Department of Education

ALTERNATIVE LEARNING SYSTEM

MASTERLIST OF MAPPED AND POTENTIAL LEARNERS (AF1)

District Division: Region

COMPLETE HOME ADDRESS PARENTS

Contact
Sex (M/F)

NAME IP
Date of Birth Mother Number of
(Last Name, First Name, Name Age (Yes or Religion
(mm/dd/yyyy) Tongue House Father's Name (Last Mother's Maiden Name Learner
Extension, Middle Name) No)
No./Street/ Barangay Municipality/ City Province Name, First Name, Middle (Last Name, First (if available)
Sitio/ Purok Name) Name, Middle Name)
MAPPED LEARNERS as of (MM/DD/YY) ENROLLED LEARNERS as of Prepared By:
(MM/DD/YY)

Signature of Facilitator o
MALE MALE

FEMALE FEMALE

Certified Correct: Signature of PSDS ov

TOTAL TOTAL
 Calendar Year

REMARKS

Last Grade
Level Date Mapped
If already enrolled
Completed in (mm/dd/yyyy) Interested in If Yes,
in ALS, provide date
Formal School ALS? Preferred
of first attendance
Yes or No Program
(DOFA) and LRN
Signature of Facilitator over Printed Name

Signature of PSDS over Printed Name

SFRT 2017
 AF2

Date :

Last Name

• Address:
House No./Street/Sitio
• Birthdate (mm/dd/yyyy): _____/____

• Sex: □Male □Female

• Religion: ____________• IP (Specify ethn

• Name of Father/Legal Guardian

Last Name
• Mother's Maiden Name

Last Name

• Last grade level completed

Elementary :
Secondary :
• Why did you drop out of school? (For
□No school in Baran
□Unable to pay for m

• Have you attended ALS learning ses

If Yes:
Name of the Program: _______________
Year Attended: ___________

• How far is it from your home to your Lear

• How do you get from your home to your L
• When can you attend your Learning Sess

Monday

What specific time

can you be at your
Learning Center?

_____________________
Facilitator: Signa
 Republic of the Philippines

Department of Education

ALTERNATIVE LEARNING SYSTEM

ALS ENROLMENT FORM (AF2)
Learner's Basic Profile

LRN (if available) :

Personal Information (Part I)

First Name Middle Name Name Extension

itio Barangay Municipality/City Province

____/________ Place of Birth (Municipality/City)

• Civil Status: □Single □Married □Widow/er □Separated □Solo Parent

ethnic group) : ______________ • Mother Tongue : _______________ PWD: □Yes □No

First Name Middle Name Occupation

First Name Middle Name Occupation

Educational information (Part II)

□K □G-1 □G-2 □G-3 □G-4 □G-5 □G-6

□G-7 □G-8 □G-9 □G-10
(For OSY only)
arangay □School too far from home □Needed to help family
for miscellaneous and other expenses Others:

sessions before? □YES □NO

_________________________________ Level of Literacy: □Basic □Elem. □Sec. □InfEd

Have you completed the Program? (Yes/No) _______
If NO, state the reason:

Accessibility and Availability (Part III)

Learning Center? in kms in hours and mins.
our Learning Center? □Walking □Motorcycle □Bicycle □Others (Pls. Specify) ___________
Session?

Tuesday Wednesday Thursday Friday Saturday Sunday

_____________________ _____________________________
gnature and Date Learner: Signature and Date

SFRT 2017
 AF2 Republic of the Philippines
Department of Education

ALTERNATIVE LEARNING SYSTEM

ALS ENROLMENT FORM (AF2)
Learner's Basic Profile

Date : LRN (if available) :

Personal Information (Part I)

Last Name First Name Middle Name Name Extension

• 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

Last Name First Name Middle Name Occupation

• Mother's Maiden Name

Last Name First Name Middle Name Occupation

Educational information (Part II)

