TFSS Form No.

AR 001

AR-I (ATHLETE RECORD)

NATIONAL CAPITAL REGION
Region

VALENZUELA
Division

Latest 1 x 1 picture

A. PERSONAL DATA:
Name:

BUBAN
(Last)

Date of Birth:
(mm/dd/yy)

12/3/01

RUSSEL JAY

B.

(First)

(M.I.)

12

Age:

Sex:

Valenzuela

Place of Birth:

School: SAN MIGUEL HEIGHTS ELEMENTARY

Address of
School: RD. 5 CORNER RD 3 SAN MIGUEL HEIGHTS, MARULAS, VALENZUELA CITY
Home Address: RD. 1 DULO SAN MIGUEL HEIGHTS, MARULAS, VALENZUELA CITY
Parents:
RODEL M. BUBAN

ECIEL B. BUBAN

Fathers Name

Mother/Guardian

Address of Parents: RD. 1 DULO SAN MIGUEL HEIGHTS, MARULAS, VALENZUELA CITY

B. Athlete's Participation in Local/International Competition

Inclusive Dates

Sports Event

Athletic Meet

Remarks

July 19-20,2013

BASKETBALL

UNIIT MEET

First

August 16-17,2013

BASKETBALL

DISTRICT MEET

First

September 19-20, 2013

BASKETBALL

DIVISION MEET

(Use separate sheet if necessary)

RUSSEL JAY B. BUBAN

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

Unit Meet

CZARMIEL JEROME G. NICODEMUS

District Meet

CZARMIEL JEROME G. NICODEMUS

Division Meet

CZARMIEL JEROME G. NICODEMUS

VICTORIA D. ALTOVEROS
VICTORIA D. ALTOVEROS
VICTORIA D. ALTOVEROS

(Use separate sheet if necessary)

Screened by:

Division Meet

(Signature Over Printed Name)

Date:_____________________

Regional Meet

(Signature Over Printed Name)

Date:_____________________

MALE

TFSS Form No. AR 001

AR-I (ATHLETE RECORD)

NATIONAL CAPITAL REGION
Region

VALENZUELA
Division

Latest 1 x 1 picture

A. PERSONAL DATA:
Name:

CARMONA

SHAIN KLARC

P.

(First)

(M.I.)

(Last)

Date of Birth:
(mm/dd/yy)

11/20/02

11

Age:

Sex:

Valenzuela

Place of Birth:

School: SAN MIGUEL HEIGHTS ELEMENTARY

Address of
School: RD. 5 CORNER RD 3 SAN MIGUEL HEIGHTS, MARULAS, VALENZUELA CITY
Home Address: 48 GALGERA COMPOUND, MARULAS, VALENZUELA CITY
Parents:
ANTONIO M. CARMONA

MARY ANN P. CARMONA

Fathers Name

Mother/Guardian

Address of Parents: 48 GALGERA COMPOUND, MARULAS, VALENZUELA CITY

B. Athlete's Participation in Local/International Competition

Inclusive Dates

Sports Event

Athletic Meet

Remarks

July 19-20,2013

BASKETBALL

UNIIT MEET

First

August 16-17,2013

BASKETBALL

DISTRICT MEET

First

September 19-20, 2013

BASKETBALL

DIVISION MEET

(Use separate sheet if necessary)

SHAIN KLARC P. CARMONA

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

Unit Meet

CZARMIEL JEROME G. NICODEMUS

District Meet

CZARMIEL JEROME G. NICODEMUS

Division Meet

CZARMIEL JEROME G. NICODEMUS

VICTORIA D. ALTOVEROS
VICTORIA D. ALTOVEROS
VICTORIA D. ALTOVEROS

(Use separate sheet if necessary)

Screened by:

Division Meet

(Signature Over Printed Name)

Date:_____________________

Regional Meet

(Signature Over Printed Name)

Date:_____________________

MALE

TFSS Form No. AR 001

AR-I (ATHLETE RECORD)

NATIONAL CAPITAL REGION
Region

VALENZUELA
Division

Latest 1 x 1 picture

A. PERSONAL DATA:
Name:

CALIZON

JOHN MICHAEL

T.

(First)

(M.I.)

