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    PSC Athletes Profile

    Uploaded by

    jonaifahmangigin
    This document is an athlete profile form to be submitted to the NSA Affairs Office. It requests personal information such as name, date of birth, address, citizenship, height, weight, education history, and sport achievements. Photocopies of identification documents must be attached. The athlete declares the information provided is true and correct and authorizes verification by the PSC and other government agencies.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd

    PSC Athletes Profile

    Uploaded by

    jonaifahmangigin
    30 views4 pages
    This document is an athlete profile form to be submitted to the NSA Affairs Office. It requests personal information such as name, date of birth, address, citizenship, height, weight, education history, and sport achievements. Photocopies of identification documents must be attached. The athlete declares the information provided is true and correct and authorizes verification by the PSC and other government agencies.

    Original Title

    Psc Athletes Profile

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    This document is an athlete profile form to be submitted to the NSA Affairs Office. It requests personal information such as name, date of birth, address, citizenship, height, weight, education history, and sport achievements. Photocopies of identification documents must be attached. The athlete declares the information provided is true and correct and authorizes verification by the PSC and other government agencies.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    30 views4 pages

    PSC Athletes Profile

    Uploaded by

    jonaifahmangigin
    This document is an athlete profile form to be submitted to the NSA Affairs Office. It requests personal information such as name, date of birth, address, citizenship, height, weight, education history, and sport achievements. Photocopies of identification documents must be attached. The athlete declares the information provided is true and correct and authorizes verification by the PSC and other government agencies.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    of 4

    * Kindly accomplish this form and submit to NSA Affairs Office with complete details.

    Indicate N/A if not applicable.


    ** Photocopy of Birth Certificate, Passport and Certificates of participation or attendance must be attached to this form

    SPORT EVENT/CATEGORY
    NAME OF COACH
    ID picture taken within the
    IF WORKING, Please specify : last 6 months
    CLASSIFICATION ATHLETE

    PERSONAL
    INFORMATION
    SURNAME
    NAME EXTENSION (JR., SR)
    FIRST NAME
    MIDDLE NAME
    NATIONAL POOL SINCE CITIZENSHIP FILIPINO

    DATE OF BIRTH (mm/dd/yyyy)

    PLACE OF BIRTH If holder of dual citizenship, NAME OF COUNTRY:

    CIVIL STATUS PROVINCIAL ADDRESS


    House/Block/Lot No. Street/Subdivision/Village

    Barangay/City/Municipality Province
    RESIDENTIAL ADDRESS
    House/Block/Lot No. Street/Subdivision/Village
    ROSARY HEIGHTS 1, COTABATO CITY COTABATO
    SEX
    Barangay/City/Municipality Province
    PSC ID NUMBER HEIGHT (m) WEIGHT (kg)
    PASSPORT NUMBER PASSPORT VALID UNTIL SSS NUMBER
    PAG-IBIG (MID) NUMBER PHILHEALTH NUMBER
    CONTACT INFORMATION
    TELEPHONE NUMBER EMAIL ADDRESS

    SOCIAL MEDIA ACCOUNTS USERNAME


    MOBILE NUMBER (Facebook, Twitter, Instagram, etc.)
    FAMILY BACKGROUND
    SPOUSE'S NAME (Surname, NAME of CHILDREN (Write full name and list all) DATE OF BIRTH
    First Name, Middle Name) (mm/dd/yyyy)
    OCCUPATION
    EMPLOYER/BUSINESS NAME
    TELEPHONE NO.
    FATHER'S NAME (Surname,
    First Name, Middle Name)
    MOTHER'S NAME (Surname,
    First Name, Middle Name)
    (Continue on separate sheet if necessary)
    EDUCATIONAL BACKGROUND
    HIGHEST
    NAME OF SCHOOL BASIC EDUCATION/DEGREE/COURSE PERIOD OF LEVEL/ SCHOLARSHIP
    LEVEL (Write in full) ATTENDANCE UNITS YEAR / ACADEMIC
    EARNED GRADUATED HONORS
    (Write in full) From To (if not RECEIVED
    graduated)
    ELEMENTARY

    SECONDARY
    VOCATIONAL /

    COLLEGE
    TRADE COURSE
    GRADUATE STUDIES

    SPECIMEN SIGNATURE OF ATHLETE DATE MARCH 14, 2024

    SOLDIER-ATHLETE INFORMATION (For Enlisted Personnel Only)


    UNIT (AFP/PNP/CG/BFP) BADGE NUMBER

    LOCAL ACHIEVEMENTS (starting with the most recent) **

    YEAR NAME OF COMPETITION COUNTRY / VENUE MEDAL / RANK (Indicate number of COACH
    participants)

    (Continue on separate sheet if necessary)


    INTERNATIONAL ACHIEVEMENTS (starting with the most recent) **

    YEAR NAME OF COMPETITION COUNTRY / VENUE MEDAL / RANK (Indicate number of COACH
    participants)

    (Continue on separate sheet if necessary)


    I declare under oath that I have personally accomplished this Athlete Profile Form which is a true, correct and complete statement pursuant to the provisions
    of pertinent laws, rules and regulations of the Republic of the Philippines. I authorize PSC and other government agencies to verify/validate the contents
    stated herein. I agree that any misrepresentation made in this document and its attachments shall cause the filing of administrative/criminal case/s against
    me.
    VERIFIED BY:
    SIGNATURE OF ATHLETE / DATE ACCOMPLISHED SIGNATURE OVER PRINTED NAME

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