Region I

DIVISION OF CITY SCHOOLS

Alaminos City
ATHLETES RECORD
S.Y. 2015-2016
A. PERSONAL DATA: (AR 1)
Name:

Marzan
Sex: Female
Surname

Puribel Hope
First Name

Garcia

Middle Name

Date of Birth: 08/05/2000 Place of Birth: Poblacion, Alaminos City Age: 15 Height: 172
cm Weight: 55 kg
Order of Birth: __1st __2nd __3rd __Others Number of Siblings: 1 Brothers:_____
Sisters: ______
Home Address:
Brgy. Poblacion, Alaminos City, Pangasinan
Cell.
Number: (0918) 218 2109
School: Alaminos City National High School
Grade/Yr. & Sec.: Grade 9-Diamond
Tel. No._________
School Address: San Jose Drive, Alaminos City, Pangasinan
Parents/Guardian:
Mothers Name:
Gloria G. Marzan
Occupation: Housewife
Fathers Name:
Ferdinand V. Marzan
Occupation: Self-employed
Address of Parents: Brgy. Poblacion, Alaminos City, Pangasinan Res./Cell.
Number: 09477142608
B. ATHLETES PARTICIPATION: (AR 2)
Inclusive
Dates

Club, League
Association

School/Agenc
y
Represented

Game or
Event

Remarks

_________________________
Signature of Athlete
This is to certify that I have personally verified the personal records of the above
athlete found to be true and correct.
Signature over printed name

Athletic Meet

Coach/s

Division PESS Supervisor

Athletic records/Compaq

Region I
DIVISION OF CITY SCHOOLS
Alaminos City
ATHLETES RECORD
S.Y. 2015-2016
A. PERSONAL DATA: (AR 1)
Name:
Reyes
Sex: Female
Surname

Karren
First Name

Tello
Middle Name

Date of Birth: 05/21/2000 Place of Birth: Poblacion, Alaminos City Age: 15 Height: 54
Weight: 48 kg
Order of Birth: __1st __2nd __3rd __Others Number of Siblings: 2 Brothers:_ 1__
Sisters: _ 1__
Home Address:
Brgy. Amandiego, Alaminos City, Pangasinan
Cell.
Number: (0949) 458 8032
School: Alaminos City National High School
Grade/Yr. & Sec.: Grade 10-Einstein
Tel. No._________
School Address: San Jose Drive, Alaminos City, Pangasinan
Parents/Guardian:
Mothers Name:
Marites T. Reyes
Occupation: Government
Employee
Fathers Name:
Renato B. Reyes
Occupation:
Businessman
Address of Parents: Brgy. Amandiego, Alaminos City, Pangasinan Res./Cell.
Number: 09088687501
B. ATHLETES PARTICIPATION: (AR 2)
Inclusive
Dates

Club, League
Association

School/Agenc
y
Represented

Game or
Event

Remarks

_________________________
Signature of Athlete
This is to certify that I have personally verified the personal records of the above
athlete found to be true and correct.
Signature over printed name

Athletic Meet

Coach/s

Division PESS Supervisor

Athletic records/Compaq