(Last)

Date of Birth:
(mm/dd/yy)

9/7/01

12

Age:

Sex:

Valenzuela

Place of Birth:

School: SAN MIGUEL HEIGHTS ELEMENTARY

Address of
School: RD. 5 CORNER RD 3 SAN MIGUEL HEIGHTS, MARULAS, VALENZUELA CITY
Home Address:
Parents:
CHRISTOPHER T. CALIZON

JENIFEL T. CALIZON

Fathers Name

Mother/Guardian

Address of Parents:

B. Athlete's Participation in Local/International Competition

Inclusive Dates

Sports Event

Athletic Meet

Remarks

July 19-20,2013

BASKETBALL

UNIIT MEET

First

August 16-17,2013

BASKETBALL

DISTRICT MEET

First

September 19-20, 2013

BASKETBALL

DIVISION MEET

(Use separate sheet if necessary)

JOHN MICHAEL T. CALIZON

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

Unit Meet

CZARMIEL JEROME G. NICODEMUS

District Meet

CZARMIEL JEROME G. NICODEMUS

Division Meet

CZARMIEL JEROME G. NICODEMUS

VICTORIA D. ALTOVEROS
VICTORIA D. ALTOVEROS
VICTORIA D. ALTOVEROS

(Use separate sheet if necessary)

Screened by:

Division Meet

(Signature Over Printed Name)

Date:_____________________

Regional Meet

(Signature Over Printed Name)

Date:_____________________

MALE

TFSS Form No. AR 001

AR-I (ATHLETE RECORD)

NATIONAL CAPITAL REGION
Region

VALENZUELA
Division

Latest 1 x 1 picture

A. PERSONAL DATA:
Name:

MAGLALANG

JAN YNGELBERT

(First)

(M.I.)

(Last)

Date of Birth:
(mm/dd/yy)

6/29/02

11

Age:

Sex:

Valenzuela

Place of Birth:

School: SAN MIGUEL HEIGHTS ELEMENTARY

Address of
School: RD. 5 CORNER RD 3 SAN MIGUEL HEIGHTS, MARULAS, VALENZUELA CITY
Home Address: 50 T. CONCEPCION ST. MARULAS, VALENZUELA CITY
Parents:
GILBERT E. MAGLALANG

MARISSA E. MAGLALANG

Fathers Name

Mother/Guardian

Address of Parents: 50 T. CONCEPCION ST. MARULAS, VALENZUELA CITY

B. Athlete's Participation in Local/International Competition

Inclusive Dates

Sports Event

Athletic Meet

Remarks

July 19-20,2013

BASKETBALL

UNIIT MEET

First

August 16-17,2013

BASKETBALL

DISTRICT MEET

First

September 19-20, 2013

BASKETBALL

DIVISION MEET

(Use separate sheet if necessary)

JAN YNGELBERT E. MAGLALANG

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

Unit Meet

CZARMIEL JEROME G. NICODEMUS

District Meet

CZARMIEL JEROME G. NICODEMUS

Division Meet

CZARMIEL JEROME G. NICODEMUS

VICTORIA D. ALTOVEROS
VICTORIA D. ALTOVEROS
VICTORIA D. ALTOVEROS

(Use separate sheet if necessary)

Screened by:

Division Meet

(Signature Over Printed Name)

Date:_____________________

Regional Meet

(Signature Over Printed Name)

Date:_____________________

MALE

TFSS Form No. AR 001

AR-I (ATHLETE RECORD)

NATIONAL CAPITAL REGION
Region

VALENZUELA
Division

Latest 1 x 1 picture

A. PERSONAL DATA:
Name:

MENDEZ
(Last)

Date of Birth:
(mm/dd/yy)

10/28/01

JAN MATHEW

R.

(First)

(M.I.)

