Athletes Record

Form No.
AR 001
AR-I (ATHLETE RECORD)
IV-A (CALABARZON)
Region
BATANGAS PROVINCE
Latest 1½ x 1½ picture
Division
A. PERSONAL DATA:
Name: MACASPAC RHOMA T. Sex: FEMALE

(Last) (First) (M.I.)
Date of Birth: (mm/dd/yy) 08/14/98 Age: 16 Place of Birth: RIZAL MEDICAL CENTER, PASIG CITY
School: SANTIAGO NATIONAL HIGH SCHOOL
Address of School: SANTIAGO, MALVAR, BATANGAS
Home Address: SANTIAGO, MALVAR, BATANGAS
Parents: RENATO M. MACASPAC MINA T. MACASPAC
Fathers Name Mother/Guardian
Address of Parents: SANTIAGO, MALVAR, BATANGAS
B. Athlete's Participation in Local/International Competition

Inclusive Dates Sports Event Athletic Meet Remarks
2014-2015 Basketball School Intramurals Champion
2014-2015 Basketball District Level
(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
Basketball Mark Limuel M. Hernandez
Screened by:
Division Meet Regional Meet
(Signature over Printed Name) (Signature over Printed Name)
Date: Date:
Form No. AR 001
IV-A (CALABARZON)
Region
BATANGAS PROVINCE
Division
A. PERSONAL DATA:
Name: LEONA ANDREA M. Sex: FEMALE

Date of Birth: (mm/dd/yy) 02/05/99 Age: 15 Place of Birth: LUTA NORTE, MALVAR, BATANGAS
Home Address: LUTA NORTE, MALVAR, BATANGAS
Parents: JOSE ADEMAR B. LEONA ESPERANZA M. LEONA
Address of Parents: LUTA NORTE, MALVAR, BATANGAS

Athlete's Signature
in the lower meets.
Screened by:
Date: Date:
Form No. AR 001
IV-A (CALABARZON)
Region
BATANGAS PROVINCE
Division
A. PERSONAL DATA:
Name: AREVALO DIANNE P. Sex: FEMALE

Date of Birth: (mm/dd/yy) 03/25/98 Age: 16 Place of Birth: SAN FERNANDO, MALVAR, BATANGAS

Home Address: SAN FERNANDO, MALVAR, BATANGAS
Parents: BENJAMIN AREVALO RIENEROSE P. AREVALO
Address of Parents: SAN FERNANDO, MALVAR, BATANGAS

Athlete's Signature
in the lower meets.
Screened by:
Date: Date:
Form No. AR 001
IV-A (CALABARZON)
Region
BATANGAS PROVINCE
Division
A. PERSONAL DATA:
Name: MENDOZA TRISHIA C. Sex: FEMALE

Date of Birth: (mm/dd/yy) 06/07/01 Age: 13 Place of Birth: C.P.REYES HOSPITAL,TANAUAN CITY,BATANGAS

Parents: JERRY S. MENDOZA EMELY C. MENDOZA

Athlete's Signature
in the lower meets.
Screened by:
Date: Date:
Form No. AR 001
IV-A (CALABARZON)
Region
BATANGAS PROVINCE
Division
A. PERSONAL DATA:
Name: WAGAN ABYGAIL M. Sex: FEMALE

Date of Birth: (mm/dd/yy) 11/06/97 Age: 17 Place of Birth: SAN JUAN,MALVAR,BATANGAS

Home Address: SAN JUAN, MALVAR, BATANGAS
Parents: ROMEO WAGAN CORAZON WAGAN
Address of Parents: SAN JUAN, MALVAR, BATANGAS

Athlete's Signature
in the lower meets.
Screened by:
Date: Date:
Form No. AR 001
IV-A (CALABARZON)
Region
BATANGAS PROVINCE
Division
A. PERSONAL DATA:
Name: ELEC MARIVIC A. Sex: FEMALE

Date of Birth: (mm/dd/yy) 09/23/00 Age: 14 Place of Birth: LUTA NORTE,MALVAR,BATANGAS

Home Address: LUTA NORTE,MALVAR,BATANGAS
Parents: VICTOR L. ELEC MILAFE A. ELEC
Address of Parents: LUTA NORTE,MALVAR,BATANGAS

Athlete's Signature
in the lower meets.
Screened by:
Date: Date:
Form No. AR 001
IV-A (CALABARZON)
Region
BATANGAS PROVINCE
Division
A. PERSONAL DATA:
Name: RICAFLANCA MARIEFEL D. Sex: FEMALE


Home Address: LUTA NORTE,MALVAR,BATANGAS
Parents: ROLANDO RICAFLANCA VIRGINIA RICAFLANCA
Address of Parents: LUTA NORTE,MALVAR,BATANGAS

Athlete's Signature
in the lower meets.
Screened by:
Date: Date:
Form No. AR 001
IV-A (CALABARZON)
Region
BATANGAS PROVINCE
Division
A. PERSONAL DATA:
Name: VILLANUEVA SHAINA D. Sex: FEMALE


Parents: RAMIEL D. VILLANUEVA ROSALINA D.VILLANUEVA

Athlete's Signature
in the lower meets.
Screened by:
Date: Date:
Form No. AR 001
IV-A (CALABARZON)
Region
BATANGAS PROVINCE
Division
A. PERSONAL DATA:
Name: ONA CHRISTINE JOYCE D. Sex: FEMALE

Date of Birth: (mm/dd/yy) 06/01/01 Age: 13 Place of Birth: SANTIAGO, MALVAR, BATANGAS
Parents: RONALDO P. ONA MELODY D. ONA

Athlete's Signature
in the lower meets.
Screened by:
Date: Date:
Form No. AR 001
IV-A (CALABARZON)
Region
BATANGAS PROVINCE
Division
A. PERSONAL DATA:
Name: REGALA MARIA JOY D. Sex: FEMALE


Parents: RUBEN O. REGALA LOVITA D. REGALA

Athlete's Signature
in the lower meets.
Screened by:
Date: Date:
Form No. AR 001
IV-A (CALABARZON)
Region
BATANGAS PROVINCE
Division
A. PERSONAL DATA:
Name: VILLEGAS ADRIAN L. Sex: MALE

Date of Birth: (mm/dd/yy) 03/23/97 Age: 17 Place of Birth: SAN VICENTE, STO. TOMAS, BATANGAS

Parents: RONALD P. VILLEGAS SHIRLEY l. VILLEGAS

2014-2015 Volleyball School Intramurals Champion
2014-2015 Volleyball District Level
Athlete's Signature
in the lower meets.
Volleyball Racel S. Maclang
Screened by:
Date: Date:
Form No. AR 001
IV-A (CALABARZON)
Region
BATANGAS PROVINCE
Division
A. PERSONAL DATA:
Name: ABRENICA KIM HAROLD M Sex: MALE

Date of Birth: (mm/dd/yy) 01/14/98 Age: 16 Place of Birth: SANTIAGO,MALVAR,BATANGAS

Parents: ARIEL S. ABRENICA RIZZA M. ABRENICA

Athlete's Signature
in the lower meets.
Screened by:
Date: Date:
Form No. AR 001
IV-A (CALABARZON)
Region
BATANGAS PROVINCE
Division
A. PERSONAL DATA:
Name: GARCIA, JR. RAMON M. Sex: MALE

Date of Birth: (mm/dd/yy) 04/21/98 Age: 17 Place of Birth: DAGATAN,LIPA CITY,BATANGAS

Home Address: SAN PIOQUINTO, MALVAR, BATANGAS
Parents: RAMON A. GARCIA, SR. ELVIRA M. GARCIA
Address of Parents: SAN PIOQUINTO, MALVAR, BATANGAS

Athlete's Signature
in the lower meets.
Screened by:
Date: Date:
Form No. AR 001
IV-A (CALABARZON)
Region
BATANGAS PROVINCE
Division
A. PERSONAL DATA:
Name: SALON RENZ JULIUZ M. Sex: MALE

ST. MARTIN DE PORRES CHARITY
Date of Birth: (mm/dd/yy) 07/20/97 Age: 17 Place of Birth: HOSPITAL,SAN JUAN, METRO MANILA

Parents: REY F. SALON KARISSA M. SALON

Athlete's Signature
in the lower meets.
Screened by:
Date: Date:
Form No. AR 001
IV-A (CALABARZON)
Region
BATANGAS PROVINCE
Division
A. PERSONAL DATA:
Name: REYES KHENIETH G. Sex: MALE

Date of Birth: (mm/dd/yy) 08/06/99 Age: 15 Place of Birth:

LIPA CITY, DISTRICT HOSPITAL,LIPA CITY,BATANGAS

Parents: MICHAEL C. REYES RUBYLYN G. REYES

Athlete's Signature
in the lower meets.
Screened by:
Date: Date:
Form No. AR 001
IV-A (CALABARZON)
Region
BATANGAS PROVINCE
Division
A. PERSONAL DATA:
Name: ECIJA RHADNIE L. Sex: MALE


Parents: RADINO M. ECIJA SHERLY L. ECIJA

Athlete's Signature
in the lower meets.
Screened by:
Date: Date:
Form No. AR 001
IV-A (CALABARZON)
Region
BATANGAS PROVINCE
Division
A. PERSONAL DATA:
Name: ABRENICA JOREN L Sex: MALE


LIPA CITY DISTRICT HOSPITAL, LIPA CITY, BATANGAS

Parents: EFREN T. ABRENICA ISIDRA M. LAT

Athlete's Signature
in the lower meets.
Screened by:
Date: Date:
Form No. AR 001
IV-A (CALABARZON)
Region
BATANGAS PROVINCE
Division
A. PERSONAL DATA:
Name: FUENTES JERIC JAMES E. Sex: MALE

Date of Birth: (mm/dd/yy) 07/18/00 Age: 14 Place of Birth: SANTIAGO,MALVAR,BATANGAS

Parents: PEDERITO G. FUENTES JENEFER E. FUENTES

Athlete's Signature
in the lower meets.
Screened by:
Date: Date:
Form No. AR 001
IV-A (CALABARZON)
Region
BATANGAS PROVINCE
Division
A. PERSONAL DATA:
Name: VILLANUEVA JUNE JUNE R Sex: MALE

Parents: HENRY M. VILLANUEVA LYDIA P. ROLLOQUE

Athlete's Signature
in the lower meets.
Screened by:
Date: Date:
Form No. AR 001
IV-A (CALABARZON)
Region
BATANGAS PROVINCE
Division
A. PERSONAL DATA:
Name: DE VILLA JERICSON M. Sex: MALE

Date of Birth: (mm/dd/yy) 12/24/98 Age: 16 Place of Birth: LABUIN, STA. CRUZ, LAGUNA
Parents: JERRY S. DE VILLA LORELIE M. DE VILLA

Athlete's Signature
in the lower meets.
Screened by:
Date: Date:
Form No. AR 001
IV-A (CALABARZON)
Region
BATANGAS PROVINCE
Division
A. PERSONAL DATA:
Name: ARAPELES KENT LEXTER O. Sex: MALE

Date of Birth: (mm/dd/yy) 05/15/00 Age: 14 Place of Birth: PAGASPAS,TANAUAN,BATANGAS

Parents: VIRGILIO ARAPELES FABIOLA O. ARAPELES

Athlete's Signature
in the lower meets.
Screened by:
Date: Date:
Form No. AR 001
IV-A (CALABARZON)
Region
BATANGAS PROVINCE
Division
A. PERSONAL DATA:
Name: ANGLO DARREN ANGELO A. Sex: MALE


LIPA CITY DISTRICT HOSPITAL LIPA CITY,BATANGAS

Parents: DELFIN ANGLO AIDA A. ANGLO

2014-2015 Sepak Takraw School Intramurals Champion
2014-2015 Sepak Takraw District Level
Athlete's Signature
in the lower meets.
Sepak Takraw Joseph Leo C. De Guzman
Screened by:
Date: Date:
Form No. AR 001
IV-A (CALABARZON)
Region
BATANGAS PROVINCE
Division
A. PERSONAL DATA:
Name: LAT GLENN DAVID A. Sex: MALE

Date of Birth: (mm/dd/yy) 01/18/98 Age: 16 Place ofLAUREL

Birth: MEM. DISTRICT HOSP,TANAUAN,BATANGAS
Home Address: BAGONG POOK, MALVAR, BATANGAS
Parents: GUILLERMO D. LAT ROSEMARIE A. LAT
Address of Parents: BAGONG POOK, MALVAR, BATANGAS

Athlete's Signature
in the lower meets.
Screened by:
Date: Date:
Form No. AR 001
IV-A (CALABARZON)
Region
BATANGAS PROVINCE
Division
A. PERSONAL DATA:
Name: BALUARTE CHRISMARK R. Sex: MALE

Date of Birth: (mm/dd/yy) 12/15/97 Age: 17 Place of Birth:PRAGMATIC, STO. TOMAS,BINAN,LAGUNA

