ABOT ALAM: A National Strategy for Out-Of-School Youth

OFFICIAL REGISTRATION FORM

Ang ABOT ALAM ay isang stratehiya upang maibalik ang mga Out-of-School Youth (OSY) sa pag-aaral, mabigyan ng karampatang 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: NOLY A. GOLINGAY

Complete Address of Surveyor/Encoder: PRK. BONIFACIO, LUNGA-OG, STO. TOMAS DAVAO DEL NORTE

Email Address & Contact # of Surveyor/Encoder: 0906-769-2521

Position/Office/Affiliation ng Surveyor/Encoder: TEACHER III DALSC

Barangay: LUNGA-OG

Province/Lalawigan: DAVAO DEL NORTE

BIRTH DATE
COMPLETE NAME.
/Kumpletong
/ Petsa ng
Pangalan (i.e
Given Name, Middle Name,
Kapanga
Last Name) (Extension name
nakan
if any ex. JR. SR. III)
(MM/DD/YY
YY)

A
G
E
/
e
d
a
d

S
E
X
M
/
F

Municipality: STO. TOMAS

CONTACT DETAILS/
Impormasyong pwedeng
COMPLETE ADDRESS/ Tirahan (i.e
Tawagan (i.e EMAIL
No., Street, Brgy, City or Municipality, Province
ADDRESS, CELLPHONE &
Landline Number)

PARENTS/ GUARDIAN
(RELATION) (Magulang/
Tagapangalaga) Complete Name
at Relasyon

EDUCATION
/Pinakamataas na
PREFERRED TRACK /Planong
Antas ng
Gawin (i.e. Education, Employment,
Edukasyong Naabot Entrepreneurship/Skills Training)
(i.e. Elementary
(Pwedeng Higit sa Isa ang
Grade, Year in HS,
lagyan ng Ekis)
College)
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x

Balik-Aral/Education
Trabaho/Livelihood
Skills Training/ Entrep
Balik-Aral/Education
Trabaho/Livelihood
Skills Training/ Entrep
Balik-Aral/Education
Trabaho/Livelihood
Skills Training/ Entrep
Balik-Aral/Education
Trabaho/Livelihood
Skills Training/ Entrep
Balik-Aral/Education
Trabaho/Livelihood
Skills Training/ Entrep
Balik-Aral/Education
Trabaho/Livelihood
Skills Training/ Entrep
Balik-Aral/Education
Trabaho/Livelihood
Skills Training/ Entrep
Balik-Aral/Education
Trabaho/Livelihood
Skills Training/ Entrep
Balik-Aral/Education
Trabaho/Livelihood
Skills Training/ Entrep
Balik-Aral/Education
Trabaho/Livelihood
Skills Training/ Entrep
Balik-Aral/Education
Trabaho/Livelihood
Skills Training/ Entrep
Balik-Aral/Education
Trabaho/Livelihood
Skills Training/ Entrep

KUNG MAY MGA KATANUNGAN, MAGTANONG SA NATIONAL SECRETARIAT SA 0908-887-49-84 /415-49-01/ 448/73-30 O MAG- GABAY/LEGEND: REMARKS* |ALS** Alternative Learning System |**Isulat ang ALS-BLP - ALS Basic Literacy Program; ALS
Equivalency Program - Elementary; ALS-A&E-second. - ALS Accreditation & Equivalency Program - Secondary; at ALS-Infed - Inf
EMAIL SA abot-alam@nyc.gov.ph. PWEDE RING MAGLOG-ON SA www.abotalam.com.ph

With Disabilities/ May Kapansanan |***Isulat ang PWD-HI-Hearing Impaired; PWD-VI-Visually Impaired; PWD-PI- Physically I
Need; at kung may iba pa isaad.

ng edukasyon, skills
o hindi nakatapos ng

rveyor/Encoder: 0906-769-2521

L NORTE

Region/Rehiyon: XI

REMARKS*
Isaad
kung Benepisyaryo ng
NUMBERS.
Indicate
Programa ALS ng Deped**, number of the ff
if any/Isaad
PYAF, 4Ps etc. Kung
ang mga numero, kung meron: SSS,
May Kapansanan /
GSIS, Philhealth, Pantawid
(PWD)*** (N/A
if Not
Household CRN, etc)
Applicable)

LP - ALS Basic Literacy Program; ALS-A&E-elem - ALS Accreditation &

rogram - Secondary; at ALS-Infed - Informal Education | (PWD)***Person
sually Impaired; PWD-PI- Physically Impaired; PWD-WSN- With Special