12

Age:

Sex:

Valenzuela

Place of Birth:

School: SAN MIGUEL HEIGHTS ELEMENTARY

Address of
School: RD. 5 CORNER RD 3 SAN MIGUEL HEIGHTS, MARULAS, VALENZUELA CITY
Home Address: 57 JACINTO STREET MARULAS, VALENZUELA CITY
Parents:
LERMEL C. MENDEZ

MARICEL R. MENDEZ

Fathers Name

Mother/Guardian

Address of Parents: 57 JACINTO STREET MARULAS, VALENZUELA CITY

B. Athlete's Participation in Local/International Competition

Inclusive Dates

Sports Event

Athletic Meet

Remarks

July 19-20,2013

BASKETBALL

UNIIT MEET

First

August 16-17,2013

BASKETBALL

DISTRICT MEET

First

September 19-20, 2013

BASKETBALL

DIVISION MEET

(Use separate sheet if necessary)

JAN MATHEW R. MENDEZ

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

Unit Meet

CZARMIEL JEROME G. NICODEMUS

District Meet

CZARMIEL JEROME G. NICODEMUS

Division Meet

CZARMIEL JEROME G. NICODEMUS

VICTORIA D. ALTOVEROS
VICTORIA D. ALTOVEROS
VICTORIA D. ALTOVEROS

(Use separate sheet if necessary)

Screened by:

Division Meet

(Signature Over Printed Name)

Date:_____________________

Regional Meet

(Signature Over Printed Name)

Date:_____________________

MALE

TFSS Form No. AR 001

AR-I (ATHLETE RECORD)

NATIONAL CAPITAL REGION
Region

VALENZUELA
Division

Latest 1 x 1 picture

A. PERSONAL DATA:
Name:

REGONDON
(Last)

Date of Birth:
(mm/dd/yy)

10/24/01

ANGELO

V.

(First)

(M.I.)

12

Age:

Sex:

Valenzuela

Place of Birth:

School: SAN MIGUEL HEIGHTS ELEMENTARY

Address of
School: RD. 5 CORNER RD 3 SAN MIGUEL HEIGHTS, MARULAS, VALENZUELA CITY
Home Address: 12 ROAD 3, MARULAS, VALENZUELA CITY
Parents:
CELSO N. REGONDON

MARLYN V. REGONDON

Fathers Name

Mother/Guardian

Address of Parents: 12 ROAD 3, MARULAS, VALENZUELA CITY

B. Athlete's Participation in Local/International Competition

Inclusive Dates

Sports Event

Athletic Meet

Remarks

July 19-20,2012

BASKETBALL

UNIIT MEET

First

August 16-17,2013

BASKETBALL

DISTRICT MEET

First

September 19-20, 2013

BASKETBALL

DIVISION MEET

(Use separate sheet if necessary)

ANGELO V. REGONDON
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

Unit Meet

CZARMIEL JEROME G. NICODEMUS

District Meet

CZARMIEL JEROME G. NICODEMUS

Division Meet

CZARMIEL JEROME G. NICODEMUS

VICTORIA D. ALTOVEROS
VICTORIA D. ALTOVEROS
VICTORIA D. ALTOVEROS

(Use separate sheet if necessary)

Screened by:

Division Meet

(Signature Over Printed Name)

Date:_____________________

Regional Meet

(Signature Over Printed Name)

Date:_____________________

MALE

TFSS Form No. AR 001

AR-I (ATHLETE RECORD)

NATIONAL CAPITAL REGION
Region

VALENZUELA
Division

Latest 1 x 1 picture

A. PERSONAL DATA:
Name:

SALAS

JESLEY JHON

A.

(First)

(M.I.)

(Last)

Date of Birth:
(mm/dd/yy)

11/2/02

11

Age:

Sex:

Valenzuela

Place of Birth:

School: SAN MIGUEL HEIGHTS ELEMENTARY

Address of
School: RD. 5 CORNER RD 3 SAN MIGUEL HEIGHTS, MARULAS, VALENZUELA CITY
Home Address: SAN FRANCISCO, KARUHATAN, VALENZUELA CITY
Parents:
JONATAN B. SALAS

LARRY A. SALAS

Fathers Name

Mother/Guardian

Address of Parents: SAN FRANCISCO, KARUHATAN, VALENZUELA CITY

B. Athlete's Participation in Local/International Competition

Inclusive Dates

Sports Event

Athletic Meet

Remarks

July 19-20,2012

BASKETBALL

UNIIT MEET

First

August 16-17,2013

BASKETBALL

DISTRICT MEET

First

September 19-20, 2013

BASKETBALL

DIVISION MEET

(Use separate sheet if necessary)

