PANGASINAN II

Division
ELEMENTARY
Level

SEPAK
Event

JENNIFER B. BIALEN RENWEL JHON A. PAGUSAN

Name of Coach Name of Chaperon
DIVINE GRACE MONTESSORI AND Name DIVINE GRACE MONTESSORI AND
HIGH SCHOOL OF PANGASINAN, INC. School HIGH SCHOOL OF PANGASINAN, INC.

AR-1
Local/NSO Birth Certificate
Form 137
Certificate of Enrolment
Parental Consent
Medical Certificate
ZIAN GELO C. SORIA Name of Athlete CHIRSTIAN DELFIN R. CABARLIZA
JULY 18,2012 Date of Birth APRIL 30,2012
D IVIN E G R A C E M O N T E S S O R I H S - T A YUG School D IVIN E G R A C E M O N T E S S O R I H S - T A YUG
412016 BEIS School ID 412016
TAYUG, PANGASINAN School Address TAYUG, PANGASINAN

AR-1
Local/NSO Birth Certificate
Form 137
Certificate of Enrolment
Parental Consent
Medical Certificate
KING RHOD I. CUSTODIO Name of Athlete
APRIL 23,2015 Date of Birth
D IVIN E G R A C E M O N T E S S O R I H S - T A YUG School D IVIN E G R A C E M O N T E S S O R I H S - T A YUG
412016 BEIS School ID 412016
TAYUG, PANGASINAN School Address TAYUG, PANGASINAN

AR-1
Local/NSO Birth Certificate
Form 137
Certificate of Enrolment
Parental Consent
Medical Certificate
Name of Athlete
Date of Birth
D IVIN E G R A C E M O N T E S S O R I H S - T A YUG School D IVIN E G R A C E M O N T E S S O R I H S - T A YUG
412016 BEIS School ID 412016
TAYUG, PANGASINAN School Address TAYUG, PANGASINAN
 PANGASINAN II
Division
ELEMENTARY
Level

SEPAK
Event

JENNIFER B. BIALEN RENWEL JHON A. PAGUSAN

Name of Coach Name of Chaperon
DIVINE GRACE MONTESSORI AND Name DIVINE GRACE MONTESSORI AND
HIGH SCHOOL OF PANGASINAN, INC. School HIGH SCHOOL OF PANGASINAN, INC.

AR-1
Local/NSO Birth Certificate
Form 137
Certificate of Enrolment
Parental Consent
Medical Certificate
JOHAN C. BONCATO Name of Athlete AJ JANHART R. AROMIN
FEBRUARY 4,2011 Date of Birth AUGUST 20,2011
D IVIN E G R A C E M O N T E S S O R I H S - T A YUG School D IVIN E G R A C E M O N T E S S O R I H S - T A YUG
412016 BEIS School ID 412016
TAYUG, PANGASINAN School Address TAYUG, PANGASINAN

AR-1
Local/NSO Birth Certificate
Form 137
Certificate of Enrolment
Parental Consent
Medical Certificate
ERIC M. ARGUEZA JR. Name of Athlete GIAN CARL M. OGACO
NOVEMBER 19,2010 Date of Birth AUGUST 5,2011
D IVIN E G R A C E M O N T E S S O R I H S - T A YUG School D IVIN E G R A C E M O N T E S S O R I H S - T A YUG
412016 BEIS School ID 412016
TAYUG, PANGASINAN School Address TAYUG, PANGASINAN

AR-1
Local/NSO Birth Certificate
Form 137
Certificate of Enrolment
Parental Consent
Medical Certificate
JOHNPAUL WOMFFREY P. PALARCA Name of Athlete YLIAN STEVEN PAZ
JANUARY 6,2012 Date of Birth OCTOBER 2,2011
D IVIN E G R A C E M O N T E S S O R I H S - T A YUG School D IVIN E G R A C E M O N T E S S O R I H S - T A YUG
412016 BEIS School ID 412016
TAYUG, PANGASINAN School Address TAYUG, PANGASINAN