INTER TOWN MOBILE LEGENDS COMPETITION

24th FOUNDING ANNIVERSARY OF CALAPAN CITY

MOBILE LEGENDS
Official Entry Form
Pagkakaisa Naujan
BARANGAY: MUNICIPALITY/CITY:
MONICKER: DeFiance

Full Name: Nhilzon A. Paglinawan
Age:19
Date of Birth: March 15, 2002
Address:Pagkakaisa, Naujan
Registered voter? /Yes No
IGN: napnap
Player / Server ID: 240495758
Action (Remarks):
Full Name: Mon Kennedy R. Full Name: Mark Joseph M.
Macagaling Evangelista
Age:18
Age:19
Date of Birth: August 12, 2003
Date of Birth: June 10, 2002
Address:Pagkakaisa, Naujan Address:Pagkakaisa, Naujan
Registered voter? /Yes No Registered voter? Yes / No
IGN: Akagami
IGN: ______________ Player / Server ID: 61938181
Player / Server ID: 48602586 Action (Remarks):
Action (Remarks):

Full Name: Ralph Randell D. Reserve

Full Name: Louis Zeus N. Pesigan
Reyonda Full Name:Carl Angelo Huerto
Age:21
Age:20 Age:19
Date of Birth: June 21, 2000 Date of Birth: March 19,2002
Date of Birth: January 18,2002
Address:Pagkakaisa, Naujan Address:Pagkakaisa, Naujan Address:Pagkakaisa, Naujan
Registered voter?/Yes No Registered voter?/ Yes No
Registered voter?/ Yes No
IGN: Seaahhhhh
IGN: JISOO. IGN: ~Escanor~ Player / Server ID:249795441(3241)
Player / Server ID: 27737959(3568) Player / Server ID:151725042(3152) Action (Remarks):
Action (Remarks): Action (Remarks):

CERTIFIED CORRECT:

Team Captain SK Chairperson/Barangay Captain

(Printed Name over Signature) (Printed Name over Signature)
Contact No. 09065525528 Contact No.
E-mail: nhilzon04@gmail.com
F-FB Account: Nhilzon Paglinawan
E-mail: FB Account: