OFFICIAL ENTRY FORM
GOV. BEN P. EVARDONE CUP – SEASON 5
(The Inter-Municipality/City Basketball & Volleyball
Tournament for the Province of Eastern Samar)
Instructions:
Please fill up the necessary information in the blanks below.
Please write legibly. There should be no erasures.
You may type the necessary information on the blanks below.
City/Municipality
Event (Insert whether Basketball Boys,
Volleyball Boys & Volleyball Girls.)
Complete Names of Player Jersey
Age Position
(Family Name, First Name, MI) Number
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
*Team Captain
Name of Team Manager
Name of Team Head Coach
Name of Team Asst. Coach
Name of Team Statistician
Name of Team Utility
Name of Side Court Reporter
I attest to the veracity of the information above and the authenticity of the documents
submitted.
Signature Team Manager
Date of Signature
SUBCRIBED AND SWORN TO before me this ______ day of ______________ 2024 in
____________________________, affiant exhibiting to me his/her ___________________ ____________.
Doc. No. _____;
Page No. _____; NOTARY PUBLIC
Book No. _____;
Series of 2024.