Cockfighting

GAB application form for cockfighting

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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