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Bacak AF1 PDF
Bacak AF1 PDF
District Bagamanoc South Division: Catanduanes Region V - Bicol Calendar Year 2018
Last Grade
Sex (M/F)
Roman Purok 1
Icaro, Nancy, Edraga F 30-Set-80 39 Tagalog No Bacak Bagamanoc Catanduanes Icaro, Jaime, Bernardino Edraga, Rosita, Apiro None Grade 3 4-Hul-18 Yes BLP
Catholic
Roman Sta. Cruz St. Purok 1 A&E
Tendenilla, Jenny, Cater F 11/11/1989 30 Bikol No Bacak Bagamanoc Catanduanes Tendenilla, Jovito, Tugay Cater, Aurita, Vitalicio None Grade 9 13-Ene-18 Yes
Catholic Secondary
Roman Sta. Cruz St. Purok 1 Villena, Ponciano Jr. , Cueva, Visitacion, A&E
Villena, Christopher, Cueva M 4-Abr-96 24 Bikol No Bacak Bagamanoc Catanduanes 9202226797 Grade 7 20-Ene-18 Yes
Catholic Bernardo Francisco Secondary
Roman Sta. Cruz St. Purok 1 Lerio, Jocelyn, A&E
Vitalico, Joshua, Lerio M 21-Set-99 18 Bikol No Bacak Bagamanoc Catanduanes Vitalicio, Sonny, Santos 9468404628 Grade 10 5-Hun-18 Yes
Catholic Abraham Secondary
Roman Sta. Cruz St. Purok 1 Lerio, Jocelyn, A&E
Vitalico, Sherwin, Lerio M 9-Abr-01 17 Bikol No Bacak Bagamanoc Catanduanes Vitalicio, Sonny, Santos 9468404628 Grade 8 5-Hun-18 Yes
Catholic Abraham Secondary
Delos Santos, Segismundo Roman Sta. Cruz St. Purok 1 Grade VII
F 5/7/2005 15 Bikol No Bacak Bagamanoc Catanduanes Vitalicio, Bernardo Joey Vecina, Leo
Franceska Beatrice Catholic (Presesnt)
Roman Sta. Cruz St. Purok 1 Vitalicio, Segismundo Villena, Villaflor College
Sarmiento, Vitalicio Ester F 9/8/1963 56 Bikol No Bacak Bagamanoc Catanduanes 9291755190
Catholic Leodegario Francisca Graduate
Roman Sta. Cruz St. Purok 1 San Gaspar, Vicente Segismundo, Abogne High School
San Gaspar, Segismundo Garry M 5/9/1975 45 Bikol No Bacak Bagamanoc Catanduanes 9487733793 No
Catholic Ernesto Sr. Gloria Graduate
3rd year
Roman Sta. Cruz St. Purok 1 San Gaspar,
San Gaspar, Villena Glezelle F 9/22/1999 20 Bikol No Bacak Bagamanoc Catanduanes Villena, Elizabeth College
Catholic Segismundo Garry
(Present)
Roman Sta. Cruz St. Purok 1 San Gaspar, Grade 9
San Gaspar, Villena Gaide Joy F 2/17/2002 18 Bikol No Bacak Bagamanoc Catanduanes Villena, Elizabeth
Catholic Segismundo Garry (Present)
Roman Sta. Cruz St. Purok 1 Cueva, Incarnacion Cenon, Santa Ana Elementary
Villena, Cueva Maria F 2/2/1938 82 Bikol No Bacak Bagamanoc Catanduanes No
Catholic Patricio Clotilde Graduate
Roman Sta. Cruz St. Purok 1 Calizar, Narvasa, Villaflores, Delos High school
Calizar, Villaflores Alan M 3/5/1966 54 Bikol No Bacak Bagamanoc Catanduanes 9198368869 No
Catholic Artemio Sr. Santos Elena Graduate
Roman Sta. Cruz St. Purok 1 Fajilagmago, Fajiculai Presentacion, High School
Calizar, Fajilagmago Lydia F 8/19/1972 47 Bikol No Bacak Bagamanoc Catanduanes No
Catholic Narciso Evangelista Mina Graduate
College
Roman Sta. Cruz St. Purok 1
Calizar, Fajilagmago Glydel F 1/2/1997 23 Bikol No Bacak Bagamanoc Catanduanes Calizar, Villaflores Alan Fajilagmago, Lydia Graduate
Catholic
(BEED)
Roman Sta. Crusz St. Purok 1 Villena, Bernardo 1st Year High A&E
Villena, Cueva Christopher M April 4, 1996 #VALUE! Bikol No Bacak Bagamanoc Catanduanes Cueva, Visitacion 9202226797 Yes
Catholic Ponciano Jr. School Secondary
Roman Sta. Cruz Purok 1 Villon, Francosco Levy Copino, Esteban High School
Villon, Copino Levy Jr. M 27-Mar-80 40 Bikol No Bacak Bagamanoc Catanduanes 9993037379 No
Catholic Sr. Carmen Grad.
