Alternative Learning System Performance of Learners

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To be accomplished by CLC
To be submitted to the DISTRICT OFFICE
All information is required.

DEPARTMENT OF EDUCATION
BUREAU OF ALTERNATIVE LEARNING SYSTEM

MIS-001-PROFILE OF HOUSEHOLD MEMBERS
Accomplished by| Lorna O. Mahinay|
Position| Mobile Teacher|
Date Accomplished| 04-18-2011|
Date Submitted| |
Received by| |
Position| |

Year:2011_____________________
Geographic ID:Division : Northen Samar__________________ Other Notes: Region:VIII_____________________District : San Isidro______________________ Province:Northern Samar_____________ Sitio/Zone/Purok : 03____________________________ City/Municipality: San isidro__________________ House Number : ___ Barangay:Salvacion____________________Est. Family Income: Php 8,500_______________________

Household Members| Role in the family, e.g..father.etc| Birhtdate(Month-Day-Year)| Gender| Civil Status| PWD(Specify)| Ethnicity(Specify)| Religion| Highest Educational Attainment| Reason for Not Attending School| Classification of Learners(Non-Literate, Dropout-Elementary, Dropout-Secondary)| Status(Pool/Target)| 1.Roberto Alig| Father| 06-11-69| M| M| | Waray| Catholic| 4th yr.HS| | | | 2.Nancy Alig| Mother| 02-28-72| F| M| | Waray| Catholic| Gr.IV| Financial| Elem.Drop Out| Target| 3.Allan Alig| Son| 08-09-92| M| S| | Waray| Catholic| 2nd yr. HS| | | | 4.Ana Alig| Daughter| 12-13-95| F| S| | Waray| Catholic| 3rd yr.HS| | | | 5.Albert Alig| Son| 02-24-97| M| S| | Waray | Catholic| Gr.VI| | | | 6.| | | | | | | | | | | |

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To be accomplished by CLC
To be submitted to the DISTRICT OFFICE
All information is required.

DEPARTMENT OF EDUCATION
BUREAU OF ALTERNATIVE LEARNING SYSTEM

MIS-001-PROFILE OF HOUSEHOLD MEMBERS
Accomplished by| Lorna O.Mahinay|
Position| Mobile Teacher|
Date Accomplished| 04-18-2011|
Date Submitted| |
Received by| |
Position| |

Year: 2011____________________
Geographic ID:Division : Northern Samar_______________ Other Notes: Region:VIII_____________________ District : San Isidro______________________ Province:Sitio/Zone/Purok : 02____________________________ City/Municality:San Isidro___________________House Number : Barangay:Salvacion___________________Est. Family Income: 9,000__________________________

Household Members| Role in the family, e.g..father.etc| Birhtdate(Month-Day-Year)| Gender| Civil Status| PWD(Specify)| Ethnicity(Specify)| Religion| Highest Educational Attainment| Reason for Not Attending School| Classification of Learners(Non-Literate, Dropout-Elementary, Dropout-Secondary)| Status(Pool/Target)| 1.Edgardo Salipot| Father| 10-16-69| M| M| | Waray| Catholic| HS Graduate| | | | 2.Elma Salipot| Mother| 07-24-69| F| M| | Waray| Catholic| Gr.III| Financial| Elem. Drop out| Target| 3.Jennifer Salipot| Daughter| 11-15-91| F| S| | Waray| Catholic| 3rd yr.Colge| | | | 4.| | | | | | | | | | | |

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