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SSC Form 1

The document is a registration form for the Rawis Elementary School Sports Club in Albay, Philippines. It provides information on the school such as location, enrollment numbers, and existing sports clubs. It lists the mandatory sports clubs that must be established which include basketball, athletics, and arnis. Preferred additional sports clubs can also be added. The form declares the information is accurate and must be signed by the Sports Club Coordinator, School Principal, and Division Sports Officer to be valid. It also notes an additional attachment form must be completed.

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Jhonabel Pauyo
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207 views2 pages

SSC Form 1

The document is a registration form for the Rawis Elementary School Sports Club in Albay, Philippines. It provides information on the school such as location, enrollment numbers, and existing sports clubs. It lists the mandatory sports clubs that must be established which include basketball, athletics, and arnis. Preferred additional sports clubs can also be added. The form declares the information is accurate and must be signed by the Sports Club Coordinator, School Principal, and Division Sports Officer to be valid. It also notes an additional attachment form must be completed.

Uploaded by

Jhonabel Pauyo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Republic of the Philippines

Department of Education
BUREAU OF LEARNER SUPPORT SERVICES
FORM SSC.1: SCHOOL SPORTS CLUB REGISTRATION FORM

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

A. Basic Information
Region V Divisio ALBAY
n

Name of School RAWIS ELEMENTARY SCHOOL School ID 111973

Address Rawis, Pioduran, Albay

Email address (if any) [email protected] Telephone No. 09061051298

Website URL (if any)


B. School Profile
Enrolment: 140
No. of Teachers: 8
No. of Non – Teaching Personnel: 1
Athletics: 8
Basketball: 10
Badminton: 4
Chess:1
Arnis:3

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


Telephone No.: (02) 632-9935; (02) 638-8525
C.Sports Club
C.1 Mandatory Sports
At least three out of six mandatory sports; however you may establish any preferred sports club.
Add rows if necessary.
1.BASKETBALL
2.ATHLETICS
3.ARNIS
4.BADMINTON
5.CHESS
6.

C.2 Preferred Sports


Add rows if necessary.
1. 7.
2. 8.
3. 9.
4. 10.
5. 11.
6. 12.

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 JHONABEL P. MONDEJAR

Signature

Date FEBRUARY 8, 2023

Certified by:
Principal/Officer-in-Charge EDWIN D. NACION JR

Signature

Date FEBRUARY 8, 2023

Verified by:
Division Sports Officer DANILO R. MURILLO
Signature
Date
This form is not valid if not signed.
Required Attached Document: Accomplished Form SSC.2 School Sports Club Attachment Form

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


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

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