Roman Sta. Cruz St. Purok 1 Segismundo, Villaflor Valerio, Molina Elementary
Segismundo, Valerio Evelyn F 12/27/1957 62 Bikol No Bacak Bagamanoc Catanduanes 9307344530 No
Catholic Amando Trinidad Graduate
Roman Sta. Cruz St. Purok 1 Elementary
Vitalicio, Tusi Arnol M 6/1/1960 60 Bikol No Bacak Bagamanoc Catanduanes Vitalicio, Rosalio Tusi,Calixta None No
Catholic Graduate
Roman Sta. Cruz St. Purok 1 Hallare, Ortacio High School
Bandola, Hallare Ronnie M 12/31/1985 34 Bikol No Bacak Bagamanoc Catanduanes Calizar, Sumalde Romeo 9509005390 No
Catholic Rosita Graduate
Roman Sta. Cruz St. Purok 1 Fajilagmago, 2nd year
Calizar, Fajilagmago Lyka F 4/6/1994 26 Bikol No Bacak Bagamanoc Catanduanes Calizar, Villaflores Allan None No
Catholic Presentacion Lydia College
Roman Sta. Cruz St. Purok 1
Bandola, Calizar Alyanie Rose F 7/30/2016 4 Bikol No Bacak Bagamanoc Catanduanes None
Catholic
Roman Sta. Cruz St. Purok 1 Francisco, Villafuerte High School
Baylon, Villon Estela F 11/22/1939 80 Bikol No Bacak Bagamanoc Catanduanes Villon, Evangelista Primo None No
Catholic Matelde Graduate
Roman Sta. Cruz St. Purok 1 Baylon, Villaluna 3rd year High
Baylon, Villon Leny F 5/10/1984 36 Bikol No Bacak Bagamanoc Catanduanes Villon, Estella None No
Catholic Pasciano School
College
Roman Sta. Cruz St. Purok 1 Calderon, Framcisco
Calderon, Villasana Veneracion F 3/30/1997 23 Bikol No Bacak Bagamanoc Catanduanes Villasana, Salve None Graduate
Catholic Venerado
(BEED)
Roman Sta. Cruz St. Purok 1 High School
Lerio, Abraham Jon Jon M 8/16/1988 31 Bikol No Bacak Bagamanoc Catanduanes Lerio, Puno Rufo Abraham, Remedios 9509005235 No
Catholic Graduate
Roman Sta. Cruz St. Purok 1 Grade XI
Lerio, Gidocos Ejay M 3/6/2000 20 Bikol No Bacak Bagamanoc Catanduanes Lerio, Abraham Archie Gidocos, Mary Jane None
Catholic (Present)
Roman Sta. Cruz St. Purok 1 Grade 8
Lerio, Gidocos Marchie F 12/17/2003 16 Bikol No Bacak Bagamanoc Catanduanes Lerio, Abraham Archie Gidocos, Mary Jane None
Catholic (Present)
Roman Sta. Cruz St. Purok 1 3rd year High
Higa, Magpantay Arnel M 4/28/1985 35 Bikol No Bacak Bagamanoc Catanduanes Higa, Diosdado Magpantay, Anastasia 9183885268 No
Catholic School
Roman Sta. Cruz St. Purok 1 Santos, Tendenilla High School
Higa, Vitalicio Susan F 12/13/1981 38 Bikol No Bacak Bagamanoc Catanduanes Vitalicio, Tusi Remegio None No
Catholic Erlinda Graduate
Roman Sta. Cruz St. Purok 1 Grade VI
Higa, Vitalicio Angelica Shane F 9/16/2006 13 Bikol No Bacak Bagamanoc Catanduanes Higa, Magpantay Arnel Vitalicio, Susan None
Catholic (Present)
Roman Sta. Cruz St. Purok 1 Grade II
Higa, Vitalicio Alexis Rey M 9/24/2010 9 Bikol No Bacak Bagamanoc Catanduanes Higa, Magpantay Arnel Vitalicio, Susan None
Catholic (Present)
Roman Sta. Cruz St. Purok 1 Vitalicio, Presentacion
Vitalicio, Tusi Remegio M 8/1/1948 71 Bikol No Bacak Bagamanoc Catanduanes Tusi, Buban Calixta 9509005391 Grade V No
Catholic Rosalio
Roman Sta. Cruz St. Purok 1 Santos, Tendenilla Elementary
Vitalicio, Santos Erlinda F 9/12/1952 67 Bikol No Bacak Bagamanoc Catanduanes Salazar, Santos Maximo None No
Catholic Marcela Graduate
Roman Sta. Cruz St. Purok 1 College
