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UNIVERSITY OF SANTO TOMAS Institute of Physical Education and Athletics

THOMASIAN GOODWILL GAMES 2011-2012

PE EXEMPTION FORM
FIRST / SECOND SEMESTER AY 2011- 2012 EVENT: COLLEGE/FACUL TY: CATEGORY: FOOTBALL PHARMACY MEN WOMEN
NO NICKNAMES PE ENROLLED/ P.E. CODE
FBC 3 TTC 4 BCHVC3 TTC 4 HBC 9 FNC 5 HBC 5 Prof. Prof. Prof. Prof. Prof. Prof. Prof.

Note: Fill-up this form with true and correction information. M.I NO SURNAME FIRST NAME . Arcega Alyssa Eireen A. 1. Gutierrez Diane Jessa R. 2. Mendoza Janel Aira C. 3. Miranda Ma. Bianca Joyce D. 4. Palomillo Patricia Elline O. 5. Rendon Sonneth Anne Celine R. 6. Serrano Aliana Jasmin P. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20.

PROFESSOR
Silbor Atienza Drio Atienza Calixterio Cajepe Plata

RECOMMENDED BY: RONNEL LAGRIMAS COACH ENDORSED BY: GARDEE T. PENA FACULTY MANAGER APPROVED BY: PROF. PRISCILLA M. TORRES, Ph.D. DEAN FR. POMPEYO F. DE MESA, O.P. REGENT

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