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Professional Sports

GAB application form for professional basketball and other professional Sports

Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: Republic of the Philippines
Office of the President
GAMES AND AMUSEMENTS BOARD

Makati City
APPLICATION FOR LICENSE
License No. ________
License Applied For:

New

Name:

Renewal

Nick Name/Alias
(Surname)

(First Name)

(M.I.)

Home Address:
Office Address

Tel. No.

Date of Birth:
Citizenship:

Place of Birth:
Civil Status:

Age:

Height:

Weight:

Team Affiliation:
Player's Manager/Agent
Have you been accused or convicted of any crime? (If yes, state the nature of offense)

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 there under,
and all resolutions adopted or which may hereunder be adopted by the Board.
Date:
(APPLICANT'S SIGNATURE)

I HAVE PHYSICALLY EXAMINED herein applicant at _________________________________
on ______________________________, and hereby recommend APPROVAL / DISAPPROVAL.
Date:
Clinic Physician
PTR No. _________________
RECOMMENDING APPROVAL

JESUCITO M. GARCIA
Officer-in-Charge
Pro-Basketball & Other Pro-Games Division
APPROVED / DISAPPROVED
Date: _________________________

OFELINA C. RETARDO
Chief Administrative Officer
 
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