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Request Forms 1 To 5 For Corrections .... Send To Icts - Usd@deped - Gov.ph

The document contains templates for reporting various learner enrollment issues in the Philippines' Department of Education system to relevant offices. The templates include formats for reporting multiple enrollments, enrollments with data issues, learners not attending classes, merged twin identities, and pending multiple enrollment issues elevated to the central office. The templates standardize the information required, such as learner details, school information, and explanatory notes.

Uploaded by

RESTITUTO DE GALICIA
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
7K views23 pages

Request Forms 1 To 5 For Corrections .... Send To Icts - Usd@deped - Gov.ph

The document contains templates for reporting various learner enrollment issues in the Philippines' Department of Education system to relevant offices. The templates include formats for reporting multiple enrollments, enrollments with data issues, learners not attending classes, merged twin identities, and pending multiple enrollment issues elevated to the central office. The templates standardize the information required, such as learner details, school information, and explanatory notes.

Uploaded by

RESTITUTO DE GALICIA
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
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Template/Format for REPORTING MULTIPLE LRN/ENROLL

Template/Format for Enrollment with Data Issues (Requ


Template/Format for Reporting Learners that Actually n
Template/Format for Reporting TWIN Learners that Me
LIS HOUSE KEEPING REQUEST FORM (Request Form 05

quest Form 03)

UE ELEVATED TO CENTRAL OFFICE

Template/Format for REPORTI

Subject: Multiple LRN/Enrollment


Send to: [email protected]
Note: Endorsement of School Head is required (signed and scan). Ple
Currently Enrolled (Present enrollment)

Region

Reported
by

Division

School

School ID

Teacher/ICT Coordinator

Grade

Section

Name of School

e/Format for REPORTING MULTIPLE LRN/ENROLLMENT (Requ

quired (signed and scan). Please use worksheet/excel format for the matrix
as appeared in Birth Certificate

t)

Correct Name
LRN

Name of School

(Currently
Used)

First Name

Middle Name

School ID

Last Name

Division

Ext Name

LMENT (Request Form 01)


for the matrix

cate

Date of Birth

Region

Gender

Date of 1st
Attendance
(MM/DD/YYYY)

Endorsed by
School Head

OTHER EXISTING
LRN

Template/Format for Enrollment with Data Issues (Request Form 02)


Subject: Enrollment with Possible Multiple Enrollment or Data Issues
Send to: [email protected]
Note: Endorsement of School Head is required (signed and scan). Please use worksheet/excel format for the matrix
as appeared in Birth Certificate

Currently Enrolled (Present enrollment)

Region

Reported
by

Division

School

School ID

Teacher/ICT Coordinator

Grade

Correct Name
Section

LRN
(Currently Used)

Name of School

First Name

Middle Name

School ID

Last Name

Division

Ext
Name

Date of Birth

Region

Gender

m 02)
Send to: [email protected]

Code:
Date of 1st 1-No enrollment Found
Attendance 2- Update Failed
(MM/DD/YYYY)
3 - Enrolment Failed

Endorsed by
School Head

Template/Format for Reporting Learners tha

Subject: Request for Removal of Enrollment Record or Void Enrollme


Send to: [email protected]
Note: Endorsement of School Head is required (signed and scan). Ple
Currently Enrolled (Present enrollment)

Region

Improtant:
1.
2.
3.
4.

Division

School

School ID

Grade

Section

For Learner who did not attend classes since opening (June 2, 2014 up to present) ON
Under Reason for "Requesting Removal" please explain the reason why/how the inclu
Must not be included in Report on Promtion (SF 5)
Submit report to the Office of the Schools Division Superintendent. Copy furnish LIS H

eporting Learners that Actually not Attending Classes since

ent Record or Void Enrollment

quired (signed and scan). Please use worksheet/excel format for the matrix

t)

Personal Information of Learners as Registered in LIS

LRN

First Name

Middle Name

Last Name

opening (June 2, 2014 up to present) ONLY.


ase explain the reason why/how the inclussion of these leaners in LIS

vision Superintendent. Copy furnish LIS Help Desk ([email protected])

Ext Name

Classes since June 2, 2014 (Request Form 03)


for the matrix

egistered in LIS

Date of Birth

Gender

Date of 1st
Attendance
(MM/DD/YYYY)

Reason for Requesting


Removal of Enrollment
Record

Template/Format for Reporting

Subject: TWIN Learners that Merged Identity


Send to: [email protected]
Note: Endorsement of School Head is required (signed and scan). Ple
Currently Enrolled (Present enrollment)

Region

Division

School

School ID

USER ID:
NAME OF REQUESTING PERSONNEL:
DESIGNATION:

Grade

Section

e/Format for Reporting TWIN Learners that Merged Identity (

quired (signed and scan). Please use worksheet/excel format for the matrix

t)

Personal Information of Learners as Appeared in Birth Certificate

Correct LRN

First Name

Middle Name

Last Name

Ext Name

rged Identity (Request Form 04)


for the matrix

ed in Birth Certificate

Date of Birth

Gender

Date of 1st
Attendance
(MM/DD/YYYY)

REMARK
Learner 1 (Twin 1)
Learner 2 (Twin 2)

LIS HOUSE KEEPING REQUEST FORM (Request Form 05)


FOR PENDING MULTIPLE ENROLLMENT ISSUE ELEVATED TO CENTRAL OFFICE
Subject: Multiple Enrollment
Send to: [email protected]
copy furnish: division planning unit
Note: Endorsement of School Head is required (signed and scan). Please use worksheet/excel format for the matrix
I. CURRENT ENROLLMENT AND BASIC PROFILE
as appeared in Birth Certificate

