ANNEX AANNEX AABOT ALAM: A NATIONAL PROGRAM FOR OUT-OF-SCHOOL YOUTHOFFICIAL REGISTRATION FROM (Revised)Ang abot alam ang pinakamalaking programa para 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, hindi nakapagtapos ng pag-aaral sa gulang na 15 hanggang 30 anyos.GABAY: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 SECOND. ALS Accreditation & equivalency Program Seonary; at ALS-Infed - Informal Educaation |(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

Survereyor's Name:Complete Address of Surveyor:Email Address & Contact # of Surveyor:Position/ Office/ Affiliation ng Surveyor:Barangay:City/Municipality:Province/ Lalawigan:

COMPLETE NAME /Kumpletong Pangalan (i.e. Last Name, Given Name, Middle Name) (Extension name if any ex. JR, SR, III)BIRTHDATE / Kaarawan (MM/DD/YY)AGE / EdadSex (M/F)CONTACT DETAILS / Impormasyong pwedeng Tawagan (i.e. Email address, Cellphone & Landline Number)COMPLETE ADDRESS / Tirahan (i.e. No., Street, Brgy., City or Municipality, Province)PARENTS/ GUARDIAN (Magulang / Tagapangalaga) Complete NameEDUCATION/Pinakamataas na Antas ng Edukasyong Naabot (i.e Elementary Grade, Year in High School, College)PREFERRED TRACK/ Planong Gawin (i.e. Education, Employment, Entrepreurship/ Skills Training) (Puedeng Higit sa Isa ang lagyan ng Ekis)REMARKS * Isaad kung Benepisyaryo ng Programa ALS**, PYAP, 4Ps 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, Philhealth, Pantawid Household, CRN, etc.)Reason of becoming OSY

2-AEnclosure No. 2-A to DepED Memo No. 41, s. 2015BE school Form 1Republic of the PhilippinesDEPARTMENT OF EDUCATIONRegion 02Division of Nueva VizcayaBRIGADA ESKEWELA 2015

School_IDSchool_NameNUMBER OF VOLUNTEERSTotal Number of VolunteersPrivate SectorCommunityGovernment Agencies/National & LocalNGO (PTA, SGC, Gawad Kalinga, etc.)CorporationParentsAlumniPrivate Individual/Community MemberReligious Organizations (Youth and Adult)Congressional Officials and StaffProvincial OfficialsCity/ Municipal OfficialsBarangay OfficialsSK OfficialsProvincial/ City/ Municipal EmployeesFirement/PNPAFP(PA, Marine, Airforce, etc.)Barangay WorkersOther Volunteers

TOTAL00000000000000000

Prepared by:Approved by:

SAMUEL R. SOLIVEN, Ph.D.ASP Division CoordinatorOIC, Schools Division Superintendent

2-BEnclosure No. 2-A to DepED Memo No. 41, s. 2015BE school form 1.1Republic of the PhilippinesDEPARTMENT OF EDUCATIONRegion 02Division of Nueva VizcayaBRIGADA ESKEWELA 2015

School_IDSchool_NameRESOURCES GENERATEDTotal No. of VolunteersTotal No. of Hours Rendered (Labor)Volunteer Man hours (Amount in Peso)Total Amount (in Peso)Hardware Materials for Classroom RepairsHardware Materials for Toilet Newly Construction/ RepairHardware Materials for Wash Facilities Newly Construction/RepairOther DonationsQty.ItemAmount (in Peso)Qty.ItemAmount (in Peso)Religious Organizations (Youth and Adult)ItemAmount (in Peso)Religious Organizations (Youth and Adult)ItemAmount (in Peso)Religious Organizations (Youth and Adult)

TOTAL00000000

Prepared by:Approved by:

SAMUEL R. SOLIVEN, Ph.D.CoordinatorOIC, Schools Division Superintendent

2-CEnclosure No. 2-A to DepED Memo No. 41, s. 2015BE school Form 1Republic of the PhilippinesDEPARTMENT OF EDUCATIONRegion 02Division of Nueva VizcayaBRIGADA ESKEWELA 2015

DIVISION CONSOLIDATED REPORT

School_IDSchool_NameNUMBER OF VOLUNTEERSTotal Number of VolunteersPrivate SectorCommunityGovernment Agencies/National & LocalNGO (PTA, SGC, Gawad Kalinga, etc.)CorporationParentsAlumniPrivate Individual/Community MemberReligious Organizations (Youth and Adult)Congressional Officials and StaffProvincial OfficialsCity/ Municipal OfficialsBarangay OfficialsSK OfficialsProvincial/ City/ Municipal EmployeesFirement/PNPAFP(PA, Marine, Airforce, etc.)Barangay WorkersOther Volunteers

TOTAL00000000000000000

Prepared by:Approved by:

SAMUEL R. SOLIVEN, Ph.D.ASP Division CoordinatorOIC, Schools Division Superintendent

2-DEnclosure No. 2-A to DepED Memo No. 41, s. 2015BE school form 1.1Republic of the PhilippinesDEPARTMENT OF EDUCATIONRegion 02Division of Nueva VizcayaBRIGADA ESKEWELA 2015DIVISION CONSOLIDATED REPORT

School_IDSchool_NameRESOURCES GENERATEDTotal No. of VolunteersTotal No. of Hours Rendered (Labor)Volunteer Man hours (Amount in Peso)Total Amount (in Peso)Hardware Materials for Classroom RepairsHardware Materials for Toilet Newly Construction/ RepairHardware Materials for Wash Facilities Newly Construction/RepairOther DonationsQty.ItemAmount (in Peso)Qty.ItemAmount (in Peso)Religious Organizations (Youth and Adult)ItemAmount (in Peso)Religious Organizations (Youth and Adult)ItemAmount (in Peso)Religious Organizations (Youth and Adult)

TOTAL000000000

Prepared by:Approved by:

SAMUEL R. SOLIVEN, Ph.D.ASP CoordinatorOIC, Schools Division Superintendent

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