Parents: RENE BOY E. BALUARTE MARY JOY ROSARIO R. BALUARTE

Athlete's Signature
in the lower meets.
Screened by:
Date: Date:
Form No. AR 001
IV-A (CALABARZON)
Region
BATANGAS PROVINCE
Division
A. PERSONAL DATA:
Name: LAYAG JEFFERSON O. Sex: MALE

LIPA CITY DISTRICT HOSPITAL,
Date of Birth: (mm/dd/yy) 05/31/99 Age: 15 Place of Birth: LIPA CITY, BATANGAS
Parents: EMILIO M. LAYAG PRESIE O. LAYAG

Athlete's Signature
in the lower meets.
Screened by:
Date: Date:
Form No. AR 001
IV-A (CALABARZON)
Region
BATANGAS PROVINCE
Division
A. PERSONAL DATA:
Name: ABRIQUE WARREN P Sex: MALE

Parents: PACIFICO A. ABRIQUE JR. CHONA D. PARAN

Athlete's Signature
in the lower meets.
Screened by:
Date: Date:
Form No. AR 001
IV-A (CALABARZON)
Region
BATANGAS PROVINCE
Division
A. PERSONAL DATA:
Name: REYES KIM JUSTINE G. Sex: MALE

Date of Birth: (mm/dd/yy) 04/19/01 Age: 13 Place of Birth: DAGATAN,LIPA CITY,BATANGAS

Parents: MICHAEL C. REYES RUBYLYN G. REYES

Athlete's Signature
in the lower meets.
Screened by:
Date: Date:
Form No. AR 001
IV-A (CALABARZON)
Region
BATANGAS PROVINCE
Division
A. PERSONAL DATA:
Name: PICA VINCE ANGELO Sex: MALE

Parents: EDUARDO O. DIZON LINDA P. DIZON

Athlete's Signature
in the lower meets.
Screened by:
Date: Date:
Form No. AR 001
IV-A (CALABARZON)
Region
BATANGAS PROVINCE
Division
A. PERSONAL DATA:
Name: MALALUAN JOHN JULIUS D Sex: MALE

Parents: CELSO A. MALALUAN LUCITA D. MALALUAN

Athlete's Signature
in the lower meets.
Screened by:
Date: Date:
Form No. AR 001
IV-A (CALABARZON)
Region
BATANGAS PROVINCE
Division
A. PERSONAL DATA:
Name: BOLANOS GIDEON M. Sex: MALE

Date of Birth: (mm/dd/yy) 02/01/97 Age: 17 Place of Birth: BALINAD, POLANGUI, ALBAY
Parents: HONORIO BOLANOS CECILIA MALABANAN

2014-2015 Chess School Intramurals Champion
2014-2015 Chess District Level
Athlete's Signature
in the lower meets.
Chess Joana Marie A. Mauhay
Screened by:
Date: Date:
Form No. AR 001
IV-A (CALABARZON)
Region
BATANGAS PROVINCE
Division
A. PERSONAL DATA:
Name: CASEQUIN ARCHIE C. Sex: MALE

Date of Birth: (mm/dd/yy) 02/10/02 Age: 12 Place of Birth: SAN JOSE,BANI,PANGASINAN

Home Address: BAGONG POOK,MALVAR,BATANGAS
Parents: RUFINO C. CASEQUIN ARCELI C. CASEQUIN
Address of Parents: BAGONG POOK,MALVAR,BATANGAS

Athlete's Signature
in the lower meets.
Screened by:
Date: Date:
Form No. AR 001
IV-A (CALABARZON)
Region
BATANGAS PROVINCE
Division
A. PERSONAL DATA:
Name: ORIAS PAUL JEROME Sex: MALE

Date of Birth: (mm/dd/yy) 03/01/99 Age: 15 Place of Birth: SAN FERNANDO,MALVAR,BATANGAS

Parents: (unknown) LORNA T. ORIAS

Athlete's Signature
in the lower meets.
Screened by:
Date: Date:
Form No. AR 001
IV-A (CALABARZON)
Region
BATANGAS PROVINCE
Division
A. PERSONAL DATA:
Name: BORNILLA FITZ PATRICT A. Sex: MALE

Date of Birth: (mm/dd/yy) 11/11/01 Age: 13 Place of Birth: SAN NICOLAS,IRIGA CITY,CAMARINES SUR

Parents: DANDY B. BORNILLA ANALIZA A. BORNILLA

Athlete's Signature
in the lower meets.
Screened by:
Date: Date:
Form No. AR 001
IV-A (CALABARZON)
Region
BATANGAS PROVINCE
Division
A. PERSONAL DATA:
Name: CADAY PATRICK JAMES C Sex: MALE