• Last grade level completed

Elementary : □K □G-1 □G-2 □G-3 □G-4 □G-5 □G-6

Secondary : □G-7 □G-8 □G-9 □G-10

• Why did you drop out of school? (For OSY only)
□No school in Barangay □School too far from home □Needed to help family

□Unable to pay for miscellaneous and other expenses Others:

• Have you attended ALS learning sessions before? □YES □NO

If Yes:
Name of the Program: _____________________________________________ Level of Literacy: □Basic □Elem. □Sec. □InfEd
Year Attended: ___________ Have you completed the Program? (Yes/No) _______
If NO, state the reason:

Accessibility and Availability (Part III)

• How far is it from your home to your Learning Center? in kms in hours and mins.
• How do you get from your home to your Learning Center?
• When can you attend your Learning Session?

What specific time Monday Tuesday Wednesday Thursday Friday Saturday Sunday
can you be at your
Learning Center?

GILBERT G. TURARAY _____________________________

Facilitator: Signature and Date Learner: Signature and Date
SFRT 2017
 Republic of the Philippines
Department of Education
ALTERNATIVE LEARNING SYSTEM
MASTERLIST OF ENROLLED LEARNERS WITH END OF PROGRAM/CY STATUS (AF-3)
District CAINTA Division RIZAL Region IV-A Calendar Year

Type of
Name of CLC FRANCISCO P. FELIX ELEMENTARY SCHOOL MAIN
CLC 4 Barangay SAN ANDRES City/Municipali

NON FORMAL EDUCATION

PROGRAM ENROLLED Assessment for Basic
Functional Literacy Asse
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 Program Mode of Program Delivery Reading Numeracy

Buena, John Alfred jimenez M 12/07/1999 19.6666667 A&E Secondary Face to Face

Dorayan, Rhenz Paul Bautista M 10/21/2000 18.8333333 A&E Secondary Face to Face
Matutina, Joseph Christian M 10/12/1999 19.8333333 A&E Secondary
Amando
Vasquez, Mat Anton Atinon M 3/5/1999 20.4166667 A&E Secondary

