Republic of the Philippines

Cebu Technological University

Dumanjug Extension Campus

INTRAMURALS 2017
OFFICIAL LINE- UP FORM
College : College of Education

Name of Event/ Sport : Basketball (Men)

Name of Student Coach: ____________________________________________________

OFFICIAL LINE-UP
NAME OF PLAYERS COURSE &SECTION REMARKS

1. __________________________ ________________________ _________________

2. __________________________ ________________________ _________________
3. __________________________ ________________________ _________________
4. __________________________ ________________________ _________________
5. __________________________ ________________________ _________________
6. __________________________ ________________________ _________________
7. __________________________ ________________________ _________________
8. __________________________ ________________________ _________________
9. __________________________ ________________________ _________________
10. __________________________ ________________________ _________________

I hereby certify under penalty of perjury that the above-listed players are bonafide students of
Cebu Technological University – Dumanjug Extension Campus for Academic Year 2017-2018 and
are eligible to play in the sports events of INTRAMURALS 2017 having complied all the requisites
and qualifications and none of the disqualifications.

_________________________ _________________________
Student Coach Unit Chairman

_________________________ _________________________
Nurse Campus Director
 Republic of the Philippines
Cebu Technological University
Dumanjug Extension Campus

INTRAMURALS 2017
OFFICIAL LINE- UP FORM
College : College of Education

Name of Event/ Sport : Basketball (Women)

Name of Student Coach: ____________________________________________________

OFFICIAL LINE-UP
NAME OF PLAYERS COURSE &SECTION REMARKS

1. __________________________ ________________________ _________________

2. __________________________ ________________________ _________________
3. __________________________ ________________________ _________________
4. __________________________ ________________________ _________________
5. __________________________ ________________________ _________________
6. __________________________ ________________________ _________________
7. __________________________ ________________________ _________________
8. __________________________ ________________________ _________________
9. __________________________ ________________________ _________________
10. __________________________ ________________________ _________________

I hereby certify under penalty of perjury that the above-listed players are bonafide students of
Cebu Technological University – Dumanjug Extension Campus for Academic Year 2017-2018 and
are eligible to play in the sports events of INTRAMURALS 2017 having complied all the requisites
and qualifications and none of the disqualifications.

_________________________ _________________________
Student Coach Unit Chairman

_________________________ _________________________
Nurse Campus Director
 Republic of the Philippines
Cebu Technological University
Dumanjug Extension Campus

INTRAMURALS 2017
OFFICIAL LINE- UP FORM
College : College of Education

Name of Event/ Sport : Volleyball (Men)

Name of Student Coach: ____________________________________________________

OFFICIAL LINE-UP
NAME OF PLAYERS COURSE &SECTION REMARKS

1. __________________________ ________________________ _________________

2. __________________________ ________________________ _________________
3. __________________________ ________________________ _________________
4. __________________________ ________________________ _________________
5. __________________________ ________________________ _________________
6. __________________________ ________________________ _________________
7. __________________________ ________________________ _________________
8. __________________________ ________________________ _________________
9. __________________________ ________________________ _________________
10. __________________________ ________________________ _________________
11. __________________________ ________________________ _________________
12. __________________________ ________________________ _________________

I hereby certify under penalty of perjury that the above-listed players are bonafide students of
Cebu Technological University – Dumanjug Extension Campus for Academic Year 2017-2018 and
are eligible to play in the sports events of INTRAMURALS 2017 having complied all the requisites
and qualifications and none of the disqualifications.
_________________________ _________________________
Student Coach Unit Chairman

_________________________ _________________________
Nurse Campus Director
 Republic of the Philippines
Cebu Technological University
Dumanjug Extension Campus

INTRAMURALS 2017
OFFICIAL LINE- UP FORM
College : College of Education

Name of Event/ Sport : Volleyball (Women)

Name of Student Coach: ____________________________________________________

OFFICIAL LINE-UP
NAME OF PLAYERS COURSE &SECTION REMARKS

1. __________________________ ________________________ _________________

2. __________________________ ________________________ _________________
3. __________________________ ________________________ _________________
4. __________________________ ________________________ _________________
5. __________________________ ________________________ _________________
6. __________________________ ________________________ _________________
7. __________________________ ________________________ _________________
8. __________________________ ________________________ _________________
9. __________________________ ________________________ _________________
10. __________________________ ________________________ _________________
11. __________________________ ________________________ _________________
12. __________________________ ________________________ _________________

