The 3rd Regional Inter-tertiary
Mathematics Quiz
Amigo Terrace Hotel, Iloilo City
October 19, 2012
ENTRY FORM
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College /University:
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Address:
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CONTESTANTS
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Name
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Course
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Year
Level
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Age
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COACH
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Name
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Signature
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I
certify that the aforementioned information is correct.
____________________________________________________________
Signature
of President/Administrator/Dean Over Printed Name
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Note: Submit/fax this entry form on or
before October 18, 2012. You may email this form to mtapiloilo@yahoo.com.
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