Abot-Alam Registration Form DHANZ

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    04-Oct-2015

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abot alam

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Registration Form ABOT-ALAM: A National Strategy for Out-of-School Youth Ang ABOT-ALAM ay isang stratehiya upang maibalik ang mga Out-of-School Youth (OSY) sa pag-aaral, mabigyan ng karampatang OFFICIAL REGISTRATION FORM 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.

Surveyor/Encoder's Name: MARIA FE B. BALMACEDAComplete Address of Surveyor/Encoder: Pintor, Polangui, AlbayEmail Address & Contact # of Surveyor/Encoder: mariafebaleja@yahoo.com/ 09091428068Position/Office/Affiliation ng Surveyor/Encoder: Teacher 1-Dalogo ESBarangay: GamotCity/Municipality: PolanguiProvince/Lalawigan: AlbayRegion/Rehiyon: V (Bicol)

COMPLETE NAME/ Kumpletong Pangalan ( Given Name, Middle Name, Last Name) (extension on name if any ex. JR. SR. III)BIRTHDATE/ Petsa ng Kapanganakan (MM/DD/YYYY) AGE/ EdadSEX M/FCONTACT DETAILS/ Impormasyong pwedeng tawagan (EMAIL ADDRESS, Celphone & Landline Number) COMPLETE ADDRESS/ Tirahan (No. Street, Brgy. City/Municipality, ProvincePARENTS/ GUARDIAN (RELATION) (Magulang/ Tagapangalaga) Complete Name at RelasyonEDUCATION/ Pinakamataas na Antas ng Edukasyong Naabot ( Elementary Grade, Year in HS, CollegePREFERRED TRACK Planong Gawin (Education, Employment, Intrepreneurship/Skills Training) (Pwedeng higit sa isa ang lagyan ng Ekis)REMARKS Isaad kung benepisyaryo ng Programa ng ALS ng DEPED, PYAP, 4P's 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,Phil health, Pantawid Household, CRN, etc.)

