Coach

Coach's General Information
ATHELITIC MEET PRVONCIAL ATHLETIC MEET

VENUE IROSIN, SORSOGON
DATE NOVEMBER 7 - 9, 2017
COACH 1 INFORMATION
COACH : JOEY L. GARCIA
SCHOOL : CUMADCAD NHS
POSITION TEACHER III
AGE 32
GENDER MALE
DATE OF BIRTH JULY 30 1985
DATE OF ORIGINAL APPOINTMENT JANUARY 8, 2008
EVENT VOLLEYBALL (GIRLS)
1/10/1994 8/1/2017
282
al Information
FORMATION
Republic of the Philippines
Department of Education
Region V
DIVISION OF MASBATE
CERTIFICATE OF EMPLOYMENT
(for DepEd Personnel)
Date
To Whom It May Concern:
This is to certify that Mr./Ms. JOEY L. GARCIA is
presently employed in CUMADCAD NHS as TEACHER III , since
JANUARY 8, 2008 or for a period of 282 months.
This certification is issued upon the request of Mr./Mrs. JOEY L. GARCIA
to coach in PRVONCIAL ATHLETIC MEET
at IROSIN, SORSOGON .
School Head/ Administrative Officer
FOR PALARONG PAMBANSA ONLY

(for DepEd Personnel)
(for Private School)
School Administrator/Official
School Head/ Administrative Officer
Region V
DIVISION OF SORSOGON
Capitol Compuond, Sorsogon City
CERTIFICATION
This is to certifiy that JOEY L. GARCIA completed the

fourty eight (48) hours sports training during the Division Accreditation for Coaches
on August 18-20, 2017 at Balogo Sports Complex, Sorsogon City and Regional Seminar
Training on Coaching in Various Sports Disciplines on December 5-7, 2016 at Ibalong
Centrum for Recreation, Legazpi City.
Issued this 29th day of November 2017 at Sorsogon City, Philippines.
ANACLETO B. OTIVAR
EPS-I/ Division School Sports Officer

Region V
DIVISION OF MASBATE
Rodeo Road, Masbate City
CERTIFICATION
This is to certifiy that JOEY L. GARCIA served

for at least one (1) year as coach/chaperone/trainer in VOLLEYBALL (GIRLS)
Issued this 19th day of January 2017 at Masbate City, Philippines.
ANACLETO B. OTIVAR

Region V
DIVISION OF MASBATE
CERTIFICATION
This is to certifiy that JOEY L. GARCIA participated as

coach in the lower meets.
ANACLETO B. OTIVAR

Region V
DIVISION OF MASBATE
CERTIFICATE OF MEMBERSHIP
This is to certifiy that JOEY L. GARCIA is an active

member of DEPED MASBATE SPED ASSOCIATION This
certificate also serves as recognition of his/her commitement to the development of
VOLLEYBALL (GIRLS) in the Division of Masbate Province.
ANACLETO B. OTIVAR
Adviser

Region V
DIVISION OF MASBATE
CERTIFICATE OF ACCREDITATION
This is to certifiy that JOEY L. GARCIA is duly

accredited coach in VOLLEYBALL (GIRLS) and passed the Division Accreditation
for coaches on November 4-6, 2016 at Mobo North Central School, Mobo, Masbate.
ANACLETO B. OTIVAR

Region V
DIVISION OF MASBATE
M E D I CAL C E R T I FI CAT E
(Date)
To Whom It May Concern:
This is to certify that I have personally examined JOEY L. GARCIA

Name
age 32 sex MALE born on JULY 30 1985 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: VOLLEYBALL (GIRLS)
Physical Examination
Date examined:
Height: Weight: Blood Pressure:

Pulse, Resting: Respiratory Rate:
Other Remarks:
Physician/Medical Officer
(Signature over printed name)
License No. :
PTR.:
Date:

City of ______________________)S.S.
SWORN STATEMENT
I JOEY L. GARCIA , of legal age, single/married, with postal address at

, after having duly sworn in accordance with law hereby depose and state:
That I am presently employed with the CUMADCAD NHS as

