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PLM Intramurals 2015 Registration Form

Event: Basketball
College: LAW
Team Captain: Lomibao, Red
09276851709
Name

Team Color: Violet


Contact Number:

1
2
3
4
5
6
7

Cabello, Inno
Balio, Brian
Quirante, Ren2
Balleser, Marco
Remon, Paulo
Lomibao, Red
Igdanes, Rafael

Year
level/Course
th
4 Year
4th Year
3rd Year
3rd Year
2nd Year
1st Year
1st Year

Vitan, Antonio

1st Year

Limos, Rey

1st Year

10

Ahmed, Jude

1st Year

11

Abrazaldo, Donn

1st Year

12

Gonzales, Jose Emmanuel

1st Year

Signature

Reserved
13

Aguilana, Carlo Nico

1st Year

14

Acero, Dan Emmanuel

1st Year

15

Salcedo, Florante Jr.

1st Year

This is to certify that the names listed above have confirmed their
participation in Basketball-Boys, have submitted the necessary waivers, and
are registered students of the college for SY 2015 2016.
___________________________
_______________________
(Signature over printed name)
(Signature over printed
name)
College Student Representative
College Faculty Representative

___________________________
(Signature over printed name)
College Dean

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