þ SCUAA Form 2

STRASUC OLYMPICS 2018 OFFICIAL ENTRY FORM AND GALLERY OF

November 18-23, 2018 – LSPU, Sta. Cruz, Laguna KARATEDO
THEME: “Empowering the Youth and Shaping the Southern Tagalog Regions (Event) Page 1of 2
(CALABARZON AND MIMAROPA) Through Sports”

Date of Screening: (November 8-9, 2018)

INSTITUTION: LAGUNA STATE POLYTECHNIC UNIVERSITY Category KARATEDO

ATHLETE ATHLETE ATHLETE ATHLETE ATHLETE ATHLETE

AQUINO, Adrew William DIMASAPIT, Marc

Name ALON, Arvic I. APOSTOL, Gherome M. ARONE, Shervin Isaac L. FOJAS, Cedrick John D.
L. Vincent M.
Date of Birth 10-24-99 06-23-99 04-23-00 12-18-99 10-25-99 02-10-99
Course & Year 1st Year - BS Criminology 1st Year – BSIT 1st Year – BS Nursing 1st Year – BS Tourism 1st Year – BS Criminology 1st Year - BSIT
School/Campus LSPU LSPU LSPU LSPU LSPU LSPU
ATHLETE ATHLETE ATHLETE ATHLETE ATHLETE

Name MANALO, John Paolo MERINO, Domel C. PASCUAL, Jomar QUIDES, Jeshaiah Jemuel M. SIRDON, Jomar R.
Date of Birth 10-15-93 12-18-98 04-06-98 07-17-00 10-31-97
Course & Year 4th Year –BS Criminology 1st Year – BSIT 1st Year – BS Criminology 4th Year – BS Tourism BS Fisheries
School/Campus LSPU LSPU LSPU LSPU LSPU
 SCUAA Form 2
STRASUC OLYMPICS 2018 OFFICIAL ENTRY FORM AND GALLERY OF
November 18-23, 2018 – LSPU, Sta. Cruz, Laguna SOFTBALL
THEME: “Empowering the Youth and Shaping the Southern Tagalog Regions (Event) Page 2of 2
(CALABARZON AND MIMAROPA) Through Sports”

Date of Screening: (November 8-9, 2018)

INSTITUTION: LAGUNA STATE POLYTECHNIC UNIVERSITY Category SOFTBALL

ATHLETE ATHLETE ATHLETE ATHLETE ATHLETE ATHLETE

Recent Scanned Recent Scanned Recent Scanned Recent Scanned Recent Scanned Recent Scanned
Picture Picture Picture Picture Picture Picture

Name
Date of Birth
Course & Year
School/Campus
COACH Eligibility Requirements:
ASST. COACH CHAPERON 1.) Official Transcript of
Records (OTR) with: STRASUC Olympics
a.) complete scholastic 2018
record of athlete.
b.) subjects and grades
Recent Scanned Recent Scanned Recent Scanned of 2nd Sem, SY 2017-
2018.
Picture Picture Picture University Seal
c.) subjects enrolled for
1st Sem, SY 2018-
2019
d.) scanned Picture of
student
Name CALICUY, Lorenza e.) School Dry Seal
Age 2.) SCUAA Games Form
Contact no#/ Mobile no# Numbers: 1, 2 & 3. ________________
3.) PSA Birth Certificate MARK DEXTER L. REYES
Email Address 4.) CMO. 63-Certificate of
Compliance from HEI.