FORM SSC.1 School Sports Club Registration Form v1
FORM SSC.1 School Sports Club Registration Form v1
FORM SSC.1 School Sports Club Registration Form v1
Department of Education
BUREAU OF LEARNER SUPPORT SERVICES
FORM SSC.1: SCHOOL SPORTS CLUB REGISTRATION FORM
INSTRUCTIONS: Input the necessary details. Indicate N/A if not applicable. DO NOT ABBREVIATE.
A. Basic Information
Regio IV-A CALABARZON Divisio SANTA ROSA CITY
n n
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 SALVADOR G. CASTAÑEDA
Signature
Date 10/28/2024
Certified by:
Principal/Officer-in-
FRANCIS G. BALTAZAR
Charge
Signature
Date 10/28/2024
Verified by:
Division Sports Officer MARIO V. ZANTUA
Signature
Date 10/28/2024
This form is not valid if not signed.
Required Attached Document: Accomplished Form SSC.2 School Sports Club Attachment Form