CAGAYAN CREATIVE WRITING COMPETITION 2022 (SHORT STORY WRITING)

ENTRY FORM FOR STUDENTS

Name: John Floyd E. Binayug Gender: Male. Age:1 9

Name of School: F.L. Vargas College, INC.- Tuguegarao city Campus

School Address: Blumentritt Street, Tuguegarao, Cagayan Grade Level: 1st Year College.

Telephone/Mobile Number: 09605803698 E-mail Address: floydjohnyugbina01@gmail.com

Name of Coach (if any): _________________________________________________________________

Title of Story: “Hamon ng Buhay” Word count: 1461 Words

I hereby certify that everything contained in this entry form is true and correct.

*In submitting my entry, I/we represent and warrant that the work is mine/ours, not plagiarized or
copied, and that I/we have absolute ownership of the intellectual property rights thereto. I/we also
abide that if my/our entry will be adjudged as a winner, it shall remain with, and become the property of
the Provincial Government of Cagayan.

Binayug, John Floyd E.

NAME AND SIGNATURE OF WRITER/S