Alternative Learning System Performance of Learners

2261 Words Jan 16th, 2013 10 Pages
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____________________________
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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 : Northern Samar ____________ Sitio/Zone/Purok : 02__________________________
City/Municality : San Isidro__________________ House Number :
Barangay : Salvacion___________________ Est. Family Income: 5,300_______________________

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.Roel Tagubaras | Father | 07-09-76 | M | M | | Waray | Catholic | Gr.VI | | | |