FORM SSC.1 School Sports Club Registration Form
FORM SSC.1 School Sports Club Registration Form
FORM SSC.1 School Sports Club Registration Form
Department of Education
Region I
SCHOOLS DIVISION OFFICE I PANGASINAN
INSTRUCTIONS: Input the necessary details. Indicate N/A if not applicable. DO NOT ABBREVIATE.
A. Basic Information
Region I Division Schools Division Office I Pangasinan
ROMEO C.
CATABAY RIZA OFRANCIA
HEAD TEACHER III ADMINISTRATIVE OFFICER
ALICIA C. CASIS
MASTER TEACHER I
C.Sports Club
C.1 Mandatory Sports
At least three out of six mandatory sports; however you may establish any preferred sports club.
Declaration:
I hereby declare the information provided in this application is true and correct and there have been no
misleading statements, omission of any relevant facts nor any misinterpretation made.
Prepared by:
Sports Club Coordinator JOY CAROL G. MOLINA
Signature
Date 02//03/2023
Certified by:
Principal/Officer-in-Charge ROMEO C. CATABAY
Signature
Date 02/03/2023
Verified by:
Division Sports Officer
Signature
Date
This form is not valid if not signed.
Required Attached Document: Accomplished Form SSC.2 School Sports Club Attachment Form