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ALS Form 5 Learners Permanent Record (AF-5)




Name and Code: ALS Form 5 Learners Permanent Record (AF-5)
Person Responsible: Facilitator
Instructions: The Learner Permanent Record for ALS is to be accomplished as soon as the facilitator has conducted “End of Program” assessment/evaluation of the learner’s performance.

ALS Form 5 Learners Permanent Record (AF-5)

A record of learner’s basic personal profile and learning performance.

Data ElementDescription
RegionName 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
DivisionName of the Schools Division Office where the CLC is situated as created by DepEd, supervised by a Schools Division Superintendent
DistrictName of the Public Schools District where the CLC is located as created by DepEd, supervised by a Public Schools District Supervisor
Learner Reference Number (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 NameLearner’s last name as reflected in the birth certificate issued by the NSO/PSA or any equivalent document
First NameLearner’s first name as reflected in the birth certificate issued by the NSO/PSA or any equivalent document
Middle NameLearner’s middle name as reflected in the birth certificate issued by the NSO/PSA or any equivalent document
Name ExtensionLearner’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.
SexLearner’s biological category based on reproductive function, either Male or Female, as reflected in the NSO/PSA-issued birth certificate or any relevant document
Calendar YearTwelve-month period starting with January 1 and ending with December 31
Type of CLCSimilar to class organization in a formal school, the community learning center (CLC) is referring to a facility/venue that the learning session is being conducted.

Types of CLC:

Type 1: Simple, temporary (makeshift) meeting place with tables and chairs, chalkboard (shared use with community chapel or any multipurpose facility owned/managed by barangay authority or any private facility temporarily loaned for learning purposes

Type 2: Semi-concrete structure mostly made of light materials such as nipa and softwood, dedicated to ALS learning sessions and related activities, equipped with basic furniture and learning equipment

Type 3: Typical barangay learning center or facility made of concrete building materials dedicated to ALS learning sessions and related activities. The facility is equipped with basic furniture and learning equipment such as but not limited to chairs, tables, chalkboard or library corner.

Type 4: Two-storey or higher building fully equipped with basic furniture and advanced ICT equipment for learning dedicated to ALS learning sessions and related activities

Type 5: The learning materials are being transported from one place to another or from house to house of individual interested to learn through ALS programs
Program EnrolledLearner attended learning session in any of the following:

Basic Literacy Program (BLP)

Accreditation and Equivalency Program (A&E) – Elementary

Accreditation and Equivalency Program (A&E) – Secondary
Delivery ModeMode of Delivery/intervention given to a learner
Learner’s AddressRefers 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 FacilitatorThe person in the CLC assigned to guide & direct a specific class and actual teaching to his/her assigned class and other classes, if there is any.
PIS ScoreScore in the Personal Information Sheet that determines the level of literacy rate of a learner.
Non Literate
Neo LiterateA score of a learner based on the ABL
Post Literate
FLT Score in ReadingA score of a Learner based on the FLT- Reading
FLT Score in
Numeracy
A score of a Learner based on the FLT- Numeracy
FLT Score in WritingA score of a Learner based on the FLT -Writing
FLT Score in Listening & SpeakingA score of a Learner based on the FLT-Listening and Speaking
Overall ScoreTotal score of Functional Literacy Test
RemarksNote if NC or COC was received by the learner
Test TakenLevel of A&E Exam taken by a learner
Date of ExaminationActual date of A&E Exam
Testing CenterName of the Testing Center where the A&E Exam took place
Location of Testing CenterLocation of the Testing Center
A&E Test ResultResult of the Accreditation and Equivalency Test / Certificate of Rating
Eligible for admission toLearner may be admitted to formal school or other learning institution
EPS-ALSName and signature of the ALS Supervisor attesting to correctness of the data
FacilitatorName and signature of the teacher who prepared the form
Certificate of TransferEligibility of learner to transfer or continue study in a certain level
Certificate of Good Moral CharacterLetter attested by someone, in case of ALS program, the ALS Facilitator that can vouch for the learner’s moral character during the delivery of ALS program

Download ALS Form 5 Learners Permanent Record (AF-5)

READ:




ALS Form 1 List of Mapped Learners (AF1)

ALS Form 2 Enrolment Form (AF-2)




ALS Form 3 Masterlist of Enrolled Learners with End of Program Status (AF-3)

ALS Form 4 Masterlist of A&E Registrants (AF-4)




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