Revised as of FEBRUARY 8, 2024 VII- CENTRAL VISAYAS
REGION
CEBU PROVINCE
DIVISION
BASKETBALL MEN
EVENT
A. COACH/ASST. COACH RECORD
B. APPOINTMENT/EMPLOYMENT/CONTRACT OF SERVICE
C. OMNIBUS AFFIDAVIT
D. MEDICAL CERTIFICATE
E CERTIFICATE OF TRAINING
F CERTIFICATE OF SPORTS MEMBERSHIP/ LICENSE OR CERTIFICATIONS/
ACCREDITATION
NAME
SCHOOL
A. APPOINTMENT/EMPLOYMENT/CONTRACT OF SERVICE
B. CERTIFICATE OF COMMITMENT
C. MEDICAL CERTIFICATE
Chaperon
NAME
SCHOOL
A. AR (ATHLETE'S RECORD)
B. ORIGINAL COPY OF PSA/NSO
C. SF 10 / FORM - 137
D. CERTIFICATE OF ATTENDANCE (for Palarong Pambansa Only)
E. PARENTAL CONSENT/AFFIDAVIT/SWORN STATEMENT OF ACTUAL CARE & CUSTODY
F. MEDICAL CERTIFICATE Athlete
G. DENTAL CERTIFICATE
H. DISABILITY ASSESSMENT (for PARAGAMES Only)
INTERVIEWED
VILLARO, IRISH HYACINTH M.
GRADE V
NAME OF ATHLETE
LRN
DATE OF BIRTH
SCHOOL
A. AR (ATHLETE'S RECORD)
B. ORIGINAL COPY OF PSA/NSO
C. SF 10 / FORM - 137
D. CERTIFICATE OF ATTENDANCE (for Palarong Pambansa Only)
E. PARENTAL CONSENT/AFFIDAVIT/SWORN STATEMENT OF ACTUAL CARE & CUSTODY
Athlete F. MEDICAL CERTIFICATE Athlete
G. DENTAL CERTIFICATE
H. DISABILITY ASSESSMENT (for PARAGAMES Only)
INTERVIEWED
MATAS, FELICITY XIA T.
GRADE III
NAME OF ATHLETE
LRN
DATE OF BIRTH
SCHOOL
NOTE:
PLEASE USE A4 SIZE COPY PAPER
FOR SCHOOL SPORTS (Lower Meet up to Palarong Pambansa)
