Revised as of September 26.
20
CACR (COACH /ASS
1
Region
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SCHOOLS DIVISION OFFICE 1 PANGASINAN
Division
A. PERSONAL DATA:
Name: MANALO LITO
(test) (First)
Sex: MALE Mobile Phone Number: 092177777777
Date of Birth: (mm/dd/yy) 01/24/1979 Age: 40
School: MALINIS ELEMENTARY SCHOOL Employee Number:
Current Position: TEACHER II Years in Service:
Address of School: MALINIS, MALIGAYA, PANGASINAN
Present Address: MALINIS, MALIGAYA, PANGASINAN
In Case of Emergency Please
Contact. MANALO, JUANITA P. Contact Number:
B. Educational Qualifications:
Course (College/Post Graduate) School Year Graduated Credits Earned
BEED UNIVERSITY OF PANGASINAN 2000
C. Sports Training Attended for the last three (3) years
Title of Sports Training Date of Tralnlnq No. of Hours Condu
THE COACHING BEGINNER IN TENNIS DECEMBER 5-7, 2018 24 INTERNATIONAL TE
D. Sports Track Record/Experience
Athletic Meet Attended Inclusive Dates Event
DISTRICT MEET AUGUST 11- 12. 2018 TENNIS
DIVISION MEET NOVEMBER 4-6, 2018 TENNIS
DISTRICT MEET SEPTMBER 26-27, 2019 TENNIS
DIVISION MEET NOVEMBER 12-14,2019 TENNIS
Prepared by: Attested by: Verified by:
(Coach/Asst. Coach S/tpature ever Printed Na (Divacn SportsOfcer Signatire ever Prhted Name)
Screened by:
Division Meet Regional Meet
(Signature ofDSAC over Printed Name) (Signature of RSAC overprinted Name)
Date: Date:
FOR SCHOOL SPORTS (Division, Region, Palarong Pambansa)
CACR (COACH /ASST.COACH RECORD)
Latest V/2 x V/2 picture
F.
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77777
Place of Birth: MALIGAYA, PANGASINAN
e Number: 2121212
Years in Service: FIVE YEARS
Contact Number: 09200000000
Credits Earned Awards Received
OUTSTANDING
Conducted bv
INTERNATIONAL TENNIS FEDERATION
Event Awards Received
TENNIS GOLD
TENNIS RUNNER-UP
TENNIS GOLD
TENNIS
Verified by:
(Dvscn AO/SDS Sigtaitreover Prided Name)
Palarong Pambansa
(Signature ofNSAC over Printed Name)
Date: