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FORM 2: LAC Facilitator Information Sheet

This form should be accomplished by the designated LAC Facilitator on or before the first LAC
session.

Region: VII

Division: CEBU PROVINCE

NAME: JEANETTE F. Male/Female: Date of Birth: Age: 37


BANTAYA Female December 24, 1982

Contact details: Email: jeanette. Mobile Number: Facebook Name:


bantaya001@deped. 09198341617 Jessette jean
gov.ph

Preferred contact (Indicate all: email, phone, Skype, Viber, WhatsApp, Zoom,
mode: mobile Googlemeet, FB, Messenger, etc.)
number Email: jbblackjean@gmail.com, wildflower843@yahoo.com,
jeanette.bantaya001@deped.gov.ph,
Phone: 09198341617
FB and messanger: Jessette jean

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