I hereby certify under penalty of perjury that the above-listed players are bonafide students of
Cebu Technological University – Dumanjug Extension Campus for Academic Year 2017-2018 and
are eligible to play in the sports events of INTRAMURALS 2017 having complied all the requisites
and qualifications and none of the disqualifications.
_________________________ _________________________
Student Coach Unit Chairman

_________________________ _________________________
Nurse Campus Director
 Republic of the Philippines
Cebu Technological University
Dumanjug Extension Campus

INTRAMURALS 2017
OFFICIAL LINE- UP FORM
College : College of Education

Name of Event/ Sport : Sepak Takraw (Men)

Name of Student Coach: ____________________________________________________

OFFICIAL LINE-UP
NAME OF PLAYERS COURSE &SECTION REMARKS

1. __________________________ ________________________ _________________

2. __________________________ ________________________ _________________
3. __________________________ ________________________ _________________
4. __________________________ ________________________ _________________
5. __________________________ ________________________ _________________
6. __________________________ ________________________ _________________

I hereby certify under penalty of perjury that the above-listed players are bonafide students of
Cebu Technological University – Dumanjug Extension Campus for Academic Year 2017-2018 and
are eligible to play in the sports events of INTRAMURALS 2017 having complied all the requisites
and qualifications and none of the disqualifications.

_________________________ _________________________
Student Coach Unit Chairman

_________________________ _________________________
Nurse Campus Director
 Republic of the Philippines
Cebu Technological University
Dumanjug Extension Campus

INTRAMURALS 2017
OFFICIAL LINE- UP FORM
College : College of Education

Name of Event/ Sport : Table Tennis (Men)

Name of Student Coach: ____________________________________________________

OFFICIAL LINE-UP
NAME OF PLAYERS COURSE &SECTION REMARKS

Singles A

1. __________________________ ________________________ _________________

Singles B

2. __________________________ ________________________ _________________

Doubles

3. __________________________ ________________________ _________________

4. __________________________ ________________________ _________________

I hereby certify under penalty of perjury that the above-listed players are bonafide students of
Cebu Technological University – Dumanjug Extension Campus for Academic Year 2017-2018 and
are eligible to play in the sports events of INTRAMURALS 2017 having complied all the requisites
and qualifications and none of the disqualifications.

_________________________ _________________________
Student Coach Unit Chairman

_________________________ _________________________
Nurse Campus Director
 Republic of the Philippines
Cebu Technological University
Dumanjug Extension Campus

INTRAMURALS 2017
OFFICIAL LINE- UP FORM
College : College of Education

Name of Event/ Sport : Table Tennis (Women)

Name of Student Coach: ____________________________________________________

OFFICIAL LINE-UP
NAME OF PLAYERS COURSE &SECTION REMARKS

Singles A

1. __________________________ ________________________ _________________

Singles B

2. __________________________ ________________________ _________________

Doubles

3. __________________________ ________________________ _________________

4. __________________________ ________________________ _________________

I hereby certify under penalty of perjury that the above-listed players are bonafide students of
Cebu Technological University – Dumanjug Extension Campus for Academic Year 2017-2018 and
are eligible to play in the sports events of INTRAMURALS 2017 having complied all the requisites
and qualifications and none of the disqualifications.

_________________________ _________________________
Student Coach Unit Chairman

_________________________ _________________________
Nurse Campus Director
 Republic of the Philippines
Cebu Technological University
Dumanjug Extension Campus

INTRAMURALS 2017
OFFICIAL LINE- UP FORM
College : College of Education

Name of Event/ Sport : Badminton (Men)

Name of Student Coach: ____________________________________________________

OFFICIAL LINE-UP
NAME OF PLAYERS COURSE &SECTION REMARKS

Singles A

1. __________________________ ________________________ _________________

Singles B

2. __________________________ ________________________ _________________

Doubles

3. __________________________ ________________________ _________________

4. __________________________ ________________________ _________________

I hereby certify under penalty of perjury that the above-listed players are bonafide students of
Cebu Technological University – Dumanjug Extension Campus for Academic Year 2017-2018 and
are eligible to play in the sports events of INTRAMURALS 2017 having complied all the requisites
and qualifications and none of the disqualifications.