WINDELYN, CUSTO, BOCAUTO12/23/9023F09306574375Purok 5 Sitio Dalogo, Gamot, Polangui, AlbayGLENNY BOCAUTO (NANAY)2ND YEAR HSxBalik-Aral/EdukasyonN/AXTrabaho/livelihoodSkills Training/EntrepJAYSON, ABAO, GARCIA12/10/9420M09486303502Purok 5 Sitio Dalogo, Gamot, Polangui, AlbayELENITA GARCIA (NANAY)ELEM. GRADUATEXBalik-Aral/EdukasyonN/AXTrabaho/livelihoodSkills Training/EntrepRAMIR, NAMURO, PORTUGAL3/26/9024M09488347617Purok 5 Sitio Dalogo, Gamot, Polangui, AlbayMANUEL PORTUGAL (TATAY)2ND YEAR HSBalik-Aral/EdukasyonN/AXTrabaho/livelihoodXSkills Training/EntrepLEIZEL, YANSON , NACARIO8/27/8727F09073532272Purok 5 Sitio Dalogo, Gamot, Polangui, AlbayDENNIS NACARIO (ASAWA)HS GRADUATEBalik-Aral/Edukasyon4P'S4PS0505014020596600016XTrabaho/livelihoodSkills Training/EntrepCHARMAINE, SANDAGON, YANSON9/23/9321F09073532272Purok 5 Sitio Dalogo, Gamot, Polangui, AlbayJAY-AR YANSON (ASAWA)HS GRADUATEBalik-Aral/EdukasyonN/AXTrabaho/livelihoodXSkills Training/EntrepBOYET, ORLAIN, BAGAYAWA4/7/9717M09308969906Purok 5 Sitio Dalogo, Gamot, Polangui, AlbayMARINA BAGAYAWA (NANAY)ELEM. GRADUATEXBalik-Aral/EdukasyonN/ATrabaho/livelihoodXSkills Training/EntrepLANI, ORLAIN, BAGAYAWA4/23/9915F09308969906Purok 5 Sitio Dalogo, Gamot, Polangui, AlbayMARINA BAGAYAWA (NANAY)ELEM. GRADUATExBalik-Aral/EdukasyonN/ATrabaho/livelihoodSkills Training/EntrepAILYN, VEGA, BORROMEO3/29/9321F09497108131Purok 3 Sitio Dalogo, Gamot, Polangui, AlbayPILAR VEGA (NANAYHS GRADUATEXBalik-Aral/EdukasyonN/ATrabaho/livelihoodXSkills Training/EntrepJOAN, OCBIAN, VIAS8/27/8925F09129137649Purok 3 Sitio Dalogo, Gamot, Polangui, AlbayTELESFORO VIAS JR. (TATAY)COLLEGE GRADUATEBalik-Aral/EdukasyonN/AXTrabaho/livelihoodSkills Training/EntrepMICHELLE, VIAS, ORLAIN6/19/8826F09486216722Purok 3 Sitio Dalogo, Gamot, Polangui, AlbaySUNNY ORLAIN (ASAWA)HS GRADUATEBalik-Aral/EdukasyonN/APHIL.H102016234505XTrabaho/livelihoodXSkills Training/EntrepMARK RONEL, RAMOS, OCBIAN8/20/9123M09306577197Purok 3 Sitio Dalogo, Gamot, Polangui, AlbayHILDA OCBIAN (NANAY)COLLEGE GRADUATEBalik-Aral/EdukasyonN/AXTrabaho/livelihoodSkills Training/EntrepEMELYN, VIAN, BELLEN4/8/9816F09308969906Purok 3 Sitio Dalogo, Gamot, Polangui, AlbayANALIZA BELLEN (NANAY)HS GRADUATEXBalik-Aral/EdukasyonN/ATrabaho/livelihoodSkills Training/EntrepJERLY, AGRIPA, BELLEN2/9/9617M09308969906Purok 3 Sitio Dalogo, Gamot, Polangui, AlbayJENET BELLEN (NANAY)HS GRADUATEXBalik-Aral/EdukasyonN/ATrabaho/livelihoodXSkills Training/EntrepLEONEL, COLARINA, SABALAN2/3/9518M09308969906Purok 3 Sitio Dalogo, Gamot, Polangui, AlbayCONSUELO SABALAN (NANAY)GRADE IVXBalik-Aral/EdukasyonN/AXTrabaho/livelihoodSkills Training/EntrepRONEL, ABAO, PANDAY7/28/9518M09308969906Purok 3 Sitio Dalogo, Gamot, Polangui, AlbayROMEO PANDAY (TATAY)1ST YEAR HSXBalik-Aral/EdukasyonN/AXTrabaho/livelihoodSkills Training/EntrepREGIE, MARCOS, BALTAR3/16/9222M09169957475Purok 5 Sitio Dalogo, Gamot, Polangui, AlbayRUDY BALTAR (TATAY)GRADE VXBalik-Aral/EdukasyonN/APHIL.H102023134230Trabaho/livelihoodXSkills Training/EntrepALJHON P. BAS6/25/9519M09997001365Gamot, Polangui, AlbayHS GRADUATEXBalik-Aral/EdukasyonN/AXTrabaho/livelihoodSkills Training/EntrepEMERSON P. BAS11/13/9321M09997001366Gamot, Polangui, AlbayHS GRADUATEXBalik-Aral/EdukasyonN/AXTrabaho/livelihoodXSkills Training/EntrepGIHMEL B. GARCIA4/6/9618M09997001367Gamot, Polangui, AlbayELEM. GRADUATEXBalik-Aral/EdukasyonN/AXTrabaho/livelihoodSkills Training/EntrepMARIO B. BALBIN11/3/9815M09997001368Gamot, Polangui, AlbayHS GRADUATEXBalik-Aral/EdukasyonN/ATrabaho/livelihoodXSkills Training/EntrepJERRY B. BALBIN3/12/8628M09997001368Gamot, Polangui, AlbayELEM. GRADUATEBalik-Aral/EdukasyonN/AXTrabaho/livelihoodSkills Training/EntrepKUNG MAY MGA KATANUNGAN, MAGTANONG SA NATIONAL SECRETARIAT SA 415-49-01/ 448-73-30 O MAG-EMAIL SA abot-alam@nyc.gov.ph 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-sec. -ALS Accreditaion & Equivalency Program Secondary: at ALS-infed Informal Education, (PWD) Persons 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 my iba pa isaad.