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.
Table of Contents
ALS Form 5 Learners Permanent Record (AF-5)
A record of learner’s basic personal profile and learning performance.
Data Element | Description |
Region | 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 |
Division | Name of the Schools Division Office where the CLC is situated as created by DepEd, supervised by a Schools Division Superintendent |
District | Name 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 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 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. |
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 |
Calendar Year | Twelve-month period starting with January 1 and ending with December 31 |
Type of CLC | Similar 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 Enrolled | Learner 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 Mode | Mode of Delivery/intervention given to a learner |
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 |
Name of Facilitator | The 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 Score | Score in the Personal Information Sheet that determines the level of literacy rate of a learner. |
Non Literate | |
Neo Literate | A score of a learner based on the ABL |
Post Literate | |
FLT Score in Reading | A 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 Writing | A score of a Learner based on the FLT -Writing |
FLT Score in Listening & Speaking | A score of a Learner based on the FLT-Listening and Speaking |
Overall Score | Total score of Functional Literacy Test |
Remarks | Note if NC or COC was received by the learner |
Test Taken | Level of A&E Exam taken by a learner |
Date of Examination | Actual date of A&E Exam |
Testing Center | Name of the Testing Center where the A&E Exam took place |
Location of Testing Center | Location of the Testing Center |
A&E Test Result | Result of the Accreditation and Equivalency Test / Certificate of Rating |
Eligible for admission to | Learner may be admitted to formal school or other learning institution |
EPS-ALS | Name and signature of the ALS Supervisor attesting to correctness of the data |
Facilitator | Name and signature of the teacher who prepared the form |
Certificate of Transfer | Eligibility of learner to transfer or continue study in a certain level |
Certificate of Good Moral Character | Letter 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)
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