Republic of the Philippines

Department of Education
Region VII, Central Visayas
DIVISION OF LAPU-LAPU CITY

MEDICAL CERTIFICATE

JANUARY. 18, 2018

(Date)

To Whom It May Concern:

This is to certify that I have personally examined ALLEXA RUTHIE C._BELLEZA age 13
Name
sex FEMALE born on NOVEMBER 3, 2004 and have found that he/she is physically fit, during

the time of examination, to join and compete in the lower meets and Palarong Pambansa.

Event:. SWIMMING GIRLS - SECONDARY

Physical Examination:

Date examined:____________
Height 153.5 cm Weight: 44 kgs. Blood Pressure
Pulse, Resting Respiratory
Rate
Other Remarks:

____________________________
Physician/Medical Officer
(Signature over printed name)

License No. __________________

PTR.: ____________________
Date: ____________________
 Republic of the Philippines
Department of Education
Region VII, Central Visayas
DIVISION OF LAPU-LAPU CITY

MEDICAL CERTIFICATE

JANUARY 18, 2018

(Date)
To Whom It May Concern:

This is to certify that I have personally examined LEE SEAN C. SACO age 15
Name
Sex FEMALE born on JUNE 5, 2002 and have found that he/she is physically fit, during

the time of examination, to join and compete in the lower meets and Palarong Pambansa.

Event: SWIMMING GIRL - SECONDARY

Physical Examination

Date examined: ______________

Height 154 cm Weight:660 kgs. Blood Pressure
Pulse, Resting Respiratory Rate
Other Remarks:

____________________________
Physician/Medical Officer
(Signature over printed name)

License No. __________________

PTR.: ____________________
Date: ____________________
 Republic of the Philippines
Department of Education
Region VII, Central Visayas
DIVISION OF LAPU-LAPU CITY

MEDICAL CERTIFICATE

JANUARY.18, 2018
(Date)

To Whom It May Concern:

This is to certify that I have personally examined JESCA MAE P. PAULINO age 15
Name
sex FEMALE born on DECEMBER 20, 2002 and have found that he/she is physically fit,

during the time of examination, to join and compete in the lower meets and Palarong

Pambansa.

Event: SWIMMING GIRLS - SECONDARY

Physical Examination

Date examined: _________________

Height 168 cm Weight: 51 kgs. Blood Pressure
Pulse, Resting: RespiratoryRate
Other Remarks:

____________________________
Physician/Medical Officer
(Signature over printed name)

License No. __________________

PTR.: ______
Republic of the Philippines
 Republic of the Philippines
Department of Education
Region VII, Central Visayas
DIVISION OF LAPU-LAPU CITY

MEDICAL CERTIFICATE

JANUARY 18, 2018

(Date)

To Whom It May Concern:

This is to certify that I have personally examined GWYNETH T. SINGCULAN. Age; 13

Name
sex FEMALE born MAY 04, 2004 and have found that he/she is physically fit, during the time

of examination, to join and compete in the lower meets and Palarong Pambansa.

Event: SWIMMING GIRLS - SECONDARY

Physical Examination

Date examined: ________________

Height 151 cm Weight: 50 kgs. Blood Pressure
Pulse, Resting RespiratoryRate
Other Remarks:

____________________________
Physician/Medical Officer
(Signature over printed name)

License No. __________________

PTR.: ____________________
Date: ____________________
 Republic of the Philippines
Department of Education
Region VII, Central Visayas
DIVISION OF LAPU-LAPU CITY

MEDICAL CERTIFICATE

JANUARY 18, 2018

(Date)

To Whom It May Concern:

This is to certify that I have personally examined SHELMEY FELECIA B. SUMICAD

Name
age __14__ sex _FEMALE__ born on May 9, 2003 and have found that he/she is physically fit,

during the time of examination, to join and compete in the lower meets and Palarong Pambansa.

