Republic of the Philippines

Department of Education
BUREAU OF LEARNER SUPPORT SERVICES
FORM SSC.2: School Sports Club Attachment Form

INSTRUCTIONS: Input the necessary details. Indicate N/A if not applicable.

DO NOT ABBREVIATE.

I. SPORTS CLUB INFORMATION

Create a copy of this page if four or more sports clubs are being offered. Add rows and columns if necessary.
Sport’s Club Name: BANNA ACADEMY INC. YELLOW TIGER MEN’S VOLLEYBALL CLUB
Established Date: JANUARY 2018
Sports Club Facilitator/s: RICARDO B. ACEDO JR, ADRIAN ARIBATO
Sports Club Member/s:
Members’ Name Grade Level
1. ACOSTA, KLYVE ALMIR F. 12
2. AGUILAR, VINCENT GIAN G. 9
3. ANTONIO, AGRESOR JR. N. 9
4. BINGAN NORIEL T. 11
5. GRANIADA DEXTER R. 12
6. HERMANO, MARK JASPER G. 10
7. LACABA, IAN ALBERT M. 11
8. NAPICOG, DHARELL JAMES S. 10
9. SAHAGUN, JHUROSS P. 11
10. SINCO, JOSEPH CARLO S. 11
11. SOSA, CARE JAMES R. 12
12. ZAFARALLA, PRINCE ERICK 9
13. FARINAS, BRANDON MIGUEL R. 8
14. CALAMAAN, NEAL ANTHONY 9
15. AGUSTIN JAYLORD 10
16. MARCELINO, RONZON 10
17. MAGNO, RAFAEL CASTIE 10

Sport’s Club Name: BANNA ACADEMY INC. YELLOW TIGERS TABLE TENNIS CLUB
Established Date: JANUAEY 2018
Sports Club Facilitator/s: FLOPER GERALD MANUEL, GLAIZA AMOR GUILLERMO
Sports Club Member/s:
Members’ Name Grade Level
1. COLUBONG, ROXANE D. 10
2.TUMBAGA, HANNAH LEAH 9
3.
4.
5.
6.
7.
8.
9.
10.

3F Mabini Building, DepEd Complex, Meralco Avenue, Pasig City

Telephone No.: (02) 632-9935; (02) 638-8525
Sport’s Club Name: BANNA ACADEMY INC. YELLOW TIGERS LAWN TENNIS CLUB
Established Date: JANUARY 2018
Sports Club Facilitator/s:
Sports Club Member/s:
Members’ Name Grade Level
1. CHLOE MORABIA 10
2. KYLA MORABIA 9
3. ANDREA AGNES 11
4.
5.
6.
7.
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Sport’s Club Name: BANNA ACADEMY INC. YELLOW TIGERS SWIMMING CLUB
Established Date: JANUARY 2018
Sports Club Facilitator/s: JOEL CASTILLO
Sports Club Member/s:
Members’ Name Grade Level
1. MARK TYLER LUMABAN 10
2. MARK EZEKIEL LUMABAN 9
3. HENRY MERCADO 10
4. HANZ JOSHUA SOSA 11
5.
6.
7.
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9.
10.

Sport’s Club Name: BANNA ACADEMY INC. YELLOW TIGERS ATHLETIC CLUB
Established Date: JANUARY 2018
Sports Club Facilitator/s: JUDY ANN AGDINAOAY AND LALAINE GALUTERA
Sports Club Member/s:
Members’ Name Grade Level
1. EZECKIEL CACACTIN 11
2. JERECKO TAROMA 10
3. MARVIN MANGLALLAN 9
4. MARKNEL MAULIT 12
5. DARWIN MANGLALLAN 11
6. ANGEL AGAMATA 12
7.
8.
9.
10.

Sport’s Club Name: BANNA ACADEMY INC. YELLOW TIGERS CHESS CLUB
Established Date: JANUARY 2018
Sports Club Facilitator/s: JERRY MATEO, CLARENCE JOHN PAMBID
Sports Club Member/s:
Members’ Name Grade Level
1. FREDEREX CORPUZ 9
2.
3.
4.
5.
6.
7.

3F Mabini Building, DepEd Complex, Meralco Avenue, Pasig City

Telephone No.: (02) 632-9935; (02) 638-8525
8.
9.
10.

II. PROGRAMMING
Put the preferred time schedule. Add rows and columns if necessary.
Time Sports Club Mon Tues Wed Thurs Fri Sat
Example
4:00PM-5:00PM Volleyball Sports club / / /
4:00PM-5:00PM Chess Sports Club / /
4:00PM-5:00PM Table tennis Sports Club / / /
4:00PM - Athletic Sports Club / /
:5:30PM
4:00-5:00 PM Lawn tennis Sports Club / /
3:00PM- 5:00PM Swimming Sports Club /

Put the preferred time schedule. Add rows and columns if necessary.
Time Varsity Club Mon Tues Wed Thurs Fri Sat

III. LIST OF AVAILABLE SPORTS EQUIPMENT AND SPORTS FACILITIES

Tick the box if standard sports equipment and facilities are available and ready to use. Put remarks and add rows if necessary.

Learning Facilities Remarks

Track and field oval
Gymnasium / covered court
Basketball court
Volleyball court
Swimming pool
Football/ softball/ baseball field
Spacious playing area
Others: ___________________
___________________
___________________

Sports Equipment Remarks

NET
ATHENA
BALLS

3F Mabini Building, DepEd Complex, Meralco Avenue, Pasig City

Telephone No.: (02) 632-9935; (02) 638-8525
IV. SPORTS ACTIVITIES, PROGRAMS AND/OR PROJECTS
Give at least (3) three recent activities, programs, projects or any other initiatives implemented related to sports.
Add rows if necessary.

Activities/Programs/Projects Date of Implementation

1. Physical Fitness Test August 2023

2. Physical Fitness Test September 28-29, 2023

3. Friday Hooray Every 2nd and last Friday of

the month

Declaration:
I hereby declare the information provided in this application is true and correct and there have been no
misleading statements, omission of any relevant facts nor any misinterpretation made.

Prepared by:
Sports Club Coordinator ADRIAN G. ARIBATO

Signature

Date December 5, 2023

Certified by:
Principal/Officer-in-
JANICE M. CACAO
Charge

Signature

Date December 5, 2023

Verified by:
Division Sports Officer ERIC B. AGUILAR

Signature
Date

3F Mabini Building, DepEd Complex, Meralco Avenue, Pasig City

Telephone No.: (02) 632-9935; (02) 638-8525