Republic ofthe Philippines a5 Department of Education ALTERNATIVE LEARNING SYSTEM LEARNER'S PERMANENT RECORD (AF-5) tions ramming oISTRICT: omision: REGION: LEARNER'S INFORMATION LRN; LAST NAME: FIRST NAME: _ NAME EXTENSION: MIDDLE NAME: ADDRESS: HOUSENOTSTIOTST. BRING TONCPRITVIOTY PROUNGE BIRTHDATE: MONTH__JOATE. ryeaR___ SEX: Male Female LEARNER'S EDUCATIONAL STATUS Program Enrolled Program Enrolled Dalvery Mode Dehvery Mode CLC Name CLC Name CLC Adress Lc Address Name of Facitator Name of Faciitator alondar Year Calendar Year Score Score ‘ASSESSMENT RESULTS = a ASSESSMENT RESULTS = = PIS Soot PIS Score ‘Assesment forBasic Literacy (ABU) | Pre Post “Assesment for Babe Literacy (ABL) Pre Post [Basic Loreto [base Loreto [Reo Literate [Reo Literate erate Post ceric Functional Literacy Assessment Pre Post Functional Lieray Assessment Pre Post JFLT Score in Reading JFLT Score in Rearing JFLT Score in Numeracy JFLT Score in Numeracy FLT Score Wiring FCT Score in Wiring FLT Score n Listening & Speaking FCT Score in ustenng & Speaking [Overall Score [Overall Score 0 o “e—— mas “KEE STATS Renate REESTATUS Remake [Program Status Program Status [Test Taken [Test Taken [Date of Examination Date of Exarination [Testing Center Testing Center Location of Testing Center Location of Testing Genter [Pootetation and Eauivalenoy (ARE) Test Resul [Accreditation and Ezuivalenoy (ABE) Test Result Certificate of Transfer Certificate of Transfer Eligible for Admission to Eligibie for Admission to Certificate of Good Moral Character Certificate of Good Moral Character hiss o cert hat te above-named eae of good moral heater, hss ocerty hat he above-named eam of goad moral character, This certcaton is isued upon request ofthe conered nda! due to This cerca is isued upon request of the conoemed individual due to ino desire to pursue formal chootnglther CLC o for employment ine desire to pursue formal chooingher CLC ofr engloyment. Prepared By Cortiied Correct By Prepared By Catied Correct By Faaiaioe PSST CooTaOEPR Foca PSOE OOSTRIOTEPSR