Event: SWIMMING GIRLS- SECONDARY

Physical Examination

Date examined: __________

Height 154 cm Weight: 49 kgs. Blood Pressure
Pulse, Resting Respiratory Rate
Other Remarks:

____________________________
Physician/Medical Officer
(Signature over printed name)

License No. __________________

PTR.: ____________________
Date: __________________
 Republic of the Philippines
Department of Education
Region VII, Central Visayas
DIVISION OF LAPU-LAPU CITY

MEDICAL CERTIFICATE

JANUARY 18, 2018

(Date)

To Whom It May Concern:

This is to certify that I have personally examined MARIA VICTOR I. MONTILLA_ age
Name
54_ sex FEMALE born on FEBRUARY 14, 1963 and have found that he/she is physically fit

during the time of examination, to join and compete in the lower meets and Palarong

Pambansa.

Event: SWIMMING GIRLS- SECONDARY COACH

Physical Examination

Date examined: ____________

Height: 155 cm Weight 49 kgs. Blood Pressure: _____________
Pulse, Resting: ___________________ Respiratory Rate: __________________
_
Other Remarks:
______
______________________________________________________
_________________________________________________________________________
 Physician/Medical Officer
(Signature over printed name)

License No. __________________

PTR.: ____________________
Date: ____________________

Republic of the Philippines

Department of Education
Region VII, Central Visayas
DIVISION OF LAPU-LAPU CITY
Marigondon National High School
Marigondon, Lapu-Lapu City

MEDICAL CERTIFICATE

November 9, 2017
(Date)

To Whom It May Concern:

This is to certify that I have personally examined _Mark Roi S. Nimenzo age __14___
Name
sex __Male__ born on March 19, 2003 and have found that he/she is physically fit, during the time of

examination, to join and compete in the lower meets and Palarong Pambansa.

Event: Athletics Boys Seondary

Physical Examination

Date examined: November 9, 2017

Height 167 cm Weight: 69 kgs. Blood Pressure
Pulse, Resting Respiratory
Rate
Other Remarks:
 ____________________________
Physician/Medical Officer
(Signature over printed name)

License No. __________________

PTR.: ____________________
Date: ____________________

Republic of the Philippines

Department of Education
Region VII, Central Visayas
DIVISION OF LAPU-LAPU CITY
Marigondon National High School
Marigondon, Lapu-Lapu City

MEDICAL CERTIFICATE

November 9, 2017
(Date)

To Whom It May Concern:

This is to certify that I have personally examined ___Ricardo Jr. P. Nogas __. age __17___
Name
sex __Male__ born on __February 2, 2000 __ and have found that he/she is physically fit, during the

time of examination, to join and compete in the lower meets and Palarong Pambansa.

Event: Athletics Boys Secondary

Physical Examination

Date examined: November 9, 2017

Height 160 cm Weight: 56 kgs. Blood Pressure
Pulse, Resting Respiratory Rate
Other Remarks:
 ____________________________
Physician/Medical Officer
(Signature over printed name)

License No. __________________

PTR.: ____________________
Date: ____________________

Republic of the Philippines

Department of Education
Region VII, Central Visayas
DIVISION OF LAPU-LAPU CITY
Marigondon National High School
Marigondon, Lapu-Lapu City

MEDICAL CERTIFICATE

November 9, 2017
(Date)

To Whom It May Concern:

This is to certify that I have personally examined _John Denmark O. Oyao. age __16___
Name
sex _Male __ born on August 23, 2001 and have found that he/she is physically fit, during the time of

examination, to join and compete in the lower meets and Palarong Pambansa.

Event: Athletics Boys Secondary

Physical Examination

Date examined: November 9, 2017

Height 167 cm Weight: 54 kgs. Blood Pressure
Pulse, Resting Respiratory Rate
Other Remarks:

____________________________
 Physician/Medical Officer
(Signature over printed name)

License No. __________________

PTR.: ____________________
Date: ____________________

Republic of the Philippines

Department of Education
Region VII, Central Visayas
DIVISION OF LAPU-LAPU CITY
Marigondon National High School
Marigondon, Lapu-Lapu City

MEDICAL CERTIFICATE

November 9, 2017
(Date)

To Whom It May Concern:

This is to certify that I have personally examined _Prince Clifford C. Sullano age __16__
Name
sex __Male__ born on September 4, 2001 and have found that he/she is physically fit, during the time

of examination, to join and compete in the lower meets and Palarong Pambansa.

