Beruflich Dokumente
Kultur Dokumente
District BARAS SOUTH Division: CATANDUANES Region V(BICOL) Calendar Year 2018
NAME IP
Date of Birth Mother Number of Level Date Mapped
(Last Name, First Name, Name Age (Yes or Religion
(mm/dd/yyyy) Tongue House Father's Name (Last Mother's Maiden Name Learner Completed in (mm/dd/yyyy) Interested in If Yes,
Extension, Middle Name) No)
No./Street/ Barangay Municipality/ City Province Name, First Name, Middle (Last Name, First (if available) Formal School ALS? Preferred
Sitio/ Purok Name) Name, Middle Name) Yes or No Program
MAPPED LEARNERS as of (MM/DD/YY) ENROLLED LEARNERS as of Prepared By:
(MM/DD/YY)
FEMALE FEMALE
If already enrolled
in ALS, provide date
of first attendance
(DOFA) and LRN
SFRT 2017
AF2 Republic of the Philippines
Department of Education
ALTERNATIVE LEARNING SYSTEM
ALS ENROLMENT FORM (AF2)
Learner's Basic Profile
• Address:
House No./Street/Sitio Barangay Municipality/City Province
• Birthdate (mm/dd/yyyy): _____/_____/________ Place of Birth (Municipality/City)
• Sex: □Male □Female • Civil Status: □Single □Married □Widow/er □Separated □Solo Parent
• Religion: ____________• IP (Specify ethnic group) : ______________ • Mother Tongue : _______________ PWD: □Yes □No
• Name of Father/Legal Guardian
_______________________________________ _____________________________
Facilitator: Signature and Date Learner: Signature and Date
Republic of the Philippines
Department of Education
ALTERNATIVE LEARNING SYSTEM
MASTERLIST OF ENROLLED LEARNERS WITH END OF PROGRAM/CY STATUS
District Division Region
Type of
Name of CLC Barangay
CLC
NON FO
PROGRAM ENROLLED Assessment for Basic
Literacy (ABL)
PIS Score
Sex (M/F)
NAME
Birthdate First Date of
LRN (Last Name, First Name, Middle Age
(mmddyyyy) Attendance
Basic Literate
Post Literate
Neo Literate
Name, Name Extension)
Type of
Mode of Program Delivery
Program
8/19/1997 21.6667
12/13/2000 18.3333
Learners Enrolled
Learners Enrolled by Program Male Female Total
by Program Delivery
Male Female Total
STATUS (AF-3)
Calendar Year
City/Municipality
Sex (M/F)
Birthdate
A&E Test Level Date
LRN CLC
(Last Name, First Name, Middle Registered Registered
CLC Name Barangay Municipal
Name, Ext) Type
y/City)
Date of
Examination
ed Name
ed Name
Republic of the Philippines
Department of Education
ALTERNATIVE LEARNING SYSTEM
ADDRESS:
HOUSE NO./ SITIO / ST. BARANGAY MUNICIPALITY/CITY PROVINCE
Score Score
ASSESSMENT RESULTS ASSESSMENT RESULTS
Pre Post Pre
PIS Score PIS Score
Assesment for Basic Literacy (ABL) Pre Post Assesment for Basic Literacy (ABL) Pre
Basic Literate Basic Literate
Neo Literate Neo Literate
Post Literate Post Literate
Functional Literacy Assessment Pre Post Functional Literacy Assessment Pre
FLT Score in Reading FLT Score in Reading
FLT Score in Numeracy FLT Score in Numeracy
FLT Score in Writing FLT Score in Writing
FLT Score in Listening & Speaking FLT Score in Listening & Speaking
Overall Score 0 0 Overall Score 0
InfEd Remarks InfEd Remark
Prepared By: Certified Correct By: Prepared By: Certified Correct By:
______________
___________________
CE
Female
Score
Post
Post
Post
0
Remarks
Remarks
racter
moral character.
dividual due to
mployment.
Coordinator/EPSA