AR-I (ATHLETE RECORD)
Region
Division
Latest 1½ x 1½ picture
A. PERSONAL DATA:
Name:
(Last)
Sex:
(First)
(M.I.)
Learner Reference Number (LRN)*
Date of Birth: (mm/dd/yy)
School:
Address of School:
Contact Number:
Age:
Place of Birth:
For Private Schools (BEIS School Code)**
Home Address:
Parents:
Fathers Name
Mother/Guardian
Address of Parents:
B. Athlete's Participation in Local/International Competition
Inclusive Dates
Sports Event
Athletic Meet
Remarks
(Use separate sheet if necessary)
Athlete's Signature
C. Athlete's Participation
This is to certify that based on our knowledge the above-mentioned athlete has participated
in the lower meets.
Athletic meet
Name of Coach
Signature
District/Unit/Congrssional Meet
Division/Provincial Meet
Regional Meet
Palarong Pambansa
(Use separate sheet if necessary)
Screened by:
Division Meet
Regional Meet
(Signature over Printed Name)
Date:
(Signature over Printed Name)
Date:
Division PESS
Supervisor/s