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The document is an Athlete Record (AR-I) for a student from the City of Imus, detailing personal data including name, sex, date of birth, and school information. It also outlines the athlete's participation in local competitions, specifically a Cluster Meet on September 12, 2025. Additionally, it includes sections for signatures from coaches and supervisors to certify the athlete's participation in various meets.

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Juanito Vicera
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9 views2 pages

Blank

The document is an Athlete Record (AR-I) for a student from the City of Imus, detailing personal data including name, sex, date of birth, and school information. It also outlines the athlete's participation in local competitions, specifically a Cluster Meet on September 12, 2025. Additionally, it includes sections for signatures from coaches and supervisors to certify the athlete's participation in various meets.

Uploaded by

Juanito Vicera
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
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AR-I (ATHLETE RECORD)

IV-A
Region

Latest 1½ x 1½ picture

CITY OF IMUS
Division

A. PERSONAL DATA

Name: A.

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

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

Date of Birth:
(mm/dd/yy) Age: 12 Place of Birth:

School: CITY OF IMUS INTEGRATED SCHOOL BEIS (Private School Number)

Address of School: Malagasang II- A, Imus City

Home Address:

Parents:

Fathers Name Mother/Guardian

Address of
Parents:

B. Athlete's Participation in Local/International Competition

Inclusive Dates Sports Event Athletic Meet Remarks

SEPT 12, 2025 Cluster Meet

(Use separate sheet if necessary)

Athlete's Signature
C. Athlete's Participation

This is to certify that based on our knowledge the above-mentioned athlete has participated
in the lower meets.
Athletic meet Coaches Division PESS Supervisor/s

Cluster meet

City meet

(Use separate sheet if necessary)

Division Meet Regional Meet

(Signature over Printed Name) (Signature over Printed Name)

Date: Date:

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