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FORM SSC.1 School Sports Club Registration Form v1

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23 views

FORM SSC.1 School Sports Club Registration Form v1

Uploaded by

jaehae215
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines

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 IX Divisio PAGADIAN CITY
n n

Name of School PAGADIAN CITY NHS School ID 303908

Address DANLUGAN, PAGADIAN CITY, ZDS

Email address (if Telephone 09076127491


any) No.

Website URL (if


any)
B.School Profile
CLASSIFICATION OF SCHOOL: Junior High School and Senior High School
DISTRICT: 12
NUMBER OF ENROLLMENT SY 2022-2023: 891
SCHOOL HEAD: Augusto D. Gavenia, EdD
NUMBER OF TEACHING PERSONNEL: 42
C.Sports Club
C.1 Mandatory Sports
At least three out of six mandatory sports; however you may establish any preferred sports club.
Add rows if necessary.
1. ARNIS
2.DANCE SPORTS
3. ATHLETICS (BOYS & GIRLS)
4. BADMINTON (BOYS & GIRLS)
5.
6.

C.2 Preferred Sports


Add rows if necessary.
1. BASEBALL (BOYS) 7.
2. VOLLEYBALL (BOYS & GIRLS) 8.
3. ATHLETICS (BOYS & GIRLS) 9.
4. ARNIS (Boys & Girls) 10.
5. SEPAK TAKRAW (BOYS) 11.
6. BADMINTON (BOYS & GIRLS) 12.

Declaration:

3F Mabini Building, DepEd Complex, Meralco Avenue, Pasig City


Telephone No.: (02) 632-9935; (02) 638-8525
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
RAUL C. POLEGO JR.
Coordinator
Signature
Date FEBRUARY 8, 2023

Certified by:
Principal/Officer-in-
AUGUSTO D. GAVENIA EdD
Charge
Signature
Date FEBRUARY 8, 2023

Verified by:
Division Sports Officer HUBERT E. PATRIARCA
Signature
Date FEBRUARY 8, 2023
This form is not valid if not signed.
Required Attached Document: Accomplished Form SSC.2 School Sports Club Attachment Form

3F Mabini Building, DepEd Complex, Meralco Avenue, Pasig City


Telephone No.: (02) 632-9935; (02) 638-8525

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