FORM 2: LAC Facilitator Information Sheet

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

Region: IX

Division: Zamboanga City

NAME: Male/Female: Date of Birth: Age:

PRETHIE GIRL T. FEMALE OCT. 17, 1979 41
ALEJANDRINO

Contact details: Email: Mobile Facebook Name:

09171272441 prethiegirl.alejandrino@deped. Number: PG T. Alejandrino
gov.ph 09171272441

Preferred contact (Indicate all: email, phone, Skype, Viber, WhatsApp, Zoom,
mode: Googlemeet, FB, Messenger, etc.)
09171272441

prethiegirltan@yahoo.com
prethiegirl.alejandrino@deped.gov.ph