FORM 2: LAC Facilitator Information Sheet
This form should be accomplished by the designated LAC Facilitator on or before the first LAC
session.
Region: V
Division: MASBATE PROVINCE
NAME:
Male/Female:
Date of Birth:
Age:
MALE
NOVEMBER 1, 1975
44 YRS. OLD
Contact details:
Email:
Mobile Number:
09127270809
jesus.fuentes@deped.gov.ph 09127270809
Preferred contact
mode:
(Indicate all: email, phone, Skype, Viber, WhatsApp, Zoom,
Googlemeet, FB, Messenger, etc.)
JESUS P. FUENTES
Cell Phone Number
jesus.fuentes@deped.gov.ph
Facebook Name:
Jesli James