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Republic of the Philippines

Department of Education
Caraga Region
SCHOOLS DIVISION OF SURIGAO DEL SUR

LAC FACILITATOR INFORMATION SHEET

Region:CARAGA

Division:SURIGAO DEL SUR

NAME: Male/Female: Date of Birth: Age:


LORNA O. BINAS FEMALE

Contact details: Email: Mobile Number: Facebook Name:

Preferred contact (Indicate all: email, phone, Skype, Viber, WhatsApp, Zoom,
mode: Googlemeet, FB, Messenger, etc.)

Note: This form should be accomplished by the designated LAC Facilitator on or before the first LAC
session.

Balilahan, Mabua, Tandag City, Surigao del Sur, 8300


(086) 211-3225
surigaodelsur.division@deped.gov.ph
ISO Cert. No. AW/PH909100102

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