Event: Athletics Boys Secondary

Physical Examination

Date examined: November 9, 2017

Height 155 cm Weight: 40 kgs. Blood Pressure
Pulse, Resting Respiratory Rate
Other Remarks:

____________________________
Physician/Medical Officer
(Signature over printed name)
 License No. __________________
PTR.: ____________________
Date: ____________________

Republic of the Philippines

Department of Education
Region VII, Central Visayas
DIVISION OF LAPU-LAPU CITY
Marigondon National High School
Marigondon, Lapu-Lapu City

MEDICAL CERTIFICATE

November 9, 2017
(Date)

To Whom It May Concern:

This is to certify that I have personally examined John Michael M. Toring age __16_ sex
Name
__Male__ born on AUGUST 27, 2001 and have found that he/she is physically fit, during the time of

examination, to join and compete in the lower meets and Palarong Pambansa.

Event: Athletics Boys Secondary

Physical Examination

Date examined: November 9, 2017

Height 168 cm Weight: 56 kgs. Blood Pressure
Pulse, Resting Respiratory Rate
Other Remarks:

____________________________
Physician/Medical Officer
(Signature over printed name)

License No. __________________

 PTR.: ____________________
Date: ____________________

Republic of the Philippines

Department of Education
Region VII, Central Visayas
DIVISION OF LAPU-LAPU CITY
Marigondon National High School
Marigondon, Lapu-Lapu City

MEDICAL CERTIFICATE

November 9, 2017
(Date)

To Whom It May Concern:

This is to certify that I have personally examined _Mark Kenji C. Torremocha. age __15__
Name
sex ___Male__ born on February 27, 2002 and have found that he/she is physically fit, during the time

of examination, to join and compete in the lower meets and Palarong Pambansa.

Event: Athletics Boys Secondary

Physical Examination

Date examined: November 9, 2017

Height 177 cm Weight: 50 kgs. Blood Pressure
Pulse, Resting Respiratory Rate
Other Remarks:

____________________________
Physician/Medical Officer
(Signature over printed name)

License No. __________________

PTR.: ____________________
Date: ____________________
 Republic of the Philippines
Department of Education
Region VII, Central Visayas
DIVISION OF LAPU-LAPU CITY
Marigondon National High School
Marigondon, Lapu-Lapu City

MEDICAL CERTIFICATE

November 9, 2017
(Date)

To Whom It May Concern:

This is to certify that I have personally examined Jabin Mar Sheldron F. Yagong. age _16
Name
sex __Male__ born on September 16, 2001 and have found that he/she is physically fit, during the time

of examination, to join and compete in the lower meets and Palarong Pambansa.

Event: Athletics Boys Secondary

Physical Examination

Date examined: November 9, 2017

Height 175 cm Weight: 83 kgs. Blood Pressure
Pulse, Resting Respiratory Rate
Other Remarks:

____________________________
Physician/Medical Officer
(Signature over printed name)

License No. __________________

PTR.: ____________________
Date: ____________________
 Republic of the Philippines
Department of Education
Region VII, Central Visayas
DIVISION OF LAPU-LAPU CITY
Marigondon National High School
Marigondon, Lapu-Lapu City

MEDICAL CERTIFICATE

November 9, 2017
(Date)

To Whom It May Concern:

This is to certify that I have personally examined _Paul Jascint L. Ytang age __15___ sex
Name
___Male__ born on October 24, 2001 and have found that he/she is physically fit, during the time of

examination, to join and compete in the lower meets and Palarong Pambansa.

Event: Athletics Boys Secondary

Physical Examination

Date examined: November 9, 2017

Height 156 cm Weight: 54 kgs. Blood Pressure
Pulse, Resting Respiratory Rate
Other Remarks:

____________________________
Physician/Medical Officer
(Signature over printed name)

License No. __________________

PTR.: ____________________
Date: ____________________

Republic of the Philippines

 Department of Education
Region VII, Central Visayas
DIVISION OF LAPU-LAPU CITY
Marigondon National High School
Marigondon, Lapu-Lapu City

MEDICAL CERTIFICATE

November 9, 2017
(Date)

To Whom It May Concern:

This is to certify that I have personally examined __Larry C. Tejero__

Name
age _22 sex _Male__ born on August 26, 1995 and have found that he/she is physically fit, during the

time of examination, to join and compete in the lower meets and Palarong Pambansa.

