PARA PO SA MGA COACHES NG SPORTS,

A. STEPS KUNG PANO NYO PO GAGAWIN ANG FORM 137 NG

PLAYERS:
1. I- XEROX PO ANG ORIGINAL F-137 BACK TO BACK ( BE SURE
PO NA COMPLETE DATA ANG NAKASULAT WITH COMPLETE
GRADES NG NATAPOS NA GRADING PERIOD)
2. AFTER PO MAIXEROX IBALIK AGAD SA ADVISER ANG
ORIGINAL F137 TO AVOID MISPLACEMENT.
3. HAWAKAN PO NG COACH ANG XEROX NG F137 AND THEN
REWRITE NYO PO SA BLANK FORM NG 137 ANG IXENEROX.
NOTE: ISUSULAT NYO PO ULI NG KAMAY SA BUKOD NA
BLANK FORM ANG LAHAT NG DATA NA NASA XEROX.
4. SAKA PO PIPIRMAHAN NG ADVISER, COACH ANG PRINCIPAL
ANG BOTH XEROX AND REWRITE F137.
NOTE; HINDI PO PIPIRMAHAN ANG ORIGINAL COPY NG F137
5. BE SURE DIN PO NA NAKASULAT ANG LRN NO. NG BATA
6. KUNG ANG PLAYER NYO PO AY TRANSFER GALING PRIVATE
WALA PO SILANG LRN NO.
B. NSO OF PLAYERS
1. XEROX ANG ORIGINAL PO ANG DAPAT NA NAKALAGAY SA
FOLDER NG PLAYER.: NO NSO, NO PLAY.
2. KUNG 2 PAGES PO ANG NSO NG BATA PAREHAS PONG
IXEXEROX . PIPIRMAHAN DIN PO NG COACH, ADVISER AT
PRINCIPAL ANG XEROX NG NSO.
ILAGAY PO SA FOLDER ANG DOCUMENTS NG PLAYER SA TAMANG
PAGKAKASUNOD AYON PO SA LIST SA NEXT PAGE.

REQUIREMENT DOCUMENTS OF ATHLETES

1.
2.
3.
4.
5.
6.
7.
8.
9.

AR-1
NSO ORIGINAL
NSO PHOTOCOPY
FORM 137 (XEROX AND REWRITE)
CERTIFICATE OF ENROLMENT
PARENTS PERMIT
MEDICAL CERTIFICATE
DENTAL FORM
OTHERS:
- PICTURE: SIZE 1.5 X 1.5
USE PHOTO PAPER WITH NAME TAG ( SURNAME, NAME,
MIDDLE INITIAL, YEAR LEVEL/GRADE LEVEL)
6 PIECES
WHITE BACKGROUD
REMINDERS
AVOID FRICTION PEN
USE BLACK PEN ONLY
NO ERASURES

NOTE:

AFFIDAVIT AND CERTIFICATE OF EMPLOYMENT AY PARA PO SA MGA COACHES

LAMANG

Republic of the Philippines

Department of Education
IV-A CALABARZON
(Region)

CAVITE
(Division)

KAONG ELEMENTARY
(School)

KAONG SILANG CAVITE

(School Address)

CERTIFICATE OF ENROLMENT

Date: _______________

To Whom It May Concern:

This is to certify that Kyllie Ann Portia H.Abunda has enrolled for the School Year
2015-2016.

GLORIA A.VIDEA
Principal/School Head/Registrar
(Signature Over Printed Name)

Republic of the Philippines)

City of ________________)

AFFIDAVIT
I _______________________, of legal age, __________________, with postal
address at__________________________________________ after having duly sworn in
accordance with law hereby depose and state:

That I am presently employed in _______________________as ________________ ;

That I am presently employed in ______________________ since _______________
or for a period of _______________;
That I was designated as coach of the _____________________________;
____________________ who will participate in the 20___ Palarong Pambansa.
That all the athletes records submitted are true and correct to the best of my personal
knowledge;
That all the athletes are not members of the National Team, National Training Pool
and Development Pool receiving monthly stipend/allowance from the Philippine Sports
Commission (PSC);
That all the athletes of _____________________________________, ____________
______________, who will participate in the 20___ Palarong Pambansa are eligible to play;
That I execute this Affidavit to attest to the authenticity and veracity of all the
documents submitted.
______________________, __________________
__________________
Affiant

SUBSCRIBED and sworn to before me in ______________, this day

____________of month 20___, affiant executing his/her Community Tax Certificate No.
___________, issued at _________ on _____________.
_______________________
Notary Public
Doc. No. _________
Page No.__________
Book No._________
Series of _________
Republic of the Philippines

Department of Education
________________________
(Region)

______________________________
(Division)

______________________________
(School)

______________________________
(School Address)

CERTIFICATE OF COMPLETION
Date: _______________

To Whom It May Concern:

This is to certify that _________________________________________ has
completed the Grade/Year ______ (Elementary/Secondary Level) for the School Year
_______________.
.

School Head/Registrar
(Signature Over Printed Name)

For Palarong Pambansa only

Republic of the Philippines

Department of Education
________________________
(Region)

______________________________
(Division)

CERTIFICATE OF EMPLOYMENT
(for Public Schools/DepED Personnel)

Date ______________________

To Whom It May Concern:

This is to certify that Mr./Ms.

_________________________________ is

presently employed in _______________________ as ______________, since

_____________________or for a period of _______________________.

This

certification

_________________________

is
to

issued

coach

in

upon
Palarong

the

request

Pambansa

20__

___________________________.

_______________________________
School Head/Administrative
Officer

of
at

Republic of the Philippines

Department of Education
IV-A CALABARZON
(Region)

CAVITE
___________________________________
(Division)

KAONG ELEMENTARY
___________________________________
(School)

KAONG SILANG CAVITE

(School Address)

__

M E D I C AL C E R T I F I C AT E
LRN10812309002
September 22,2015
(Date)

To Whom It May Concern:

This is to certify that

I have personally examined

Kyllie Ann Portia H. Abunda

Name

age 12 sex F

born on January 30,2003 and have found that he/she is physically fit, during

the time of examination, to join and compete in the ECSU Meet.

Event:VOLLEYBALL(GIRLS)
Physical Examination
Date examined: _______________
Height
Pulse, Resting
Other Remarks:

Weight:

Blood Pressure
Respiratory Rate

____________________________
Physician/Medical Officer
(Signature over printed name)
License No. __________________
PTR.: ____________________
Date: ____________________

Republic of the Philippines

Department of Education
IV-A CALABARZON
(Region)

CAVITE
___________________________________
(Division)

KAONG ELEMENTARY
___________________________________
(School)

KAONG SILANG CAVITE

(School Address)

P A R E N TA L C O N S E N T
I/We hereby willingly and voluntarily give consent the participation of my/our
son/daughter KYLLIE ANN PORTIA H.ABUNDA in the ECSU Meet 2015
I / We have considered the benefits that my son or daughter will derive from his/her
participation in this activity provided that due care and precaution will be observed to ensure
the comfort and safety of my son/daughter and that DepED employees and personnel may
not be held responsible for any untoward incident that may happen beyond their control.
Signature of Father

Signature of Mother

RICARDO A.ABUNDA
Name of Father

Name of Mother

Signature of Guardian over Printed name

(Relationship with the Athlete)

Verified by

FLORINDA S ROSAL

Adviser
GLORIA A.VIDEA
School Head