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Surveyor/Encoder's Name: Complete Address of Surveyor/Encoder: Email Address & Contact # of Surveyor/Encoder Position/Office/Affiliation ng Surveyor/Encoder: Barangay: Municipality Province/Lalawigan: Balik-Aral/Education Trabaho/Livelihood Skills Training/ Entrep Balik-Aral/Education Trabaho/Livelihood Skills Training/ Entrep Balik-Aral/Education Trabaho/Livelihood Skills Training/ Entrep Balik-Aral/Education Trabaho/Livelihood Skills Training/ Entrep Balik-Aral/Education Trabaho/Livelihood Skills Training/ Entrep Balik-Aral/Education Trabaho/Livelihood Skills Training/ Entrep Balik-Aral/Education Trabaho/Livelihood Skills Training/ Entrep Balik-Aral/Education Trabaho/Livelihood Skills Training/ Entrep Balik-Aral/Education Trabaho/Livelihood Skills Training/ Entrep Balik-Aral/Education Trabaho/Livelihood Skills Training/ Entrep Balik-Aral/Education Trabaho/Livelihood Skills Training/ Entrep COMPLETE NAME . /Kumpletong Pangalan (i.e Given Name, Middle Name, Last Name) (Extension name if any ex. JR. SR. III) BIRTH DATE / Petsa ng Kapanga nakan (MM/DD/Y YYY) A G E / e d a d S E X M / F CONTACT DETAILS/ Impormasyong pwedeng Tawagan (i.e EMAIL ADDRESS, CELLPHONE & Landline Number) COMPLETE ADDRESS/ Tirahan (i.e No., Street, Brgy, City or Municipality, Province PARENTS/ GUARDIAN (RELATION) (Magulang/ Tagapangalaga) Complete Name at Relasyon EDUCATION /Pinakamataas na Antas ng Edukasyong Naabot (i.e. Elementary Grade, Year in HS, College) PREFERRED TRACK /Planong Gawin (i.e. Education, Employment, Entrepreneurship/Skills Training) (Pwedeng Higit sa Isa ang lagyan ng Ekis) Isaad kung Benepisyaryo ng Programa ALS ng Deped**, PYAF, 4Ps etc. Kung May Kapansanan /(PWD)*** (N/A if Not KUNG MAY MGA KATANUNGAN, MAGTANONG SA NATIONAL SECRETARIAT SA 0908-887-49-84 /415-49-01 / 448/73-30 O MAG-EMAIL SA [email protected] . PWEDE RING MAGLOG-ON SA www.abotalam.com.ph GABAY/LEGEND: REMARKS * |ALS** Alternative Learning System |**Isulat ang ALS- Program; ALS-A&E-elem - ALS Accreditation & Equivalency Program - Elementary Accreditation & Equivalency Program - Secondary; at ALS-Infed - Informal Ed With Disabilities/ May Kapansanan |***Isulat ang PWD-HI -Hearing Impaired; P PWD-PI - Physically Impaired; PWD-WSN - With Special Need; at kung may iba pa i ABOT ALAM: A National Strategy for Out-Of-School Youth OFFICIAL REGISTRATION FORM Ang ABOT ALAM ay isang stratehiya upang maibalik ang mga Out-of-School Youth (OSY) sa pag-aaral, mabigyan ng karampatang edukasyon, skills training/ pagsasanay at oportunidad sa trabaho o livelihood. Saklaw ng programang ito ang mga kabataang hindi nakapag-aral, o hindi nakatapos ng High School sa gulang na 15 hanggang 30 anyos.

Abot-Alam Registration Form

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Sheet1Surveyor/Encoder's Name:Complete Address of Surveyor/Encoder:Email Address & Contact # of Surveyor/Encoder:Position/Office/Affiliation ng Surveyor/Encoder:Barangay:MunicipalityProvince/Lalawigan:Region/Rehiyon:COMPLETE NAME. /Kumpletong Pangalan (i.e Given Name, Middle Name, Last Name) (Extension name if any ex. JR. SR. III)BIRTH DATE / Petsa ng Kapanga nakan (MM/DD/YYYY)AGE/edadSEX M/FCONTACT DETAILS/ Impormasyong pwedeng Tawagan (i.e EMAIL ADDRESS, CELLPHONE & Landline Number)COMPLETE ADDRESS/ Tirahan (i.e No., Street, Brgy, City or Municipality, ProvincePARENTS/ GUARDIAN (RELATION) (Magulang/ Tagapangalaga) Complete Name at RelasyonEDUCATION /Pinakamataas na Antas ng Edukasyong Naabot (i.e. Elementary Grade, Year in HS, College)PREFERRED TRACK /Planong Gawin (i.e. Education, Employment, Entrepreneurship/Skills Training) (Pwedeng Higit sa Isa ang lagyan ng Ekis)REMARKS* Isaad kung Benepisyaryo ng Programa ALS ng Deped**, PYAF, 4Ps etc. Kung May Kapansanan /(PWD)*** (N/A if Not Applicable)NUMBERS. Indicate number of the ff if any/Isaad ang mga numero, kung meron: SSS, GSIS, Philhealth, Pantawid Household CRN, etc)Balik-Aral/EducationTrabaho/LivelihoodSkills Training/ EntrepBalik-Aral/EducationTrabaho/LivelihoodSkills Training/ EntrepBalik-Aral/EducationTrabaho/LivelihoodSkills Training/ EntrepBalik-Aral/EducationTrabaho/LivelihoodSkills Training/ EntrepBalik-Aral/EducationTrabaho/LivelihoodSkills Training/ EntrepBalik-Aral/EducationTrabaho/LivelihoodSkills Training/ EntrepBalik-Aral/EducationTrabaho/LivelihoodSkills Training/ EntrepBalik-Aral/EducationTrabaho/LivelihoodSkills Training/ EntrepBalik-Aral/EducationTrabaho/LivelihoodSkills Training/ EntrepBalik-Aral/EducationTrabaho/LivelihoodSkills Training/ EntrepBalik-Aral/EducationTrabaho/LivelihoodSkills Training/ EntrepKUNG MAY MGA KATANUNGAN, MAGTANONG SA NATIONAL SECRETARIAT SA 0908-887-49-84 /415-49-01/ 448/73-30 O MAG-EMAIL SA [email protected]. PWEDE RING MAGLOG-ON SA www.abotalam.com.phGABAY/LEGEND: REMARKS* |ALS** Alternative Learning System |**Isulat ang ALS-BLP - ALS Basic Literacy Program; ALS-A&E-elem - ALS Accreditation & Equivalency Program - Elementary; ALS-A&E-second. - ALS Accreditation & Equivalency Program - Secondary; at ALS-Infed - Informal Education | (PWD)***Person With Disabilities/ May Kapansanan |***Isulat ang PWD-HI-Hearing Impaired; PWD-VI-Visually Impaired; PWD-PI- Physically Impaired; PWD-WSN- With Special Need; at kung may iba pa isaad.

ABOT ALAM: A National Strategy for Out-Of-School YouthOFFICIAL REGISTRATION FORMAng ABOT ALAM ay isang stratehiya upang maibalik ang mga Out-of-School Youth (OSY) sa pag-aaral, mabigyan ng karampatang edukasyon, skills training/ pagsasanay at oportunidad sa trabaho o livelihood. Saklaw ng programang ito ang mga kabataang hindi nakapag-aral, o hindi nakatapos ng High School sa gulang na 15 hanggang 30 anyos.

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