Vitalicio, Santos Sharon F 12/29/1989 30 Bikol No Bacak Bagamanoc Catanduanes Vitalicio, Tusi Remegio Santos, Erlinda None
Catholic Graduate
Roman Sta. Cruz St. Purok 1 High School
Vitalicio, Santos Sandy M 12/23/1990 29 Bikol No Bacak Bagamanoc Catanduanes Vitalicio, Tusi Remegio Santos, Erlinda None No
Catholic Graduate
Roman Sta. Cruz St. Purok 1 College
Vitalicio, Santos Remegio M 1/29/1995 25 Bikol No Bacak Bagamanoc Catanduanes Vitalicio, Tusi Remegio Santos, Erlinda None
Catholic Graduate
Roman Sta. Cruz St. Purok 1 4th Year
Vitalicio, Santos Sharah Jean F 5/15/1997 23 Bikol No Bacak Bagamanoc Catanduanes Vitalicio, Tusi Remegio Santos, Erlinda None
Catholic College
Roman Sta. Cruz St. Purok 1 San Gaspar, Vicente Segismundo, Abogne 3rd year
Lansen, San Gaspar Gina F 2/25/1977 43 Bikol No Bacak Bagamanoc Catanduanes None No
Catholic Ernesto Gloria College
4th year
Lansen, San Gaspar Krisper Roman Sta. Cruz St. Purok 1 Lamsen, Villon
F 7/22/1997 22.5 Bikol No Bacak Bagamanoc Catanduanes San Gaspar, Gina None College
Jean Catholic Christopher
(Present)
2nd year
Lansen, San Gaspar Mark Roman Sta. Cruz St. Purok 1 Lamsen, Villon
M 2/10/1999 20.91666667
Bikol No Bacak Bagamanoc Catanduanes San Gaspar, Gina None College
Christopher Catholic Christopher
(Present)
Roman Sta. Cruz St. Purok 1 Lamsen, Villon Grade IX
Lansen, San Gaspar Mark Kevin M 1/20/2003 17 Bikol No Bacak Bagamanoc Catanduanes San Gaspar, Gina None
Catholic Christopher (Present)
Lansen, San Gaspar Mark Roman Sta. Cruz St. Purok 1 Lamsen, Villon Grade VII
M 12/13/2005 14.08333333
Bikol No Bacak Bagamanoc Catanduanes San Gaspar, Gina None
Kenneth Catholic Christopher (Present)
Roman Sta. Cruz St. Purok 1 Segismundo, Villaflor High School
Vitalicio, Segismundo Randy M 12/5/1986 33.08333333
Bikol No Bacak Bagamanoc Catanduanes Vitalicio, Visaya Tito 9496076463 No
Catholic Crispina Graduate
Roman Sta. Cruz St. Purok 1 Hallare, Agredo College
Vitalicio, Bandola Marycel F 4/15/1990 29.75 Bikol No Bacak Bagamanoc Catanduanes Bandola, Sumalde Julito None No
Catholic Evelyn Graduate
Roman Sta. Cruz St. Purok 1 Vitalicio, Segismundo
Vitalicio, Bandola Nash Andi M 5/26/2014 5.666666667
Bikol No Bacak Bagamanoc Catanduanes Bandola, Marycel None
Catholic Randy
Roman Sta. Cruz St. Purok 1 Villarey, Segismundo 2nd Year
Villarey, Cueva Nerio M 2/3/1966 54 Bikol No Bacak Bagamanoc Catanduanes Cueva, Anosacion 9505427311 No
Catholic Pedro High School
Roman Sta. Cruz St. Purok 1 Elementary
Baldonasa, Nepal Ana F 7/26/1966 54 Bikol No Bacak Bagamanoc Catanduanes Baldonasa, Meliton Nepal, Nieva Emelia None No
Catholic Graduate
Roman Sta. Cruz St. Purok 1 Baldonasa, Nepal Grade 11
Villarey, Baldonasa Janet F 7/4/2000 20 Bikol No Bacak Bagamanoc Catanduanes Villarey, Cueva Nerio None
Catholic Ana (Present)
Roman Sta. Cruz St. Purok 1 Baldonasa, Nepal Grade 10
Villarey, Baldonasa Johnrey M 10/3/2002 17 Bikol No Bacak Bagamanoc Catanduanes Villarey, Cueva Nerio None
Catholic Ana (Present)
Roman San Jose St. Purok 2 Rodriguez, Segismundo Rodriguez, Villena High School
Rodriguez, Villena Roilo M 2-Nob-96 23 Bikol No Bacak Bagamanoc Catanduanes None No
Catholic Gustavo Conchita Grad.