_________________________ _________________________
Student Coach Unit Chairman

_________________________ _________________________
Nurse Campus Director
 Republic of the Philippines
Cebu Technological University
Dumanjug Extension Campus

INTRAMURALS 2017
OFFICIAL LINE- UP FORM
College : College of Education

Name of Event/ Sport : Badminton (Women)

Name of Student Coach: ____________________________________________________

OFFICIAL LINE-UP
NAME OF PLAYERS COURSE &SECTION REMARKS

Singles A

1. __________________________ ________________________ _________________

Singles B

2. __________________________ ________________________ _________________

Doubles

3. __________________________ ________________________ _________________

4. __________________________ ________________________ _________________

I hereby certify under penalty of perjury that the above-listed players are bonafide students of
Cebu Technological University – Dumanjug Extension Campus for Academic Year 2017-2018 and
are eligible to play in the sports events of INTRAMURALS 2017 having complied all the requisites
and qualifications and none of the disqualifications.

_________________________ _________________________
Student Coach Unit Chairman

_________________________ _________________________
Nurse Campus Director
 Republic of the Philippines
Cebu Technological University
Dumanjug Extension Campus

INTRAMURALS 2017
OFFICIAL LINE- UP FORM
College : College of Education

Name of Event/ Sport : Chess (Men)

Name of Student Coach: ____________________________________________________

OFFICIAL LINE-UP
NAME OF PLAYERS COURSE &SECTION REMARKS

Board 1

1. __________________________ ________________________ _________________

Board 2

2. __________________________ ________________________ _________________

I hereby certify under penalty of perjury that the above-listed players are bonafide students of
Cebu Technological University – Dumanjug Extension Campus for Academic Year 2017-2018 and
are eligible to play in the sports events of INTRAMURALS 2017 having complied all the requisites
and qualifications and none of the disqualifications.

_________________________ _________________________
Student Coach Unit Chairman

_________________________ _________________________
Nurse Campus Director
 Republic of the Philippines
Cebu Technological University
Dumanjug Extension Campus

INTRAMURALS 2017
OFFICIAL LINE- UP FORM
College : College of Education

Name of Event/ Sport : Chess (Women)

Name of Student Coach: ____________________________________________________

OFFICIAL LINE-UP
NAME OF PLAYERS COURSE &SECTION REMARKS

Board 1

1. __________________________ ________________________ _________________

Board 2

2. __________________________ ________________________ _________________

I hereby certify under penalty of perjury that the above-listed players are bonafide students of
Cebu Technological University – Dumanjug Extension Campus for Academic Year 2017-2018 and
are eligible to play in the sports events of INTRAMURALS 2017 having complied all the requisites
and qualifications and none of the disqualifications.

_________________________ _________________________
Student Coach Unit Chairman

_________________________ _________________________
Nurse Campus Director
 Republic of the Philippines
Cebu Technological University
Dumanjug Extension Campus

INTRAMURALS 2017
OFFICIAL LINE- UP FORM
College : College of Education

Name of Event/ Sport : Scrabble (Men)

Name of Student Coach: ____________________________________________________

OFFICIAL LINE-UP
NAME OF PLAYERS COURSE &SECTION REMARKS

1. __________________________ ________________________ _________________

2. __________________________ ________________________ _________________
3. __________________________ ________________________ _________________
4. __________________________ ________________________ _________________

I hereby certify under penalty of perjury that the above-listed players are bonafide students of
Cebu Technological University – Dumanjug Extension Campus for Academic Year 2017-2018 and
are eligible to play in the sports events of INTRAMURALS 2017 having complied all the requisites
and qualifications and none of the disqualifications.

_________________________ _________________________
Student Coach Unit Chairman

_________________________ _________________________
Nurse Campus Director
 Republic of the Philippines
Cebu Technological University
Dumanjug Extension Campus

INTRAMURALS 2017
OFFICIAL LINE- UP FORM
College : College of Education

Name of Event/ Sport : Scrabble (Women)

Name of Student Coach: ____________________________________________________

OFFICIAL LINE-UP
NAME OF PLAYERS COURSE &SECTION REMARKS

1. __________________________ ________________________ _________________

2. __________________________ ________________________ _________________
3. __________________________ ________________________ _________________
4. __________________________ ________________________ _________________

I hereby certify under penalty of perjury that the above-listed players are bonafide students of
Cebu Technological University – Dumanjug Extension Campus for Academic Year 2017-2018 and
are eligible to play in the sports events of INTRAMURALS 2017 having complied all the requisites
and qualifications and none of the disqualifications.