Event: Athletics Boys Coach

Physical Examination

Date examined: November 9, 2017

Height 160 cm Weight: 50 kgs. Blood Pressure
Pulse, Resting Respiratory Rate
Other Remarks:

____________________________
Physician/Medical Officer
(Signature over printed name)

License No. __________________

PTR.: ____________________
Date: ____________________

Republic of the Philippines

Department of Education
Region VII, Central Visayas
 DIVISION OF LAPU-LAPU CITY
Marigondon National High School
Marigondon, Lapu-Lapu City

MEDICAL CERTIFICATE

November 9, 2017
(Date)

To Whom It May Concern:

This is to certify that I have personally examined _Gayle O. Torregosa age __29_ sex
Name
_Female born on __March 29, 1988 and have found that he/she is physically fit, during the time of

examination, to join and compete in the lower meets and Palarong Pambansa.

Event: Athletics Boys Coach

Physical Examination

Date examined: __ November 9, 2017_

Height 159 cm Weight: 50 kgs. Blood Pressure
Pulse, Resting Respiratory Rate
Other Remarks:

____________________________
Physician/Medical Officer
(Signature over printed name)

License No. __________________

PTR.: ____________________
Date: ____________________

Republic of the Philippines

Department of Education
Region VII, Central Visayas
DIVISION OF LAPU-LAPU CITY
Marigondon National High School
 Marigondon, Lapu-Lapu City

MEDICAL CERTIFICATE

SEPTEMBER 12, 2017

(Date)

To Whom It May Concern:

This is to certify that I have personally examined _BUSTOS, GABRIEL S.

Name
age 14 sex _MALE__ born on JANUARY 25, 2003 and have found that he/she is physically fit, during

the time of examination, to join and compete in the lower meets and Palarong Pambansa.

Event: DANCESPORT

Physical Examination

Date examined: _______________

Height 161 cm Weight: 55 kgs. Blood Pressure
Pulse, Resting Respiratory Rate
Other Remarks:

____________________________
Physician/Medical Officer
(Signature over printed name)

License No. __________________

PTR.: ____________________
Date: ____________________

Republic of the Philippines

Department of Education
Region VII, Central Visayas
DIVISION OF LAPU-LAPU CITY
Marigondon National High School
Marigondon, Lapu-Lapu City
 MEDICAL CERTIFICATE

SEPTEMBER 12, 2017

(Date)

To Whom It May Concern:

This is to certify that I have personally examined _ARMILLA, JOSEPH S.

Name
age _15_ sex __MALE__ born on APRIL 06, 2002 and have found that he/she is physically fit, during

the time of examination, to join and compete in the lower meets and Palarong Pambansa.

Event: DANCESPORT

Physical Examination

Date examined: _______________

Height 169 cm Weight: 55 kgs. Blood Pressure
Pulse, Resting Respiratory Rate
Other Remarks:

____________________________
Physician/Medical Officer
(Signature over printed name)

License No. __________________

PTR.: ____________________
Date: ____________________

Republic of the Philippines

Department of Education
Region VII, Central Visayas
DIVISION OF LAPU-LAPU CITY
Marigondon National High School
Marigondon, Lapu-Lapu City

MEDICAL CERTIFICATE
 SEPTEMBER 12, 2017
(Date)

To Whom It May Concern:

This is to certify that I have personally examined YBAŇEZ, JOSH CARYLL P. age _16_ sex
Name
_FEMALE_ born on AUGUST 02, 2001 and have found that he/she is physically fit, during the time of

examination, to join and compete in the lower meets and Palarong Pambansa.

Event: DANCESPORT

Physical Examination

Date examined: _______________

Height 151 cm Weight: 43 kgs. Blood Pressure
Pulse, Resting Respiratory Rate
Other Remarks:

____________________________
Physician/Medical Officer
(Signature over printed name)

License No. __________________

PTR.: ____________________
Date: ____________________

Republic of the Philippines

Department of Education
Region VII, Central Visayas
DIVISION OF LAPU-LAPU CITY
Marigondon National High School
Marigondon, Lapu-Lapu City

MEDICAL CERTIFICATE

SEPTEMBER 12, 2017

(Date)
To Whom It May Concern:

This is to certify that I have personally examined NAPOLES, KEVIN A. age __17___ sex
Name
__MALE__ born on MARCH 10, 2000 and have found that he/she is physically fit, during the time of

examination, to join and compete in the lower meets and Palarong Pambansa.