Catuburan, Juvy Ciles M 5/6/2002 17.25 A&E Elementary

Fernando, Henry F M 7/14/2000 19.0833333 A&E Elementary

Alcala, Lenard M 9/27/1999 19.9166667 A&E Elementary

Perdiz, Venedick Pascual M 10/05/2002 16.8333333 A&E Elementary

Regino, Marcelo Parawan M 05/12/2003 16.25 A&E Elementary

Maestre, Jeric Andro M 05/14/1998 21.25 A&E Elementary

Vitug, Christopher Laine Cipriano M 09/04/2003 15.9166667 A&E Elementary

Martinez, Danilo Pineda M 11/16/2001 17.75 A&E Elementary

Manapat, Ronaldo Vicente M 01/03/2001 18.5833333 A&E Elementary

Ellorde, June Tyson M 06/22/1997 22.1666667 A&E Secondary

Iquiña, Geomartin Arroyo M 06/13/1998 21.1666667 A&E Secondary

Daguinoo, Jeremiah Betes M 12/23/2000 18.6666667 A&E Secondary

Ruelan, Vidas Fabiliran M 11/09/2000 18.75 A&E Secondary

Leborio, Loceda Privion M 6/21/2001 18.1666667 A&E Secondary

Cipriano, Christian Vitug M 01/02/2002 17.5833333 A&E Secondary

Narcisa, Nico Yen M 03/16/2002 17.4166667 A&E Secondary

Bonus, John Mark M 07/08/2001 18.0833333 A&E Secondary

 <=== TOTAL MALE

Del Prado, Jelli Macaranas F 04/24/2000 19.3333333 A&E Secondary

Leal, Nieve Lopez F 10/26/1997 21.8333333 A&E Elementary

Lupaz, Mia Nicole Buena F 07/29/2002 17.0833333 A&E Secondary

Reyes, Rachel Luz F 02/27/1998 21.5 A&E Secondary

Haide, Maria Madel Muos F 12/29/1999 19.6666667 A&E Secondary

Arella, Abby Sophia Socorro F 01/08/1999 20.5833333 A&E Secondary

Orsal, Sherly Luceño F 08/06/2000 19 A&E Secondary

Navarro, Rizzaly Niebres F 12/30/2001 17.6666667 A&E Secondary

Calungsod, Jovela F 10/6/1999 19.8333333 A&E Secondary

F
F
F
<=== TOTAL FEMALE
<=== COMBINED

Learners Enrolled by Learners Enrolled

Program
Male Female Total
by Program Delivery
Male Female Total

BLP 0 0 0 Face to Face

A&E Elem. 9 1 10 Independent Learning
A&E Sec. 12 8 20 Radio-based Instruction
InFED 0 0 0 Computer-based Instruction

Learners Enrolled in
BLP Male Female Total Enrolled Learners Male Female Total
by Level
Basic Literate 0 0 0 Number of 4P's Learners
Neo Literate 0 0 0 Percent of Enrolled 4P's Learners
Post Literate 0 0 0
 AF-3

F-3)
2018

/Municipality CAINTA, RIZAL

CATION

eracy Assessment (FLT) Score

End of
Program/ Remarks
CY Status
Listening & Overall
Writing
Speaking Score
Prepared By:

ERLINDA S. ALAZO
Signature of Facilitator over Printed Name

Certified Correct By:

EVELYN R. MINA, Ed. D

Signature of PSDS over Printed Name
 Republic of the Philippines
Department of Education
ALTERNATIVE LEARNING SYSTEM
MASTERLIST OF A&E REGISTRANTS (AF-4)
District CAINTA I Division RIZAL Region IV-A

Place of Registration Center EXODUS ELEM. SCHOOL SAN JUAN CAINTA

(Name of School/Center, Barangay, Municipality)
(Testing Center) (Barangay) (Municipality/City)