JESLEY JHON A. SALAS

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

Unit Meet

CZARMIEL JEROME G. NICODEMUS

District Meet

CZARMIEL JEROME G. NICODEMUS

Division Meet

CZARMIEL JEROME G. NICODEMUS

VICTORIA D. ALTOVEROS
VICTORIA D. ALTOVEROS
VICTORIA D. ALTOVEROS

(Use separate sheet if necessary)

Screened by:

Division Meet

(Signature Over Printed Name)

Date:_____________________

Regional Meet

(Signature Over Printed Name)

Date:_____________________

MALE

TFSS Form No. AR 001

AR-I (ATHLETE RECORD)

NATIONAL CAPITAL REGION
Region

VALENZUELA
Division

Latest 1 x 1 picture

A. PERSONAL DATA:
Name:

SALINEL

IVANN RAILEY

G.

(First)

(M.I.)

(Last)

Date of Birth:
(mm/dd/yy)

12/1/02

11

Age:

Sex:

Valenzuela

Place of Birth:

School: SAN MIGUEL HEIGHTS ELEMENTARY

Address of
School: RD. 5 CORNER RD 3 SAN MIGUEL HEIGHTS, MARULAS, VALENZUELA CITY
Home Address: 142 CAMIA STREET, MARULAS, VALENZUELA CITY
Parents:
HERBERT A. SALINEL

ONRUBIA G. SALINEL

Fathers Name

Mother/Guardian

Address of Parents: 142 CAMIA STREET, MARULAS, VALENZUELA CITY

B. Athlete's Participation in Local/International Competition

Inclusive Dates

Sports Event

Athletic Meet

Remarks

July 19-20,2012

BASKETBALL

UNIIT MEET

First

August 16-17,2013

BASKETBALL

DISTRICT MEET

First

September 19-20, 2013

BASKETBALL

DIVISION MEET

(Use separate sheet if necessary)

IVANN RAILEY G. SALINEL

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

Unit Meet

CZARMIEL JEROME G. NICODEMUS

District Meet

CZARMIEL JEROME G. NICODEMUS

Division Meet

CZARMIEL JEROME G. NICODEMUS

VICTORIA D. ALTOVEROS
VICTORIA D. ALTOVEROS
VICTORIA D. ALTOVEROS

(Use separate sheet if necessary)

Screened by:

Division Meet

(Signature Over Printed Name)

Date:_____________________

Regional Meet

(Signature Over Printed Name)

Date:_____________________

MALE

TFSS Form No. AR 001

AR-I (ATHLETE RECORD)

NATIONAL CAPITAL REGION
Region

VALENZUELA
Division

Latest 1 x 1 picture

A. PERSONAL DATA:
Name:

SEDO
(Last)

Date of Birth:
(mm/dd/yy)

6/15/01

BRYAN

F.

(First)

(M.I.)

12

Age:

Sex:

VALENZUELA

Place of Birth:

School: SAN MIGUEL HEIGHTS ELEMENTARY

Address of
School: RD. 5 CORNER RD 3 SAN MIGUEL HEIGHTS, MARULAS, VALENZUELA CITY
Home Address: 4080 CONCEPCION ST. MARULAS, VALENZUELA CITY
Parents:
CRIS M. SEDO

CATHERINE M. SEDO

Fathers Name

Mother/Guardian

Address of Parents: 4080 CONCEPCION ST. MARULAS, VALENZUELA CITY

B. Athlete's Participation in Local/International Competition

Inclusive Dates

Sports Event

Athletic Meet

Remarks

August 16-17,2012

BASKETBALL

UNIIT MEET

FIRST

September 20-21,2012

BASKETBALL

DISTRICT MEET

FIRST

November 8-9,2012

BASKETBALL

DIVISION MEET

FIFTH

July 19-20,2013

BASKETBALL

UNIIT MEET

FIRST

August 16-17,2013

BASKETBALL

DISTRICT MEET

FIRST

September 19-20, 2013

BASKETBALL

DIVISION MEET

(Use separate sheet if necessary)

BRYAN F. SEDO
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

Unit Meet

CZARMIEL JEROME G. NICODEMUS

District Meet

CZARMIEL JEROME G. NICODEMUS

Division Meet

CZARMIEL JEROME G. NICODEMUS

VICTORIA D. ALTOVEROS
VICTORIA D. ALTOVEROS
VICTORIA D. ALTOVEROS

(Use separate sheet if necessary)

