Name and Code: List of Mapped Learners (AF1)
Person Responsible: Facilitator
Schedule: December of each Calendar Year
Instruction/s: This shall be prepared by ALS Implemented
Table of Contents
ALS Form 1 List of Mapped Learners (AF1)
A list of potential ALS learners identified during mapping activities.
|Name of the Regional Office as created by DepEd, headed by a Regional Director who oversees the operation of the Schools Division Office where the CLC is situated
|Name of the Schools Division Office where the CLC is situated as created by DepEd, supervised by a Schools Division Superintendent
|Name of the Public Schools District where the CLC is located as created by DepEd, supervised by a Public Schools District Supervisor
|Twelve-month period starting with January 1 and ending with December 31
|Learner’s last name as reflected in the birth certificate issued by the NSO/PSA or any equivalent document
|Learner’s first name as reflected in the birth certificate issued by the NSO/PSA or any equivalent document
|Learner’s middle name as reflected in the birth certificate issued by the NSO/PSA or any equivalent document
|Learner’s extension name(if any) as reflected in the birth certificate issued by the NSO/PSA or any equivalent document. Normally placed along with First Name.
|Learner’s biological category based on reproductive function, either Male or Female, as reflected in the NSO/PSA-issued birth certificate or any relevant document
|The date which the person was born as reflected in the birth certificate or equivalent document. (Month/Day/Year)
|The actual age in years of a learner in a given cut-off period
|Language first learned by the learner. There are 19 major languages currently identified by DepEd: Tagalog, Kapampangan, Pangasinense, lloko, Bikol, Cebuano, Hiligaynon, Waray, Tausug, Maguindanaoan, Maranao, Chabacano, Ybanag, Ivatan, Samal, Aklanon, Kinaray-a, Yakan, and Surigaonon per DO No. 16, s. 2012 and DO No. 28, s. 2013.
|IP (Ethnic Group)
|Group of people or homogenous society identified by self-ascription and ascription by others, who have continuously lived as organized community on communally bounded and defined territory
|The religious belief of the learner. For Muslim learners, “Islam” will be written instead of Muslim under this column.
|Learner’s Complete Home Address
|Refers to the location where the learner currently holds residence with specific details in the order indicated: House No./Street/Sitio/Purok, Barangay, Municipality/City, and Province
|Name of the learner’s father as reflected in the birth certificate issued by the NSO/PSA or any equivalent document with the Last Name indicated first, in this column.
|Name of Father
|The name of father of the learner as reflected in the birth certificate or equivalent document
|Name of Mother
|The maiden name of mother of the learner as reflected in the birth certificate or equivalent document
|Name of Guardian
|On grounds authorized by law, the name of any relative or other person entrusted with the custody and control of the learner, the learner’s property, or both
|Occupation (e.g. laborer)
|Job description of the learner’s parents or guardian
|Last grade/year completed at school.
|Highest grade level of formal schooling the learner claims he/she has completed
|Reason for Not Attending School
|Indicate the learner’s reason for not completing school:
Schools are very far
No school within the barangay
No regular transportation
High cost of education
Illness / Disability
Housekeeping / Housework
Employment / Looking for work
Lack of personal interest
Cannot cope with school work
|How far is it from your home to your Learning Center?
|Distance in kilometers, number of hours and minutes of travel of learner from home to CLC
|How do you get from your home to your Learning Center?
|Ways of getting to and from the learning center, e.g. habal-habal, tricycle, walking and other means of transportation
|When can you attend your Learning session?
|Determine the availability of the learner to attend the session, e.g. 8:00 AM, 10:00 AM, etc.
Download ALS Form 1 List of Mapped Learners (AF1)