NAME CLC DETAILS

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
109397050003 Abangan, Dredwin John M. M 4/1/1998 EXODUS 3 San Juan Cainta Secondary 09/07/18
132331090001 Alab, Adan Alonzo A. M 12/8/1996 EXODUS 3 San Juan Cainta Elementary 09/07/18
406925150137 Barnuevo, Marvin Y. M 3/17/2002 EXODUS 3 San Juan Cainta Secondary 09/07/18
109397060121 Bueno, John Romel B. M 3/30/2000 EXODUS 3 San Juan Cainta Secondary 09/07/18
110981070051 Bueno, Noel B. M 8/25/2001 EXODUS 3 San Juan Cainta Secondary 09/07/18
109543070088 Calderon, Aldrin N. M 8/28/1999 EXODUS 3 San Juan Cainta Elementary 09/07/18
541051802369 Cesar, Ruel C. M 10/21/1998 EXODUS 3 San Juan Cainta Secondary 09/07/18
131290060058 Coronas, Jherico P. M 7/31/2000 EXODUS 3 San Juan Cainta Secondary 09/07/18
109397080174 Curbano, Jorge A. M 6/29/2000 EXODUS 3 San Juan Cainta Secondary 09/07/18
109397060164 Damasco, Jean Paul B. M 6/24/1999 EXODUS 3 San Juan Cainta Secondary 09/07/18
308108090123 Dawal, Cherish N. M 5/16/1996 EXODUS 3 San Juan Cainta Secondary 09/07/18
541051802214 Elarcosa, Rizaldo M 7/8/1982 EXODUS 3 San Juan Cainta Elementary 09/07/18
301442100290 Gravoso, Jonariz M. M 9/15/1995 EXODUS 3 San Juan Cainta Secondary 09/07/18
136419121191 Magbanlag, Melvin S. M 2/4/2002 EXODUS 3 San Juan Cainta Elementary 09/07/18
541051702954 Mamayandog, Abdul Hakem P. M 1/1/1993 EXODUS 3 San Juan Cainta Secondary 09/07/18
136659050218 Nava, Mike Anthony G. M 3/9/2000 EXODUS 3 San Juan Cainta Secondary 09/07/18
304589110619 Nolon, Roy A. M 3/16/1998 EXODUS 3 San Juan Cainta Secondary 09/07/18
116322070047 Quimque, John Michaeal P. M 6/17/1998 EXODUS 3 San Juan Cainta Secondary 09/07/18
541051503368 Sabas, Adam Timojen A. M 4/25/1997 EXODUS 3 San Juan Cainta Secondary 09/07/18
109397090474 Solejon, Jey-Gie B. M 8/26/2001 EXODUS 3 San Juan Cainta Elementary 09/07/18
109397060537 Tugon, Ajay B. M 8/24/2001 EXODUS 3 San Juan Cainta Secondary 09/07/18
117523060269 Yulas, Darry D. M 2/17/1996 EXODUS 3 San Juan Cainta Secondary 09/07/18
109397070538 Yulas, Janroi S. M 1/10/2001 EXODUS 3 San Juan Cainta Secondary 09/07/18
103278070007 Elprin, Dalumpines L. M 9/29/2000 EXODUS 3 San Juan Cainta Elementary 09/07/18
541051702963 Sivillino, Marjun L. M 3/23/2001 EXODUS 3 San Juan Cainta Secondary 09/07/18
109397070003 Aba, Gerald T. M 10/16/2000 EXODUS 3 San Juan Cainta Secondary 09/07/18
<=== TOTAL MALE
109397070008 Achumbre, Rosenda M. F 12/19/1999 EXODUS 3 San Juan Cainta Secondary 09/07/18
541051802217 Adatan, Raila S. F 12/28/1997 EXODUS 3 San Juan Cainta Secondary 09/07/18
541051802218 Alpuerto, Editha G. F 2/9/1967 EXODUS 3 San Juan Cainta Secondary 09/07/18
109397060078 Baluran, Jennie B. F 11/13/2000 EXODUS 3 San Juan Cainta Secondary 09/07/18
136437080102 Bernalesa, Ellaiza Mae S. F 12/6/2001 EXODUS 3 San Juan Cainta Secondary 09/07/18
109408090052 Bongat, Jessa C. F 12/21/2002 EXODUS 3 San Juan Cainta Secondary 09/07/18
541051802414 Borac, Flory A. F 6/21/1985 EXODUS 3 San Juan Cainta Secondary 09/07/18
109397060128 Cadarit, Rochel C. F 9/4/1999 EXODUS 3 San Juan Cainta Secondary 09/07/18
109397050107 Cadarit, Ronalyn C. F 7/4/1997 EXODUS 3 San Juan Cainta Secondary 09/07/18
109397070132 Cleto, Maribel W. F 12/21/2000 EXODUS 3 San Juan Cainta Secondary 09/07/18
300631110061 Dela Cruz, Angelica B. F 11/16/1997 EXODUS 3 San Juan Cainta Secondary 09/07/18
425546150320 Guevara, Chloe Priska DC. F 12/27/2001 EXODUS 3 San Juan Cainta Secondary 09/07/18
541051802221 Isales, Mercy G. F 10/27/1982 EXODUS 3 San Juan Cainta Secondary 09/07/18
109397060350 Masamoc, Noraleen F 9/19/1997 EXODUS 3 San Juan Cainta Secondary 09/07/18
109397080375 Pacheco, Jennifer C. F 7/26/1999 EXODUS 3 San Juan Cainta Secondary 09/07/18
109397070391 Paglinawan, Fely G. F 9/18/2000 EXODUS 3 San Juan Cainta Secondary 09/07/18
541051500697 Pergis, Maricris L. F 12/17/1990 EXODUS 3 San Juan Cainta Secondary 09/07/18
541051703690 Ramido, Marie Shane B. F 9/17/1993 EXODUS 3 San Juan Cainta Secondary 09/07/18
108062120028 Reeves, Sherelyn C. F 9/28/2001 EXODUS 3 San Juan Cainta Secondary 09/07/18
541051802219 Salino, Geraldine H. F 5/29/1995 EXODUS 3 San Juan Cainta Secondary 09/07/18
109537070337 Sampaga, Chessa Lyn P. F 8/5/1998 EXODUS 3 San Juan Cainta Secondary 09/07/18
109397120725 Treyes, Ara Jean L. F 8/31/2003 EXODUS 3 San Juan Cainta 09/07/18
108397070502 Treyes, Mary Claire L. F 10/30/1999 EXODUS 3 San Juan Cainta Secondary 09/07/18
541051802216 Saripada, Shaimah D. F 12/28/1992 EXODUS 3 San Juan Cainta Secondary 09/07/18
121654050073 Villlaro, Giraline A. F 7/25/1997 EXODUS 3 San Juan Cainta Secondary 09/07/18
109397080497 Villacrusis, Richel Magdaline B. F 7/22/2001 EXODUS 3 San Juan Cainta Secondary 09/07/18
Olmaza, Glezter C. F 7/12/1983 EXODUS 3 San Juan Cainta Secondary 09/07/18
<=== TOTAL FEMALE
<=== COMBINED

