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REGION VI - WESTERN VISAYAS

REGION
DIVISION OF NEGROS OCCIDENTAL
DIVISION
MUNICIPAL MEET

___________________________________
EVENT
_________________________ ________________________
COACH ASSISTANT COACH

NAME OF ATHLETE DOCUMENTS REQUIRED


NO Certificate of Parental
(Surname, First Name MI) NSO/PSA Enrolment Consent Remarks

Municipal Screening Committee ________________________


Validation Date

IRENE S. CASTELLANO FLORENDA S. SALUMAG JAY S. PERSEVERANCIA REGELLE D. BENIGNOS


Member Member Member Member

CYNTHIA S. DAVID NOLY B. BOCTOLAN, PhD


Member Chairman
CYNTHIA S. DAVID NOLY B. BOCTOLAN, PhD
Member Chairman

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