Event: DANCESPORT

Physical Examination

Date examined: _______________

Height 175 cm Weight: 49 kgs. Blood Pressure
Pulse, Resting Respiratory Rate
Other Remarks:

____________________________
Physician/Medical Officer
(Signature over printed name)

License No. __________________

PTR.: ____________________
Date: ____________________

Republic of the Philippines

Department of Education
Region VII, Central Visayas
DIVISION OF LAPU-LAPU CITY
Marigondon National High School
Marigondon, Lapu-Lapu City

MEDICAL CERTIFICATE

SEPTEMBER 12, 2017

(Date)

To Whom It May Concern:

 This is to certify that I have personally examined _TERO, CHERRY JUNE B. age __17___
Name
sex ___FEMALE__ born on JUNE 25, 2000 and have found that he/she is physically fit, during the time

of examination, to join and compete in the lower meets and Palarong Pambansa.

Event: DANCESPORT

Physical Examination

Date examined: _______________

Height 153 cm Weight: 41 kgs. Blood Pressure
Pulse, Resting Respiratory Rate
Other Remarks:

____________________________
Physician/Medical Officer
(Signature over printed name)

License No. __________________

PTR.: ____________________
Date: ____________________

Republic of the Philippines

Department of Education
Region VII, Central Visayas
DIVISION OF LAPU-LAPU CITY
Marigondon National High School
Marigondon, Lapu-Lapu City

MEDICAL CERTIFICATE

SEPTEMBER 12, 2017

(Date)

To Whom It May Concern:

 This is to certify that I have personally examined _ARELLANO, REGINE MAE M. age
Name
__14___ sex ___FEMALE__ born on NOVEMBER 20, 2002 and have found that he/she is physically

fit, during the time of examination, to join and compete in the lower meets and Palarong Pambansa.

Event: DANCESPORT

Physical Examination

Date examined: _______________

Height 158 cm Weight: 42 kgs. Blood Pressure
Pulse, Resting Respiratory Rate
Other Remarks:

____________________________
Physician/Medical Officer
(Signature over printed name)

License No. __________________

PTR.: ____________________
Date: ____________________

Republic of the Philippines

Department of Education
Region VII, Central Visayas
DIVISION OF LAPU-LAPU CITY
Marigondon National High School
Marigondon, Lapu-Lapu City

MEDICAL CERTIFICATE

SEPTEMBER 12, 2017

(Date)

To Whom It May Concern:

 This is to certify that I have personally examined _AMISTAD, RAY NIŇO F. age __16___
Name
sex ___MALE__ born on FEBRUAR 16, 2001 and have found that he/she is physically fit, during the

time of examination, to join and compete in the lower meets and Palarong Pambansa.

Event: DANCESPORT

Physical Examination

Date examined: _______________

Height 165 cm Weight: 50 kgs. Blood Pressure
Pulse, Resting Respiratory Rate
Other Remarks:

____________________________
Physician/Medical Officer
(Signature over printed name)

License No. __________________

PTR.: ____________________
Date: ____________________

Republic of the Philippines

Department of Education
Region VII, Central Visayas
DIVISION OF LAPU-LAPU CITY
Marigondon National High School
Marigondon, Lapu-Lapu City

MEDICAL CERTIFICATE

SEPTEMBER 12, 2017

(Date)

To Whom It May Concern:

 This is to certify that I have personally examined _BRYAN B. YMBONG age __35__ sex
Name
___MALE__ born on SEPTEMBER 16, 1981 and have found that he/she is physically fit, during the

time of examination, to join and compete in the lower meets and Palarong Pambansa.

Event: DANCESPORT - COACH

Physical Examination

Date examined: _______________

Height 164 cm Weight: 71 kgs. Blood Pressure
Pulse, Resting Respiratory Rate
Other Remarks:

____________________________
Physician/Medical Officer
(Signature over printed name)

License No. __________________

PTR.: ____________________
Date: ____________________