Revised as of September 26, 2019
CACR (COACH /ASST.COACH RECORD)
                                                                          XI
                                                                          Region
                                                      SCHOOLS DIVISION OF DAVAO ORIENTAL
                                                                         Division
                                                                                                                                        Latest 1½ x 1½ picture
A. PERSONAL DATA:
                             Name:                         SALAC                                  RECTO JR.                                                       G.
                                                            (Last)                                    (First)                                                    (M.I.)
                                Sex: MALE                                Mobile Phone Number:                        9771165333
  Date of Birth: (mm/dd/yy)                            MARCH 27, 1999                         Age:                     25              Place of Birth: MATI CITY
                       School:                   CALAPAGAN ELEMENTARY SCHOOL                              Employee Number:                                     7322040
             Current Position:                              TEACHER - III                                    Years in Service: 3 YEARS
            Address of School:                                                             CALAPAGAN, LUPON, DAVAO ORIENTAL
               Present Address:                                                CAPITOL HILLS, PUROK-1 PANAGHIUSA, CENTRAL, MATI CITY
        In Case of Emergency
              Please Contact:                            RHEA GRACE G. SALAC                                          Contact Number:        9058818687
B. Educational Qualifications:
   Course (College/Post
                                                          School                            Year Graduated                    Credits Earned                   Awards Received
        Graduate)
      BEED-PRESCHOOL                      DAVAO ORIENTAL STATE UNIVERSITY                            2019                                                      LEADERSHIP AWARD
              MAEM                     RIZAL MEMEORIAL COLLEGES OF DAVAO                             2024                                                                 N/A
C. Sports Training Attended for the last three (3) years
            Title of Sports Training                                  Date of Training                 No. of Hours                              Conducted by
LUPON EAST DISTRICT REFRESHER COURSE                                 DECEMBER 5-6, 2023                         16                                   DEPED
           DIVISION SPORTS CLINIC                                FEBRUARY 9-11, 2024                            24                                   DEPED
           DIVISION SPORTS CLINIC                                    JANUARY 9-11, 2025                         24                                   DEPED
D. Sports Track Record/Experience
            Athletic Meet Attended                                           Inclusive Dates                                         Event                      Awards Received
                  SCHOOL MEET                                              OCTOBER 5-6, 2024                                      DANCESPORTS                             GOLD
                 DISTRICT MEET                                            OCTOBER 29-30, 2024                                     DANCESPORTS                             GOLD
                MUNICIPAL MEET                                            NOVEMBER 14-16, 2024                                    DANCESPORTS                             GOLD
Prepared by:                                              Attested by:                                                      Verified by:
           RECTO JR. G. SALAC                                            YVETTE M. CELMAR
   (Coach /Asst. Coach Signature over Printed Name)         (Division Sports Officer Signature over Printed Name)                   (Division AO/SDS Signature over Printed Name)
Screened by:
Division Meet                                                             Regional Meet                                                   Palarong Pambansa
          ATTY. JIMAR C. BALO                                              ATTY. LORENZA C. PITULAN
     (Signature of DSAC over Printed Name)                                (Signature of RSAC over Printed Name)                               (Signature of NSAC over Printed Name)
Date: ______________                                                      Date: ______________                                            Date: ______________
FOR SCHOOL SPORTS (Division, Region, Palarong Pambansa)