PHILIPPINE SPORTS HALL OF FAME

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					                                                   Republic of the Philippines
                                                    Office of the President


                                PHILIPPINE SPORTS HALL OF FAME
                                                    NOMINATION FORM


NOMINEE:            ATHLETE’S OR TEAM’S NAME

                    SPORT

                    OUTSTANDING ACHIEVEMENT

                    PLACE                                                          DATE

                    OTHER SPORTS ACCOMPLISHMENTS:


(Nominator may include clippings, articles, documents or pertinent statistics of career or non
athletic accomplishments that may be reflective of athlete’s integrity, sportsmanship, and
character that may aid the nomination.)

Address (if applicable)

Phone Number (if applicable)
E-mail Address (if applicable)

Date of Birth                                                         Place of Birth
Date of Death (if applicable)

High School Attended
                                                                      Dates
College Attended
                                                                      Dates
NOMINATED BY:

NOMINATOR’S PRINTED NAME:

Signature
Date
Address
                                                                      E-mail Address
Phone Number

**Forms are available at the Information Systems Unit of the PSC main office in Rizal Memorial Sports Complex or may also
be downloaded at PSC website: www.psc.gov.ph

**Please mail or send completed nomination form to:
Philippine Sports Hall of Fame c/o Philippine Sports Commission
Rizal Memorial Sports Complex, Vito Cruz, Manila 1004

Or send by e-mail to psc_halloffame@yahoo.com
Deadline of Nomination is on March 20, 2010
Mailed Nominations must be postmarked not later than March 20, 2010

For Inquiries, you may contact Ms. Christine Abellana Tel No. 525-0808 local 189