Republic of the Philippines)

City of ________________)

AFFIDAVIT
JESSIE D. MANGLICMOT 46
I _______________________, of
legal age, _____, with postal address
2 A Altman St., West Tapinac, Olongapo City
at__________________________________________ after having duly sworn in accordance
with law hereby depose and state:

That I am presently employed in DEPED – OLONGAPO CITY

_______________________as TEACHER III
________________ ;

That I am presently employed in Gordon Heights I Elem. School

______________________ 2005
since _______________
12
or for a period of _______________;
VOLLEYBALL GIRLS - ELEM
That I was designated as coach of the _____________________________who will
participate in the 2018 Palarong Pambansa.

That all the athlete’s 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);
VOLLEYBALL GIRLS - ELEM
That all the athletes of _____________________________________, who will
participate in the 2018 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 _________

FOR PALARONG PAMBANSA ONLY

Republic of the Philippines)
City of ________________)

AFFIDAVIT

I MARLON S. NARVASA
_______________________, 43
of legal age, _____, with postal address
3 – D 26th East Bajac-Bajac Olongapo City
at__________________________________________ after having duly sworn in accordance
with law hereby depose and state:

That I am presently employed in DEPED – OLONGAPO CITY

_______________________as TEACHER I
________________ ;

That I am presently employed in Gordon Heights I Elem. School

______________________ 1999
since _______________
18
or for a period of _______________;
VOLLEYBALL GIRLS - ELEM
That I was designated as co-coach of the _____________________________;
____who will participate in the 2018 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);
VOLLEYBALL GIRLS - ELEM
That all the athletes of _____________________________________, who will
participate in the 2018 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 _________

FOR PALARONG PAMBANSA ONLY

Republic of the Philippines)
City of ________________)

AFFIDAVIT
ANNABELLE P. HERTEZ 43
I _______________________, of legal age, _____, with postal address
Lot 14 Blk 9, Firetree St., Gordon Hts. Olongapo City
at__________________________________________ after having duly sworn in accordance
with law hereby depose and state:

That I am presently employed in DEPED – OLONGAPO CITY

_______________________as TEACHER III
________________ ;

That I am presently employed in Gordon Heights I Elem. School

______________________ 1996
since _______________
21
or for a period of _______________;
VOLLEYBALL GIRLS - ELEM
That I was designated as chaperon of the _____________________________;
____who will participate in the 2018 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);
VOLLEYBALL GIRLS - ELEM
That all the athletes of _____________________________________, who will
participate in the 2018 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 _________

FOR PALARONG PAMBANSA ONLY

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 _____________ of the _____________________________;

____who will participate in the 2018 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 2018 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 _________

FOR PALARONG PAMBANSA ONLY

FOR PALARONG PAMBANSA ONLY