Currently Enrolled (Present enrollment)

Region

Division

School

School ID

Correct Name
Grade

Section

LRN

(Currently
Used)

First Name

Middle Name

Last Name

Ext Name

Date of Birth

II. ENROLLMENT HISTORY AS APPEARED IN PERMANENT RECORD (FORM 137)


NAME OF SCHOOL
(Provide additional row/s if
needed)

DIVISION

REGION

STATUS AS APPEARED IN FORM 137


IS THIS ENROLLMENT
School
Grade/Year Level
RECORD VALID? YES OR NO.
Year
(Promoted, Retained, Transferred Out,
(If NO, provide explanation)
Dropout)

III. REQUESTING SCHOOL


Reported by

Teacher/ICT Coordinator

LIS USER NAME

Name of School

School ID

Division

Region

LIS HOUSE KEEPING REQUEST FORM (Request Form 05)


FOR PENDING MULTIPLE ENROLLMENT ISSUE ELEVATED TO CENTRAL OFFICE
Subject: Multiple Enrollment
Send to: [email protected]
copy furnish: division planning unit
Note: Endorsement of School Head is required (signed and scan). Please use worksheet/excel format for the matrix
I. CURRENT ENROLLMENT AND BASIC PROFILE
as appeared in Birth Certificate

Currently Enrolled (Present enrollment)

Region

Division

School

School ID

Correct Name
Grade

Section

LRN

(Currently
Used)

First Name

Middle Name

Last Name

Ext Name

Date of Birth

II. ENROLLMENT HISTORY AS APPEARED IN PERMANENT RECORD (FORM 137)


NAME OF SCHOOL
(Provide additional row/s if
needed)

DIVISION

REGION

STATUS AS APPEARED IN FORM 137


IS THIS ENROLLMENT
School
Grade/Year Level
RECORD VALID? YES OR NO.
Year
(Promoted, Retained, Transferred Out,
(If NO, provide explanation)
Dropout)

III. REQUESTING SCHOOL


Reported by

Teacher/ICT Coordinator

LIS USER NAME

Name of School

School ID

Division

Region

LIS HOUSE KEEPING REQUEST FORM (Request Form 05)


FOR PENDING MULTIPLE ENROLLMENT ISSUE ELEVATED TO CENTRAL OFFICE
Subject: Multiple Enrollment
Send to: [email protected]
copy furnish: division planning unit
Note: Endorsement of School Head is required (signed and scan). Please use worksheet/excel format for the matrix
I. CURRENT ENROLLMENT AND BASIC PROFILE
as appeared in Birth Certificate

Currently Enrolled (Present enrollment)

Region

Division

School

School ID

Correct Name
Grade

Section

LRN

(Currently
Used)

First Name

Middle Name

Last Name

Ext Name

Date of Birth

II. ENROLLMENT HISTORY AS APPEARED IN PERMANENT RECORD (FORM 137)


NAME OF SCHOOL
(Provide additional row/s if
needed)

DIVISION

REGION

STATUS AS APPEARED IN FORM 137


IS THIS ENROLLMENT
School
Grade/Year Level
RECORD VALID? YES OR NO.
Year
(Promoted, Retained, Transferred Out,
(If NO, provide explanation)
Dropout)

III. REQUESTING SCHOOL


Reported by

Teacher/ICT Coordinator

LIS USER NAME

Name of School

School ID

Division

Region

LIS HOUSE KEEPING REQUEST FORM (Request Form 05)


FOR PENDING MULTIPLE ENROLLMENT ISSUE ELEVATED TO CENTRAL OFFICE
Subject: Multiple Enrollment
Send to: [email protected]
copy furnish: division planning unit
Note: Endorsement of School Head is required (signed and scan). Please use worksheet/excel format for the matrix
I. CURRENT ENROLLMENT AND BASIC PROFILE
as appeared in Birth Certificate

Currently Enrolled (Present enrollment)

Region

Division

School

School ID

Correct Name
Grade

Section

LRN

(Currently
Used)

First Name

Middle Name

Last Name

Ext Name

Date of Birth

II. ENROLLMENT HISTORY AS APPEARED IN PERMANENT RECORD (FORM 137)


NAME OF SCHOOL
(Provide additional row/s if
needed)

DIVISION

REGION

STATUS AS APPEARED IN FORM 137


IS THIS ENROLLMENT
School
Grade/Year Level
RECORD VALID? YES OR NO.
Year
(Promoted, Retained, Transferred Out,
(If NO, provide explanation)
Dropout)

III. REQUESTING SCHOOL


Reported by

Teacher/ICT Coordinator

LIS USER NAME

Name of School

School ID

Division

Region

FICE

Gender

Date of 1st
Attendance
(MM/DD/YYYY)

OLLMENT
YES OR NO.
explanation)

Region

Endorsed by
School Head

OTHER
EXISTING LRN

FICE

Gender

Date of 1st
Attendance
(MM/DD/YYYY)

OLLMENT
YES OR NO.
explanation)

Region

Endorsed by
School Head

OTHER
EXISTING LRN

FICE

Gender

Date of 1st
Attendance
(MM/DD/YYYY)

OLLMENT
YES OR NO.
explanation)

Region

Endorsed by
School Head

OTHER
EXISTING LRN

FICE

Gender

Date of 1st
Attendance
(MM/DD/YYYY)

OLLMENT
YES OR NO.
explanation)

Region

Endorsed by
School Head

OTHER
EXISTING LRN

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