Name and Code: ALS Enrolment Form (AF-2)
Person Responsible: Facilitator
Instructions: This will be accomplished as soon as the learner decides to participate in the ALS Program. The ALS facilitator shall guide/assist the potential learner in accomplishing this form.
ALS Form 2 Enrolment Form (AF-2)
A basic information sheet of individuals who signified interest to enroll in ALS program.
| Data Element | Description |
| LRN | Unique twelve-digit identification number assigned to a learner to keep track of his/her progress through the basic education cycle, regardless of transfer to another school or learning center in the public or private sector and promotion/moving up from the elementary to the secondary level (DO No. 22, s. 2012) |
| Last Name | Learner’s last name as reflected in the birth certificate issued by the NSO/PSA or any equivalent document |
| First Name | Learner’s first name as reflected in the birth certificate issued by the NSO/PSA or any equivalent document |
| Middle Name | Learner’s middle name as reflected in the birth certificate issued by the NSO/PSA or any equivalent document |
| Name Extension | |
| Learner’s 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 |
| Place of Birth (Municipality) | The name of municipality where the learner was born as reflected in the birth certificate or other equivalent document |
| Sex | 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 |
| Birthdate | The date which the person was born as reflected in the birth certificate or equivalent document. (Month/Day/Year) |
| Civil Status | Status of learner whether Single, Married, Separated or Widow |
| Religion | The religious belief of the learner. For Muslim learners, “Islam” will be written instead of Muslim under this column. |
| Mother Tongue | The language first learned by a learner; There are 19 major languages identified in the recent DepEd Orders which are: Tagalog, Kapampangan, Pangasinense, lloko, Bikol, Cebuano, Hiligaynon, Waray, Tausug, Maguindanaoan, Maranao, Chabacano, Ybanag, Ivatan, Samal, Aklanon, Kinaray-a, Yakan, and Surigaonon per DO 16, s. 2012 & DO 28, s. 2013 |
| IP(Ethnic Group) | A group of people or homogenous societies identified by self-ascription and ascription by others, who have continuously lived as organized community on communally bounded and defined territory |
| PWD (if applicable) | Prospective learner has disabilities, e.g., Visually Impaired, Hearing Impaired, and Physically Handicapped. Individuals with special needs should also be noted followed by the First Name, the Middle Name, and the Name Extension (if any) |
| Mother’s Maiden Name | Maiden name of the learner’s mother as reflected in the birth certificate issued by the NSO/PSA or any equivalent document with the Last Name indicated first, followed by the First Name, the Middle Name, and the Name Extension (if any) |
| Contact Number of Learner | Contact number of the learner (if available) |
| Last Grade Level Completed | Last grade level completed in formal school as claimed by the learner. (If applicable) |
| Date Mapped | Date when the learners were mapped indicating the month, day, and year |
| Interested in ALS?Yes or No | Information about learner’s status on his interest in the ALS program answerable by YES or NO |
| Date of First Attendance | The day that the learner started attending classes |
| Remark | Use to determine if the learner is interested in participating in the ALS Program, the preferred program if the answer is yes and if the learner is already attending ALS program, the date of first attendance and the LRN as assigned by LIS. |
Download ALS Form 2 Enrolment Form (AF-2)
READ:
ALS Form 1 List of Mapped Learners (AF1)
ALS Form 3 Masterlist of Enrolled Learners with End of Program Status (AF-3)
ALS Form 4 Masterlist of A&E Registrants (AF-4)
ALS Form 5 Learners Permanent Record (AF-5)
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