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Cockfighting
GAB application form for cockfighting
Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: Republic of tbe ipijtltpputes
Office of tlje $resrtbent
GAMES AND AMUSEMENTS BOARD
Makati City
APPLICATION FOR REGISTRATION OF COCKPIT PERSONNEL
License No.
New
License Applied For:
Renewal
Cockpit:
Name:
(Surname)
(First Name)
(M.l.)
Home Address:
Date of Birth:
Citizenship:
Mobile No:
Age:
Civil Status:
Sex:
Enclosed herewith are the following supporting documents:
1. A copy of Barangay, Police, or NBI Clearance;
2. A copy of any valid ID;
3. A copy of his/her Certificate of Attendance for Gaffer’s Training/ Seminar (for Gaffer
applicants only).
I HEREBY CERTIFY that the foregoing information and data together with the attached papers are true and
correct. Should this application be approved, I bind myself to uphold and comply with the provisions of the law
governing the sports or games and the rules and regulations promulgated thereunder, and all resolutions adopted
or which may hereunder be adopted by the Board.
Date:
(APPLICANTS SIGNATURE)
RECOMMENDING APPROVAL
DIOSCORO B. BAUTISTA
Chief, Boxing & Other Contact Sports
APPROVED / DISAPPROVED
Date:
RECEIPT No:
ID RECEIVED BY:.
OFELINA C. RETARDO
FELINA C. ARTUE
Chief Administrative Officer
