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  General   Information   Athlete's   AR    -   1   Certific   EnrollCertificate of   Completion   Medical   Certificate   Den   Certifi  ate of   ent   Parent's   Consent   al   cate   Coach's   Requirements   Developer: Ruben S. Pepino Jr Hope Rogen D. Tiongco Tulawas Integrated School Tulawas, Pagadian City  VENUE : Balogo Sports Complex REGION : V DIVISION : Sorsogon SCHOOL YEAR  : 2014-2015 DATE :  November 5-7, 2014 LEVEL : Elementary LastnameFirstNameM.I  PoloRaymartB EVENT: : Athletics Elementary Boys GENDER: : Male MONTHDAYYEAR  April32002  NAME OF SCHOOL: : Gubat North Central School  2014 SCHOOL TYPE : Central School LRN: : 114192090180 SCHOOL ADDRESS : Pinontingan, Gubat, Sorsogon PLACE OF BIRTH : Gubat, Sorsogon AGE : 12 FATHER'S NAME : Retchie Polo MOTHER'S NAME : Presie Polo PARENT'S ADDRESS : Payawin, Gubat, Sorsogon GUARDIAN'S NAME :  N/A GUARDIAN'S ADDRESS :  N/A RELATIONSHIP :  N/A PRINCIPAL GENELITA A. NANTIZA COACH : Joseph G. Escober  SCHOOL : Patag Elementary School CHAPERON :   SCHOOL :   DIVISION SCREENING : Screening,School Chairman REGIONAL SCREENING : Chairman, District Level  SCHOOL HEAD : Lara E. Estayan HER-ADVISE/REGISTRAR  : Arlene Ainza DENTIST (DIVISION) : PHYSICIAN DIVISION : Anthony Lelis Inclusive DatesSports EventAthletic MeetRemarks  ATHLETE'S PARTICIPATION IN LOCAL/INTERNAT B-DATE :: PLAYER'S INFORMATION  NAME OF ATHLETE OTHER DATA   NOTE: PLEASE USE THE SPACE B FOR DATA WITH NO ENT OR NOT APPLICABLE TO AVOID CORRUPTION OF FILE/S. LEAVE IT BLANK IF THE PLAYER IS STAYING WITH HIS PARENT LEAVE IT BLANK I CHARGE FOR TH  September 12-13, 2014Athletics ElementaryDistrict Meet1stSeptember 26-27, 2014Athletics ElementaryZonal Meet2nd 
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