervisor/s

. PIONILLA

. PIONILLA

. PIONILLA

2015
2000
15

12
10
2

31
10
21

nted Name)