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Athletes Record JULIUZ

The document is an athlete record for Juliuz F. Baylon, a 12-year-old male student from San Gregorio Elementary School in Nueva Ecija. It includes personal data, participation history in previous Palarong Pambansa events, and details of his participation in lower meets for the current school year, where he won gold in basketball events. The document also contains certification signatures from coaches and sports officers confirming his participation.

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Aaron David Suba
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12 views1 page

Athletes Record JULIUZ

The document is an athlete record for Juliuz F. Baylon, a 12-year-old male student from San Gregorio Elementary School in Nueva Ecija. It includes personal data, participation history in previous Palarong Pambansa events, and details of his participation in lower meets for the current school year, where he won gold in basketball events. The document also contains certification signatures from coaches and sports officers confirming his participation.

Uploaded by

Aaron David Suba
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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Revised as of April 3, 2023

AR (ATHLETE RECORD)
III
Region

NUEVA ECIJA
Latest 1½ x 1½ picture
Division

A. PERSONAL DATA:

Name: BAYLON JULIUZ F.


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

Sex: MALE Learner Reference Number (LRN) 105223170006 Contact Number

Date of Birth: (mm/dd/yyyy) 2/3/2012 Age: 12 Place of Birth: CABANATUAN CITY


School: SAN GREGORIO ELEMENTARY SCHOOL Grade Level V
Address of School: SAN GREGORIO CABIAO NUEVA ECIJA
Present Address: SAN GREGORIO CABIAO NUEVA ECIJA
Parents: TEODY BAYLON JOVILYN FELIX
Fathers Name Mother/Guardian
Address of Parents/Guardian: PUROK 2, SAN GREGORIO CABIAO NUEVA ECIJA

B. Participation in the previous Palarong Pambansa. Yes ____ No _____ . If Yes, kindly fill up the table below
Year of Participation Sports Event Venue Remarks

C. Athlete's Participation in the Lower Meets (For the Current School Year)
Inclusive Dates Sports Event Athletic Meet Remarks

OCTOBER 1, 2024 BASKETBALL UNIT MEET GOLD


OCTOBER 11, 2024 BASKETBALL DISTRICT MEET GOLD
NOVEMBER 13, 2024 BASKETBALL DUAL MEET GOLD

(Use separate sheet if necessary)

JULIUZ F. BAYLON
Athlete's Signature over Printed Name

D. Certification on Athlete's Participation


This is to certify that based on our knowledge, the above-mentioned athlete has been a member of a school based club and has
participated in the lower meets.

Name and Signature of Division Name and Signature of


Meet Name and Signature of Coach
Sports Officer (DSO) Regional Sports Officer (RSO)

School Sports Club AARON D. SUBA


UNIT MEET AARON D. SUBA
DISTRICT MEET AARON D. SUBA
DUAL MEET AARON D. SUBA

(Use separate sheet if necessary)

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 (Lower Meet up to Palarong Pambansa)

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