_________________________ _________________________
Student Coach Unit Chairman

_________________________ _________________________
Nurse Campus Director
 Republic of the Philippines
Cebu Technological University
Dumanjug Extension Campus

INTRAMURALS 2017
OFFICIAL LINE- UP FORM
College : College of Education

Name of Event/ Sport : Word Factory (Men)

Name of Student Coach: ____________________________________________________

OFFICIAL LINE-UP
NAME OF PLAYERS COURSE &SECTION REMARKS

1. __________________________ ________________________ _________________

2. __________________________ ________________________ _________________
3. __________________________ ________________________ _________________
4. __________________________ ________________________ _________________

I hereby certify under penalty of perjury that the above-listed players are bonafide students of
Cebu Technological University – Dumanjug Extension Campus for Academic Year 2017-2018 and
are eligible to play in the sports events of INTRAMURALS 2017 having complied all the requisites
and qualifications and none of the disqualifications.

_________________________ _________________________
Student Coach Unit Chairman

_________________________ _________________________
Nurse Campus Director
 Republic of the Philippines
Cebu Technological University
Dumanjug Extension Campus

INTRAMURALS 2017
OFFICIAL LINE- UP FORM
College : College of Education

Name of Event/ Sport : Word Factory (Women)

Name of Student Coach: ____________________________________________________

OFFICIAL LINE-UP
NAME OF PLAYERS COURSE &SECTION REMARKS

1. __________________________ ________________________ _________________

2. __________________________ ________________________ _________________
3. __________________________ ________________________ _________________
4. __________________________ ________________________ _________________

I hereby certify under penalty of perjury that the above-listed players are bonafide students of
Cebu Technological University – Dumanjug Extension Campus for Academic Year 2017-2018 and
are eligible to play in the sports events of INTRAMURALS 2017 having complied all the requisites
and qualifications and none of the disqualifications.

_________________________ _________________________
Student Coach Unit Chairman

_________________________ _________________________
Nurse Campus Director
 Republic of the Philippines
Cebu Technological University
Dumanjug Extension Campus

INTRAMURALS 2017
OFFICIAL LINE- UP FORM
College : College of Education

Name of Event/ Sport : 3-on-3 Basketball (Men)

Name of Student Coach: ____________________________________________________

OFFICIAL LINE-UP
NAME OF PLAYERS COURSE &SECTION REMARKS

1. __________________________ ________________________ _________________

2. __________________________ ________________________ _________________
3. __________________________ ________________________ _________________
4. __________________________ ________________________ _________________

I hereby certify under penalty of perjury that the above-listed players are bonafide students of
Cebu Technological University – Dumanjug Extension Campus for Academic Year 2017-2018 and
are eligible to play in the sports events of INTRAMURALS 2017 having complied all the requisites
and qualifications and none of the disqualifications.

_________________________ _________________________
Student Coach Unit Chairman

_________________________ _________________________
Nurse Campus Director
 Republic of the Philippines
Cebu Technological University
Dumanjug Extension Campus

INTRAMURALS 2017
OFFICIAL LINE- UP FORM
College : College of Education

Name of Event/ Sport : Dance Palabas

Name of Student Coach: ____________________________________________________

OFFICIAL LINE-UP
NAME OF PLAYERS COURSE &SECTION REMARKS

1. __________________________ ________________________ _________________

2. __________________________
3. __________________________
4. __________________________
5. __________________________
6. __________________________
7. __________________________
8. __________________________
9. __________________________
10. __________________________
11. __________________________
12. __________________________
13. __________________________
14. __________________________
15. __________________________
16. __________________________
17. __________________________
18. __________________________
19. __________________________
20. __________________________
________________________
________________________
________________________
________________________
________________________
________________________
________________________
________________________
________________________
________________________
________________________
________________________
________________________
________________________
________________________
________________________
________________________
________________________
________________________
_________________
_________________
_________________
_________________
_________________
_________________
_________________
_________________
_________________
_________________
_________________
_________________
_________________
_________________
_________________
_________________
_________________
_________________
_________________
21. __________________________ ________________________ _________________
22. __________________________ ________________________ _________________
23. __________________________ ________________________ _________________
24. __________________________ ________________________ _________________
25. __________________________ ________________________ _________________
26. __________________________ ________________________ _________________
27. __________________________ ________________________ _________________
28. __________________________ ________________________ _________________
29. __________________________ ________________________ _________________
30. __________________________ ________________________ _________________

I hereby certify under penalty of perjury that the above-listed players are bonafide students of
Cebu Technological University – Dumanjug Extension Campus for Academic Year 2017-2018 and
are eligible to play in the sports events of INTRAMURALS 2017 having complied all the requisites
and qualifications and none of the disqualifications.

_________________________ _________________________
Student Coach Unit Chairman

_________________________ _________________________
Nurse Campus Director