Roman San Jose St. Purok 2 Rodriguez, Segismundo Rodriguez, Villena Senior High
Rodriguez, Villena Alvin M 16-Ene-00 20 Bikol No Bacak Bagamanoc Catanduanes None
Catholic Gustavo Conchita (Present)
Roman San Jose St. Purok 2 Rodriguez, Segismundo Rodriguez, Villena Grade 10
Rodriguez, Villena Karen F 11-Ago-02 17 Bikol No Bacak Bagamanoc Catanduanes None
Catholic Gustavo Conchita (Present)
Roman San Jose St. Purok 2 Rodriguez, Segismundo Rodriguez, Villena Grade 7
Rodrigues, Villena Nancy F 15-Mar-05 15 Bikol No Bacak Bagamanoc Catanduanes None
Catholic Gustavo Conchita (Present)
Roman San Jose St. Purok 2 Santos, Erlinda, A&E
Vitalicio, Shiela, Santos F 4/5/1987 33 Bikol No Bacak Bagamanoc Catanduanes Vitalicio, Remegio, Tusi 9496641474 Grade 8 20-Ene-18 Yes
Catholic Tendenilla Secondary
Dela Rosa, Tumazar John Roman Narra St. Purok 2 Dela Rosa, Yusons Grade II
M 6/28/2010 10 Bikol No Bacak Bagamanoc Catanduanes Tumazar, Gina None
Darwin Catholic Dario (Present)
Capistrano,
Roman Narra St. Purok 2 High School
Salazar, Capistrano Lito M 5/8/1976 44 Bikol No Bacak Bagamanoc Catanduanes Salazar, Clores Orcino Segismundo 9183454643 No
Catholic Graduate
Conception
Roman Narra St. Purok 2 High School
Suyom, Secton Rutchel F 2/26/1989 31 Bikol No Bacak Bagamanoc Catanduanes Suyom, Romualdo Secton, Plaza Daisy None No
Catholic Graduate
Roman Narra St. Purok 2 Suyom, Secton Kinder
Salazar, Suyom Mark Andrew M 8/16/2011 8 Bikol No Bacak Bagamanoc Catanduanes Salazar, Capistrano Lito None
Catholic Rutchel (Present)
Roman Narra St. Purok 2 Suyom, Secton Daycare
Salazar, Suyom Prescious Nica F 3/2/2013 7 Bikol No Bacak Bagamanoc Catanduanes Salazar, Capistrano Lito None
Catholic Rutchel (Present)
Senior High
Roman Narra St. Purok 2
Salazar, Cater Camille F 5/2/2000 20 Bikol No Bacak Bagamanoc Catanduanes Salazar, Robles Ronel Cater, Rosemarie None School
Catholic
(Present)
T
y
p
BARANGAY HALL, BRGY. BACAK, BAGAMANOC, e Barangay Hall
Name of CLC Barangay BACAK City/Municipality BAGAMANOC
CATANDUANES of
C
L
C
PIS Score
NAME Literacy (ABL)
Birthdate First Date of Program/
LRN (Last Name, First Name, Middle Age Remarks
Attendance CY
Basic Literate
(mmddyyyy)
Neo Literate
Post Literate
Name, Name Extension) Listening
Type of Mode of Program Overall Status
Reading Writing &
Program Delivery Numeracy Score
Speaking
A&E
Baltazar, Liza, Bandola F 9/22/1994 23 15-May-18 Secondary
Independent Learning 8.5 22 17 7 11 65.5
Basic Literacy
Cater, Francine, Lozada F 9/23/1962 55 4-Hun-18 Program Face to Face 0 0
(BLP)
Basic Literacy
Cater, Rosemarie, Lozada F 6/4/1969 49 4-Hun-18 Program Face to Face 0 0
(BLP)
A&E A&E
De Vera, Hedelyn, Salvador F 2/5/1999 19 17-Hun-18 Secondary Independent Learning 9 18 19 7 8 61 Secondary
Basic Literacy
