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ALS RPL Form 2

RECORD OF TRAINING/SKILLS
Name: ………………………………………………………………… Community Learning Center: ………………………………………

Level: ………………………………………………………………… Instructional Manager: ...


……………………………………………

Title of training program Skills/ Competencies learned Dates of Training Use of skills gained

Certification by Instructional Manager: ………………………………………………………………………… (Name) Date: ………………………………….

……………………………………………………………………. (Signature)

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