AR-I (ATHLETE RECORD)
III
                                                                 Region
                                                                BATAAN                                              Latest 1½ x 1½ picture
                                                                 Division
A. PERSONAL DATA:
                       Name:
                                                       (Last)                                    (First)                      (M.I.)
                           Sex:          Learner Reference Number (LRN)                                     Contact Number:
              Date of Birth:                                                                         Age:      BEIS (Private School No
                     School :
            School address:
             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
                                                                          Zonal/District/Unit Meet               2017
                                                                          Division/Provincial Meet               2017
                                                                          Regional Meet                          2018
                                                                          Palarong Pambansa                      2018
(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                           Signature                      Division Schools Sports Officer
Zonal/District/Unit Meet          2017
Division/Provincial Meet          2017
Regional Meet                     2018                                                                           RAMON C. PEREZ-Chief SGOD
Palarong Pambansa                 2018                                                                              Division Schools Sports Officer
(Use separate sheet if necessary)
Screened by:
Division Meet                                                                                               Regional Meet
                     (Signature over Printed Name)                                                                  (Signature over Printed Name)
Date:                                                                                                       Date:
      FOR PALARONG PAMBANSA ONLY