Evangelista, Jenly, Bandola F 12/26/1999 18 9-Ene-18 Program Face to Face 6.5 6.5
(BLP)
Lower
A&E
Francisco, Charmie, Dela Cruz F 10/29/1993 24 12-Ene-18 Elementary Independent Learning 8.5 16 12 5 7 48.5 Elementa
ry
Basic Literacy
Icaro, Nancy, Edraga F 9/30/1980 28 4-Hun-18 Program Face to Face 0 0
(BLP)
A&E
Julaton, Ginalyn, Espinosa F 9/2/1998 19 8-Ene-18 Secondary Independent Learning 9 6 10 0 0 25 BLP
Basic Literacy
Obogne, Elisa, Francisco F 1/9/1950 68 10-Ene-18 Program Face to Face 7 7
(BLP)
Basic Literacy
Pelareja, Annabelle, Presentacion F 8/28/1988 29 15-Ene-18 Program Face to Face 5 5
(BLP)
A&E
Salazar, Ruby, Fajardo F 7/24/1987 30 15-Ene-18 Secondary
Independent Learning 9.5 9.5
Basic Literacy
Segismundo, Liza, Gregorio F 4/21/1984 33 10-Ene-18 Program Face to Face 0 0
(BLP)
A&E Lower
Segismundo, Precy, Gregorio F 6/7/1991 26 9-Peb-18 Secondary
Independent Learning 9.5 14 15 3 7 48.5 Elementary
Basic Literacy
Segismundo, Aida, Absalon F 5/6/1959 59 26-May-18 Program Face to Face 0 0
(BLP)
A&E
Tendenilla, Jenny, Cater F 11/11/1989 28 13-Ene-18 Secondary Independent Learning 11 23 11 6 10 61 Secondary
Advanced
A&E
Tendenilla, Leany, Cater F 4/28/1992 25 20-Ene-18 Elementary Face to Face 11 18 9 7 11 56 Elementa
ry
Basic
Literacy
Valerio, Emma, Rodriguez F 10/2/1978 39 17-Hun-18 Face to Face 8 21 19 7 8 63
Program A&E
(BLP) Secondary
A&E
Vicente, Chirly, Santos F 1/28/1982 36 17-Hun-18 Elementar Independent Learning 9.5 9.5
y
A&E
Vicente, Jennely, Santos F 4/5/1993 25 18-Hun-18 Secondar Independent Learning 8 8
y
A&E
Vicente, Lynie, Santos F 5/1/1985 33 17-Hun-18 Secondar Independent Learning 9 19 17 6 9 60 A&E
y Secondary
A&E
Vitalicio, Shiela, Vitalicio F 4/5/1987 30 20-Ene-18 Secondary Independent Learning 10 10
A&E Advanced
Benitez, Johnnely, Vitalicio F 4/26/1990 27 15-Ene-18 Elementary Independent Learning 11 16 16 3 11 57
Elementary
22<=== TOTAL FEMALE 0
A&E
Ala, Diony, Cervantes M 1/11/1977 41 18-Hun-18 Secondary
Independent Learning 9 9
A&E
Bejarasco, Nilo, Fajardo M 10/3/1971 46 26-May-18 Secondary
Independent Learning 10 10
Basic Literacy
Benitez, Ruben Jr., Lozano M 5/2/1990 27 13-Peb-18 Program Face to Face 0 0
(BLP)
Basic Literacy
Cater, Danilo, Lozada M 2/2/1964 54 6-Peb-18 Program Face to Face 0 0
(BLP)
Basic Literacy
Cater, Francisco, Lozada M 8/17/1987 30 4-Hun-18 Program Face to Face 0 0
(BLP)
Basic Literacy
Cater, Joe, Lozada M 12/23/2000 17 22-Ene-18 Program Face to Face 1.5 1.5
(BLP)
Basic Literacy
Cater, Marvin, Almorfe M 2/4/2005 13 5-Peb-18 Program Face to Face 6.5 6.5
(BLP)
Basic Literacy
Cater, Tom, Francisco M 12/24/2004 13 5-Peb-18 Program Face to Face 5.75 5.75
(BLP)
Lower
A&E
Francisco, Jayson, Dela Cruz M 10/23/1990 27 8-Peb-18 Elementary Independent Learning 9 19 14 0 2 44 Elementa
ry
Basic Literacy
Molina, Jovy, Vigil M 12/27/1991 26 7-Peb-18 Program Face to Face 0 0
