ALS Learners Basic Profile Per CLC
ALS Learners Basic Profile Per CLC
ALS Learners Basic Profile Per CLC
Address
NO. LRN no. Last Name First Name Middle Name Name Extension House Barangay
(if Available) no./Street/Sitio
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Personal Information (Part I)
Address
Municipality Province Birthdate Place of Birth Sex Civil Status (single, Religion IP (Specify Mother
M/F married, widow, ethnic group)
separated, solo parent ) Tongue
Name of Father/ Legal Guardian Name of Mother
PWD Last Name First Name Middle Name Occupation Last Name First Name Middle Name
Yes/No
Mother Why did you drop out of scho
Last Grade Level Completed
Occupation Elementary Secondary No school in Unable to pay for
(K, G-1, G-2, G-3, G-4, (G-7, G-8, G-9, G-10) Barangay? Yes/No Miscellaneous and other
G-5, G-6) expenses ( Yes/No)
Educational Information (Part II)
ALS Session
Have you attended
did you drop out of school? (For OSY only) ALS session If Attended ALS Session
before? Yes/No
School too far from Needed to help Others
home (Yes/No) family (Yes/No) (please Name of the Year
Specify) Program Attended
Accessibility a
ALS Session
Address
NO. LRN no. Last Name First Name Middle Name Name Extension House Barangay
(if Available) no./Street/Sitio
1
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3
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5
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88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
Personal Information (Part I)
Address
Municipality Province Birthdate Place of Birth Sex Civil Status (single, Religion IP (Specify Mother
M/F married, widow, ethnic group)
separated, solo parent ) Tongue
Name of Father/ Legal Guardian Name of Mother
PWD Last Name First Name Middle Name Occupation Last Name First Name Middle Name
Yes/No
Mother Why did you drop out of scho
Last Grade Level Completed
Occupation Elementary Secondary No school in Unable to pay for
(K, G-1, G-2, G-3, G-4, (G-7, G-8, G-9, G-10) Barangay? Yes/No Miscellaneous and other
G-5, G-6) expenses ( Yes/No)
Educational Information (Part II)
ALS Session
Have you attended
did you drop out of school? (For OSY only) ALS session If Attended ALS Session
before? Yes/No
School too far from Needed to help Others
home (Yes/No) family (Yes/No) (please Name of the Year
Specify) Program Attended
Accessibility a
ALS Session
Address
NO. LRN no. Last Name First Name Middle Name Name Extension House Barangay
(if Available) no./Street/Sitio
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
Personal Information (Part I)
Address
Municipality Province Birthdate Place of Birth Sex Civil Status (single, Religion IP (Specify Mother
M/F married, widow, ethnic group)
separated, solo parent ) Tongue
Name of Father/ Legal Guardian Name of Mother
PWD Last Name First Name Middle Name Occupation Last Name First Name Middle Name
Yes/No
Mother Why did you drop out of scho
Last Grade Level Completed
Occupation Elementary Secondary No school in Unable to pay for
(K, G-1, G-2, G-3, G-4, (G-7, G-8, G-9, G-10) Barangay? Yes/No Miscellaneous and other
G-5, G-6) expenses ( Yes/No)
Educational Information (Part II)
ALS Session
Have you attended
did you drop out of school? (For OSY only) ALS session If Attended ALS Session
before? Yes/No
School too far from Needed to help Others
home (Yes/No) family (Yes/No) (please Name of the Year
Specify) Program Attended
Accessibility a
ALS Session