Revised as of February 2024

CACR (COACH /ASST.COACH RECORD)

02-CAGAYAN VALLEY
Region

QUIRINO
Division Latest 1½ x 1½ picture

A. PERSONAL DATA:

Name: FAELDO WILSON S.

(Last) (First) (M.I.)

Sex: MALE Mobile Phone Number:

Date of Birth: (mm/dd/yy) 4/28/1993 Age: 30 Place of Birth:

School: LAPAZ ELEMENTARY SCHOOL Employee Number:

Current Position: TEACHER III Years in Service: 12
Address of School: LAPAZ SAGUDAYQUIRINO
Present Address: LAPAZ SAGUDAYQUIRINO
In Case of Emergency Please
Contact: JANICE FAELDO Contact Number:

B. Educational Qualifications:
Course (College/Post
School Year Graduated Credits Earned Awards Received
Graduate)
BEED GRADUATED
MAED

C. Sports Training Attended for the last three (3) years

Title of Sports Training Date of Training No. of Hours Conducted by
Division Training-Workshop on Physical Fitness Test
2/3/2023- 2/5/2023 24 SDO Quirino
and Sports Refresher/ Clinic for Coaches and Officials
in all Sports Event

D. Sports Track Record/Experience

Athletic Meet Attended Inclusive Dates Event Awards Received
SCHOOL BASE MEET 11/17/2023 BADMINTON CHAMPION
DISTRICT MEET 2/1/2023 BADMINTON CHAMPION
PROVINCIAL MEET 5/8/2023 BADMINTON CHAMPION
CAVRAA MEET BADMINTON BRONZE

Prepared by: Attested by: Verified by:

SAMUEL B. ONNAN RODANTE L. NADAL

(Coach /Asst. Coach Signature over Printed Name) (Division Sports Officer Signature over Printed Name) (Division AO/SDS Signature over Printed Name)

Screened by:

Division Meet Regional Meet Palarong Pambansa

(Signature of DSAC over Printed Name) (Signature of RSAC over Printed Name) (Signature of NSAC over Printed Name)

Date: ______________ Date: ______________ Date: ______________

FOR SCHOOL SPORTS (Division, Region, Palarong Pambansa)