(BLP)
Basic Literacy
Obogne, Blandener, Francisco M 1/13/1982 36 8-Ene-18 Program Face to Face 0 0
(BLP)
A&E
Obogne, Marc Jay, Francisco M 4/25/1997 20 15-May-18 Elementary
Independent Learning 9 9
Basic Literacy
Segismundo, Anthony,Gregorio M 11/10/1986 31 26-May-18 Program Face to Face 0 0
(BLP)
Basic Literacy
Segismundo, Zaldy, Gregorio M 1/10/1980 38 26-May-18 Program Face to Face 0 0
(BLP)
A&E
Tendenilla, Arvil, M 10/31/1979 38 5-Peb-18 Elementary
Independent Learning 8 7.5
A&E Advanced
Valerio, Benjie, Segismundo M 1/25/2000 18 5-Peb-18 Elementary
Independent Learning 10 14 15 3 7 49 Elementary
Basic Literacy
Vicente, Angelo, Santos M 10/5/2003 14 17-Hun-18 Program Face to Face 0 0
(BLP)
A&E
Villena, Christopher, Cueva M 04/04//1996 21 20-Ene-18 Secondary
Independent Learning 11 21 23 7 8 70 Secondary
A&E
Vitalicio, Joshua, Lerio M 9/21/1999 18 5-Hun-18 Secondary
Independent Learning 8.25 8.25
A&E
Vitalicio, Sherwin, Lerio M 4/9/2001 17 5-Hun-18 Secondary
Independent Learning 10 10
A&E
Vitalicio, Rico, Segismundo M 7/22/1983 34 18-Hun-18 Secondary
Independent Learning 8 8
Basic Literacy
Fernandez, Joseph, Valerio M 3/20/1998 27 11-Ene-18 Program Face to Face 7 6.75
(BLP)
Basic Literacy
Nacor, Joseph, Visaya M 6/30/1998 19 11-Ene-18 Program Face to Face 6.25 6.25
(BLP)
23<=== TOTAL MALE
45<=== COMBINED
Learners Enrolled in
BLP Male Female Total Enrolled Learners Male Female Total Certified Correct By:
by Level
Basic Literate Number of 4P's Learners 4 5 9
Neo Literate Percent of Enrolled 4P's Learners BRENDA V. VILLAREY
Signature of PSDS over Printed Name
Post Literate
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
• 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 (AF-3)
District Division Region Calendar Year
Type of
Name of CLC Barangay City/Municipality
CLC
Sex (M/F)
PIS Score
NAME Literacy (ABL) End of
Birthdate First Date of
LRN (Last Name, First Name, Middle Age Program/ Remarks
(mmddyyyy) Attendance
Basic Literate
Neo Literate
Post Literate
Name, Name Extension) CY Status
Type of Mode of Program Listening & Overall
Reading Numeracy Writing
Program Delivery Speaking Score
Learners Enrolled
Learners Enrolled by Program Male Female Total
by Program Delivery
Male Female Total
CLC DETAILS
Sex (M/F)
Birthdate
NAME A&E Test
Date Date of
LRN (Last Name, First Name, Middle Level
CLC Registered
Registered Examination
Name, Ext) CLC Name Barangay Municipal
Type
LEARNER'S INFORMATION
LAST NAME: FIRST NAME: _____________________ NAME EXTENSION: ______ MIDDLE NAME: _____________________
ADDRESS:
HOUSE NO./ SITIO / ST. BARANGAY MUNICIPALITY/CITY PROVINCE
Prepared By: Certified Correct By: Prepared By: Certified Correct By:
Facilitator PSDS/District Coordinator/EPSA Facilitator PSDS/District Coordinator/EPSA