Date of Birth: (mm/dd/yy) 01/25/02 Age: 12 Place of Birth: LIPA CITY, DISTRICT HOSPITAL,LIPA CITY,BATANGAS

Home Address: BAGONG POOK,MALVAR,BATANGAS
Parents: EUTEMIO D. CADAY MARY ANN C.CADAY
Address of Parents: BAGONG POOK,MALVAR,BATANGAS

Athlete's Signature
in the lower meets.
Screened by:
Date: Date:
Form No. AR 001
IV-A (CALABARZON)
Region
BATANGAS PROVINCE
Division
A. PERSONAL DATA:
Name: OCAMPO NICA SOFIA MARIA S. Sex: FEMALE

Date of Birth: (mm/dd/yy) 05/26/02 Age: 12 Place of25Birth:

VISAYAS ST. FILIPINAS,VILLAGE,MALANDAY,MARIKINA CITY

Parents: RAMIL OCAMPO MARITES S. OCAMPO

Athlete's Signature
in the lower meets.
C. Athlete's Participation Coaches Division PESS Supervisor/s
Screened by:
Date: Date:
Form No. AR 001
IV-A (CALABARZON)
Region
BATANGAS PROVINCE
Division
A. PERSONAL DATA:
Name: ABRENICA KIMBERLY M. Sex: FEMALE

Parents: ARIEL S. ABRENICA RIZZA B. ABRENICA

Athlete's Signature
in the lower meets.
Screened by:
Date: Date:

Athletes Record

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Athletes Record

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Form No.

AR-I (ATHLETE RECORD)

Name: MACASPAC RHOMA T. Sex: FEMALE

B. Athlete's Participation in Local/International Competition

(Use separate sheet if necessary)

(Use separate sheet if necessary)

Division Meet Regional Meet

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

AR-I (ATHLETE RECORD)

Name: LEONA ANDREA M. Sex: FEMALE

B. Athlete's Participation in Local/International Competition

(Use separate sheet if necessary)

(Use separate sheet if necessary)

Division Meet Regional Meet

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

AR-I (ATHLETE RECORD)

Name: AREVALO DIANNE P. Sex: FEMALE

School: SANTIAGO NATIONAL HIGH SCHOOL

B. Athlete's Participation in Local/International Competition

(Use separate sheet if necessary)

(Use separate sheet if necessary)

Division Meet Regional Meet

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

AR-I (ATHLETE RECORD)

Name: MENDOZA TRISHIA C. Sex: FEMALE

School: SANTIAGO NATIONAL HIGH SCHOOL

B. Athlete's Participation in Local/International Competition

(Use separate sheet if necessary)

(Use separate sheet if necessary)

Division Meet Regional Meet

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

AR-I (ATHLETE RECORD)

Name: WAGAN ABYGAIL M. Sex: FEMALE

Date of Birth: (mm/dd/yy) 11/06/97 Age: 17 Place of Birth: SAN JUAN,MALVAR,BATANGAS

B. Athlete's Participation in Local/International Competition

(Use separate sheet if necessary)

(Use separate sheet if necessary)

Division Meet Regional Meet

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

AR-I (ATHLETE RECORD)

Name: ELEC MARIVIC A. Sex: FEMALE

Date of Birth: (mm/dd/yy) 09/23/00 Age: 14 Place of Birth: LUTA NORTE,MALVAR,BATANGAS

B. Athlete's Participation in Local/International Competition

(Use separate sheet if necessary)

(Use separate sheet if necessary)

Division Meet Regional Meet

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

AR-I (ATHLETE RECORD)

Name: RICAFLANCA MARIEFEL D. Sex: FEMALE

Date of Birth: (mm/dd/yy) 11/25/99 Age: 15 Place of Birth: LUTA NORTE,MALVAR,BATANGAS

B. Athlete's Participation in Local/International Competition

(Use separate sheet if necessary)

(Use separate sheet if necessary)

Division Meet Regional Meet

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

AR-I (ATHLETE RECORD)

Name: VILLANUEVA SHAINA D. Sex: FEMALE

School: SANTIAGO NATIONAL HIGH SCHOOL

B. Athlete's Participation in Local/International Competition

(Use separate sheet if necessary)

(Use separate sheet if necessary)

Division Meet Regional Meet

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

AR-I (ATHLETE RECORD)