Screened by:

Division Meet

(Signature Over Printed Name)

Date:_____________________

Regional Meet

(Signature Over Printed Name)

Date:_____________________

MALE

TFSS Form No. AR 001

AR-I (ATHLETE RECORD)

NATIONAL CAPITAL REGION
Region

VALENZUELA
Division

Latest 1 x 1 picture

A. PERSONAL DATA:
Name:

SOSOBAN

JHON MARK
(Last)

Date of Birth:
(mm/dd/yy)

Sex:

(First)

12/15/01

12

Age:

(M.I.)

Valenzuela

Place of Birth:

School: SAN MIGUEL HEIGHTS ELEMENTARY

Address of
School: RD. 5 CORNER RD 3 SAN MIGUEL HEIGHTS, MARULAS, VALENZUELA CITY
Home Address: 20 AQUARIUS STREET, SAN MIGUEL HEIGHTS, MARULAS, VALENZUELA CITY
Parents:

MA. VICTORIA SOSOBAN

Fathers Name

Mother/Guardian

Address of Parents: 20 AQUARIUS STREET, SAN MIGUEL HEIGHTS, MARULAS, VALENZUELA CITY

B. Athlete's Participation in Local/International Competition

Inclusive Dates

Sports Event

Athletic Meet

Remarks

July 19-20,2012

BASKETBALL

UNIIT MEET

First

August 16-17,2013

BASKETBALL

DISTRICT MEET

First

September 19-20, 2013

BASKETBALL

DIVISION MEET

(Use separate sheet if necessary)

JHON MARK SOSOBAN

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

Unit Meet

CZARMIEL JEROME G. NICODEMUS

District Meet

CZARMIEL JEROME G. NICODEMUS

Division Meet

CZARMIEL JEROME G. NICODEMUS

VICTORIA D. ALTOVEROS
VICTORIA D. ALTOVEROS
VICTORIA D. ALTOVEROS

(Use separate sheet if necessary)

Screened by:

Division Meet

(Signature Over Printed Name)

Date:_____________________

Regional Meet

(Signature Over Printed Name)

Date:_____________________

MALE

TFSS Form No. AR 001

AR-I (ATHLETE RECORD)

NATIONAL CAPITAL REGION
Region

VALENZUELA
Division

Latest 1 x 1 picture

A. PERSONAL DATA:
Name:

VERCELES
(Last)

Date of Birth:
(mm/dd/yy)

6/22/01

JERICHO

S.

(First)

(M.I.)

12

Age:

Sex:

Valenzuela

Place of Birth:

School: SAN MIGUEL HEIGHTS ELEMENTARY

Address of
School: RD. 5 CORNER RD 3 SAN MIGUEL HEIGHTS, MARULAS, VALENZUELA CITY
Home Address: 33 ROAD 3 SAN MIGUEL HEIGHTS, MARULAS, VALENZUELA CITY
Parents:
WILLIE R. VERCELES

MARY F. SICABALO

Fathers Name

Mother/Guardian

Address of Parents: 33 ROAD 3 SAN MIGUEL HEIGHTS, MARULAS, VALENZUELA CITY

B. Athlete's Participation in Local/International Competition

Inclusive Dates

Sports Event

Athletic Meet

Remarks

July 19-20,2012

BASKETBALL

UNIIT MEET

First

August 16-17,2013

BASKETBALL

DISTRICT MEET

First

September 19-20, 2013

BASKETBALL

DIVISION MEET

(Use separate sheet if necessary)

JERICHO S. VERCELES
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

Unit Meet

CZARMIEL JEROME G. NICODEMUS

District Meet

CZARMIEL JEROME G. NICODEMUS

Division Meet

CZARMIEL JEROME G. NICODEMUS

VICTORIA D. ALTOVEROS
VICTORIA D. ALTOVEROS
VICTORIA D. ALTOVEROS

(Use separate sheet if necessary)

Screened by:

Division Meet

(Signature Over Printed Name)

Date:_____________________

Regional Meet

(Signature Over Printed Name)

Date:_____________________

MALE