VI- WESTERN VISAYAS

REGION
ILOILO CITY
DIVISION
BASEBALL ELEMENTARY
EVENT
CERTIFICATE OF EMPLOYMENT
AFFIDAVIT / SWORN STATEMENT
PERSONAL DATA SHEET
MEDICAL CERTIFICATE
Coach Assistant Coach
CERTIFICATE OF TRAINING
CERTIFICATE OF SPORTS MEMBERSHIP
CERTIFICATE OF SPORTS RECOGNITION
CERTIFICATE OF SSS CONTRIBUTION
DAYADAY, JOCELYN P. NAME GICOLE, MARITTEE B.
A. Montes 1 Elementary School SCHOOL A. Montes 1 Elementary School

AR - 1
PHOTOCOPY OF NSO
NSO
FORM - 137
athlete 1 athlete 4
CERTIFICATE OF ENROLMENT
CERTIFICATE OF COMPLETION
PARENTAL CONSENT
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
INTERVIEWED
ATINADO III, ARTURO D. NAME OF ATHLETE ESPINOSA, ATTILA DON JIESCAR N.
117626130140 LEARNER'S REFERENCE NUMBER 117626130110
05/25/08 DATE OF BIRTH 06/29/08
A. Montes 1 Elementary School SCHOOL A. Montes 1 Elementary School

AR - 1
PHOTOCOPY OF NSO
NSO
FORM - 137
athlete 2 athlete 5
CERTIFICATE OF ENROLMENT
CERTIFICATE OF COMPLETION
PARENTAL CONSENT
MEDICAL CERTIFICATE

DENTAL CERTIFICATE

INTERVIEWED

BARCEBAS, RODJUN FELIX C. NAME OF ATHLETE FRANCISCO, ED NATHANIEL E.

117627120205 LEARNER'S REFERENCE NUMBER 117626140047
06/26/07 DATE OF BIRTH 02/15/09
A. Montes 1 Elementary School SCHOOL A. Montes 1 Elementary School

AR - 1
PHOTOCOPY OF NSO
NSO
FORM - 137
athlete 3 athlete 6
CERTIFICATE OF ENROLMENT
CERTIFICATE OF COMPLETION
PARENTAL CONSENT
MEDICAL CERTIFICATE

DENTAL CERTIFICATE

INTERVIEWED

DE LOS NIEVES, DEXTER V. NAME OF ATHLETE GANE, VINCENT J.

117626130016 LEARNER'S REFERENCE NUMBER 117626130145
04/17/08 DATE OF BIRTH 12/01/07
A. Montes 1 Elementary School SCHOOL A. Montes 1 Elementary School
VI - WESTERN VISAYAS
REGION
ILOILO CITY
DIVISION
BASEBALL ELEMENTARY
EVENT

AR - 1
PHOTOCOPY OF NSO
NSO
FORM - 137
athlete 7 athlete 11
CERTIFICATE OF ENROLMENT
CERTIFICATE OF COMPLETION
PARENTAL CONSENT
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
INTERVIEWED
LLORENTE, SUN JOE S. NAME OF ATHLETE VALLEJO, JHERMINE JOSE M.
117626130148 LEARNER'S REFERENCE NUMBER 117626140123
04/25/08 DATE OF BIRTH 01/12/08
A. Montes 1 Elementary School SCHOOL A. Montes 1 Elementary School

AR - 1
PHOTOCOPY OF NSO
NSO
FORM - 137
athlete 8 athlete 12
CERTIFICATE OF ENROLMENT
CERTIFICATE OF COMPLETION
PARENTAL CONSENT
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
INTERVIEWED
LOBATON, JOHN CALVIN G. NAME OF ATHLETE YTURIAGA, KRISTOFFER JAMIR V.
117626150142 LEARNER'S REFERENCE NUMBER 117626130115
05/11/10 DATE OF BIRTH 10/01/08
A. Montes 1 Elementary School SCHOOL A. Montes 1 Elementary School

AR - 1
PHOTOCOPY OF NSO
NSO
FORM - 137
athlete 9 athlete 13
CERTIFICATE OF ENROLMENT
CERTIFICATE OF COMPLETION
PARENTAL CONSENT
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
INTERVIEWED
MERCADO, JOHN JEREMY L. NAME OF ATHLETE
117627130182 LEARNER'S REFERENCE NUMBER
04/02/08 DATE OF BIRTH
A. Montes 1 Elementary School SCHOOL

AR - 1
PHOTOCOPY OF NSO
NSO
FORM - 137
athlete 10 athlete 14
CERTIFICATE OF ENROLMENT
CERTIFICATE OF COMPLETION
PARENTAL CONSENT
MEDICAL CERTIFICATE
DENTAL CERTIFICATE
INTERVIEWED
TIOPE, ALJUNE B. NAME OF ATHLETE
117626130172 LEARNER'S REFERENCE NUMBER
02/19/08 DATE OF BIRTH
A. Montes 1 Elementary School SCHOOL
REGION

DIVISION

EVENT
CERTIFICATE OF EMPLOYMENT
AFFIDAVIT / SWORN STATEMENT
PERSONAL DATA SHEET
MEDICAL CERTIFICATE
Chaperon
CERTIFICATE OF TRAINING
CERTIFICATE OF SPORTS MEMBERSHIP
CERTIFICATE OF SPORTS RECOGNITION
CERTIFICATE OF SSS CONTRIBUTION
NAME
SCHOOL

AR - 1
PHOTOCOPY OF NSO
NSO
FORM - 137
CERTIFICATE OF ENROLMENT
CERTIFICATE OF COMPLETION
PARENTAL CONSENT
MEDICAL CERTIFICATE

DENTAL CERTIFICATE

INTERVIEWED

NAME OF ATHLETE
LEARNER'S REFERENCE NUMBER
DATE OF BIRTH
SCHOOL

AR - 1
PHOTOCOPY OF NSO
NSO
FORM - 137
CERTIFICATE OF ENROLMENT
CERTIFICATE OF COMPLETION
PARENTAL CONSENT
MEDICAL CERTIFICATE

DENTAL CERTIFICATE

INTERVIEWED

NAME OF ATHLETE
LEARNER'S REFERENCE NUMBER
DATE OF BIRTH
SCHOOL

AR - 1
PHOTOCOPY OF NSO
NSO
FORM - 137
CERTIFICATE OF ENROLMENT
CERTIFICATE OF COMPLETION
PARENTAL CONSENT
MEDICAL CERTIFICATE

DENTAL CERTIFICATE

INTERVIEWED

NAME OF ATHLETE
LEARNER'S REFERENCE NUMBER
DATE OF BIRTH
SCHOOL