Registered Male Female Total Prepared By: RICARDO L. DE GUZMAN

Elementary 6 0 6 Signature of Facilitator over Printed Name
Secondary 20 27 47
Taker Male Female Total Certified Correct By:
Elementary 6 0 6 EVELYN R. MINA Ed. D
Secondary 20 27 47 Signature of PSDS/DC over Printed Name
 AF-4

IV-A

A
y/City)

Date of
Examination

09/27/18
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N
ed Name

D
ed Name
 Republic of the Philippines
Department of Education
ALTERNATIVE LEARNING SYSTEM

LEARNER'S PERMANENT RECORD (AF-5)

DISTRICT: DIVISION: REGION:

LEARNER'S INFORMATION LRN:_________________

___
LAST NAME: FIRST NAME: _____________________ NAME EXTENSION: ______ MIDDLE NAME: ___________

ADDRESS:
HOUSE NO./ SITIO / ST. BARANGAY MUNICIPALITY/CITY PROVINCE

BIRTHDATE: MONTH _____/ DATE__________ / YEAR______________ SEX: Male Female

LEARNER'S EDUCATIONAL STATUS

Program Enrolled : Program Enrolled :
Delivery Mode : Delivery Mode :
CLC Name : CLC Name :
CLC Address : CLC Address :
Name of Facilitator : Name of Facilitator :
Calendar Year : Calendar Year :

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

A & E STATUS Remarks A & E STATUS

Program Status Program Status
Test Taken Test Taken
Date of Examination Date of Examination
Testing Center Testing Center
Location of Testing Center Location of Testing Center
Accreditation and Equivalency (A&E) Test Result Accreditation and Equivalency (A&E) Test Result

Certificate of Transfer Certificate of Transfer

Eligible for Admission to : Eligible for Admission to :
 Certificate of Good Moral Character Certificate of Good Moral Character
This is to certify that the above-named is a learner of good moral character. This is to certify that the above-named is a learner of good moral charac
This certification is issued upon request of the concerned individual due to This certification is issued upon request of the concerned individual due
his/her desire to pursue formal schooling/other CLC or for employment. his/her desire to pursue formal schooling/other CLC or for employment.

Prepared By: Certified Correct By: Prepared By: Certified Correct By:

Facilitator PSDS/District Coordinator/EPSA Facilitator PSDS/District Coordinato

 AF-5

______________

___________________

CE

Female

Score
Post

Post

Post

0
Remarks

Remarks
racter
moral character.
dividual due to
mployment.

Coordinator/EPSA