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Athlete Record 2014

This document contains an athlete record for Frances Jamie Chia from Region III Olongapo City. It includes her personal details like name, sex, date of birth, school and home addresses. It also lists her participation in local and international competitions with event details and remarks. Her coach and division PESS supervisors have certified her participation in lower athletic meets. Regional officials have screened and approved her participation in regional and national meets.
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0% found this document useful (0 votes)
36 views1 page

Athlete Record 2014

This document contains an athlete record for Frances Jamie Chia from Region III Olongapo City. It includes her personal details like name, sex, date of birth, school and home addresses. It also lists her participation in local and international competitions with event details and remarks. Her coach and division PESS supervisors have certified her participation in lower athletic meets. Regional officials have screened and approved her participation in regional and national meets.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
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AR-I (ATHLETE RECORD)

REGION III
Region

OLONGAPO CITY
Division

Latest 1 x 1 picture

A. PERSONAL DATA:
Name:

CHIA

FRANCES JAMIE

(First)

(M.I.)

(Last)

FEMALE Learner Reference Number (LRN)

Sex:

Date of Birth: (mm/dd/yy)


School:
Address of School:
Home Address:

Place of
Birth:

Age:
REGIONAL SCIENCE HIGH SCHOOL

Contact Number:

BEIS (Private School Number )

Parents:
Fathers Name

Mother/Guardian

Address of Parents:
B. Athlete's Participation in Local/International Competition
Inclusive Dates

Sports Event

Athletic Meet

Remarks

(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

Name of Coach

Division PESS Supervisor/s

Signature

Division/Provincial Meet
Regional Meet
Palarong Pambansa
(Use separate sheet if necessary)

Screened by:
Division Meet

Regional Meet

(Signature over Printed Name)

Date:
FOR PALARONG PAMBANSA ONLY

(Signature over Printed Name)

Date:

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