TEACHER III ;
That I have been employed in DEPED DIVISION OF MASBATE

since JANUARY 8, 2008 or for a period of 282months. ;
That I was designated as coach of VOLLEYBALL (GIRLS) , who will participate in the
PRVONCIAL ATHLETIC MEET
That all the athletes are not members of the National Team, National Training Pool and Development
Pool receiving monthly stipend/allowance from the Philippine Sports Commission (PSC);
That all the athletes records submitted are true and correct to the best of my personal knowledge;
That all the athletes of VOLLEYBALL (GIRLS) , who will participate in the
PRVONCIAL ATHLETIC are eligble;
That I execute this Affidavit to attest to the authenticity and veracity of all the documents submitted.
IN WITNESS WHEREOF, I have hereunto set my hand this day of

2017 in Masbate City, Philippines.
Affiant
SUBSCRIBED AND SWORN TO before me this day of JANUARY , 2017

in Masbate City, Philippines, affiant exhibiting to me his/her Government issued ID/SSS/PRC/Philhealth, etc.
.
MARIA G. DAGÑALAN
Administrative Officer V

City of ______________________)S.S.
AFFIDAVIT
I JOEY L. GARCIA , of legal age, single/married, with postal address at

, after having duly sworn in accordance with law hereby depose and state:
That I am presently employed with the CUMADCAD NHS as

TEACHER III ;
That I have been employed in CUMADCAD NHS

since JANUARY 8, 2008 or for a period of 282months. ;
That I was designated as coach of VOLLEYBALL (GIRLS) , who will participate in the
2017 Palarong Bikol;
That all the athletes are not members of the National Team, National Training Pool and Development
Pool receiving monthly stipend/allowance from the Philippine Sports Commission (PSC);
That all the athletes records submitted are true and correct to the best of my personal knowledge;
That all the athletes of VOLLEYBALL (GIRLS) , who will participate in the 2017 Palarong
Bikol are eligible;
That I execute this Affidavit to attest to the authenticity and veracity of all the documents submitted.
IN WITNESS WHEREOF, I have hereunto set my hand this day of JANUARY

2017 in Masbate City, Philippines.
Affiant
SUBSCRIBED AND SWORN TO before me this day of JANUARY , 2017

in Masbate City, Philippines, affiant executing his/her Community Tax Certificate No.
issued at . on .
Notary Public

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Coach's General Information

ATHELITIC MEET PRVONCIAL ATHLETIC MEET

To Whom It May Concern:

This is to certify that Mr./Ms. JOEY L. GARCIA is

presently employed in CUMADCAD NHS as TEACHER III , since

JANUARY 8, 2008 or for a period of 282 months.

This certification is issued upon the request of Mr./Mrs. JOEY L. GARCIA

to coach in PRVONCIAL ATHLETIC MEET

School Head/ Administrative Officer

FOR PALARONG PAMBANSA ONLY

(for Private School)

This is to certifiy that JOEY L. GARCIA completed the

Issued this 29th day of November 2017 at Sorsogon City, Philippines.

FOR PALARONG PAMBANSA ONLY

This is to certifiy that JOEY L. GARCIA served

Issued this 19th day of January 2017 at Masbate City, Philippines.

FOR PALARONG PAMBANSA ONLY

This is to certifiy that JOEY L. GARCIA participated as

Issued this 19th day of January 2017 at Masbate City, Philippines.

FOR PALARONG PAMBANSA ONLY

This is to certifiy that JOEY L. GARCIA is an active

Issued this 19th day of January 2017 at Masbate City, Philippines.

FOR PALARONG PAMBANSA ONLY

This is to certifiy that JOEY L. GARCIA is duly

Issued this 19th day of January 2017 at Masbate City, Philippines.

FOR PALARONG PAMBANSA ONLY

To Whom It May Concern:

This is to certify that I have personally examined JOEY L. GARCIA

Event: VOLLEYBALL (GIRLS)

Height: Weight: Blood Pressure:

FOR PALARONG PAMBANSA ONLY

I JOEY L. GARCIA , of legal age, single/married, with postal address at

That I am presently employed with the CUMADCAD NHS as

That I have been employed in DEPED DIVISION OF MASBATE

IN WITNESS WHEREOF, I have hereunto set my hand this day of

SUBSCRIBED AND SWORN TO before me this day of JANUARY , 2017

FOR PALARONG PAMBANSA ONLY

I JOEY L. GARCIA , of legal age, single/married, with postal address at

That I am presently employed with the CUMADCAD NHS as

That I have been employed in CUMADCAD NHS

IN WITNESS WHEREOF, I have hereunto set my hand this day of JANUARY

SUBSCRIBED AND SWORN TO before me this day of JANUARY , 2017

FOR PALARONG PAMBANSA ONLY

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