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  • PP2017 - MedicalCertificate DULDULAO

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    Rolan Domingo Galamay
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    This medical certificate certifies that Frederick L. Duldulao, a 16-year-old male born on August 17, 2002, was examined on an unspecified date and found to be physically fit to coach, chaperone, officiate, and compete in basketball for lower meets leading up to the Palarong Pambansa national games. The certificate provides Frederick's height, weight, blood pressure, pulse, and respiratory rate as determined during the physical examination. It is signed by the examining physician.

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    This medical certificate certifies that Frederick L. Duldulao, a 16-year-old male born on August 17, 2002, was examined on an unspecified date and found to be physically fit to coach, chaperone, officiate, and compete in basketball for lower meets leading up to the Palarong Pambansa national games. The certificate provides Frederick's height, weight, blood pressure, pulse, and respiratory rate as determined during the physical examination. It is signed by the examining physician.

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    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
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    14 views1 page

    PP2017 - MedicalCertificate DULDULAO

    Uploaded by

    Rolan Domingo Galamay
    This medical certificate certifies that Frederick L. Duldulao, a 16-year-old male born on August 17, 2002, was examined on an unspecified date and found to be physically fit to coach, chaperone, officiate, and compete in basketball for lower meets leading up to the Palarong Pambansa national games. The certificate provides Frederick's height, weight, blood pressure, pulse, and respiratory rate as determined during the physical examination. It is signed by the examining physician.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
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    Republic of the Philippines

    DEPARTMENT OF EDUCATION
    III
    (Region)
    TARLAC PROVINCE
    (Division)
    CORAZON C. AQUINO HIGH SCHOOL
    (School)
    POB 3., GERONA, TARLAC
    (School Address)

    MEDICAL CERTIFICATE

    October 10, 2018


    (Date)

    To Whom It May Concern:

    This is to certify that I have personally examined _FREDERICK L. DULDULAO


    Name
    age 16 sex MALE born on AUGUST 17, 2002 and have found that he/she is physically fit,

    during the time of examination, to coach / chaperon / officiate and to compete in the lower

    meets up to Palarong Pambansa.

    Event: Basketball Secondary Boys

    Physical Examination

    Date examined: _______________


    Height Weight: Blood Pressure
    Pulse, Resting Respiratory Rate
    Other Remarks:

    ____________________________
    Physician/Medical Officer
    (Signature over printed name)

    License No. __________________

    FOR PALARONG PAMBANSA ONLY

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