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001 FORM SSC.1 School Sports Club Registration Form v1 New

The document is a registration form for the School Sports Club at San Miguel Integrated School-Annex in Isabela, Philippines. It includes basic information about the school, mandatory and preferred sports, and a declaration of the accuracy of the provided information. The form requires signatures from the coordinator, principal, and division sports officer to be valid.

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5 views

001 FORM SSC.1 School Sports Club Registration Form v1 New

The document is a registration form for the School Sports Club at San Miguel Integrated School-Annex in Isabela, Philippines. It includes basic information about the school, mandatory and preferred sports, and a declaration of the accuracy of the provided information. The form requires signatures from the coordinator, principal, and division sports officer to be valid.

Uploaded by

moralescarlvictor
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 02 Divisio Isabela
n n

Name of School San Miguel Integrated School-Annex School ID 155530

Address Purok-7, San Miguel Ramon Isabela

Email address (if [email protected] Telephone N/A


any) No.

Website URL (if N/A


any)
B.School Profile

SAN MIGUEL INTEGRATED SCHOOL-ANNEX ENROLLMENT S.Y. 2023-2024

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


Telephone No.: (02) 632-9935; (02) 638-8525
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. Athletics
2. Badminton
3. Baseball
4. Basketball (5x5) and (3x3)
5. Chess
6. Football
7. Futsal
8. Table Tennis
9. Volleyball
C.2 Preferred Sports
Add rows if necessary.
1. Athletics
2. Chess

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
HARRY JAY G. CEZAR
Coordinator
Signature
Date October 28, 2024

Certified by:
Principal/Officer-in-
DIOMAR A. LUCERO
Charge
Signature
Date October 28, 2024

Verified by:
Division Sports Officer MANOLO Y. BAGUNU
Signature
Date October 28, 2024

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


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