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Sta. Cruz Elementary School

The document is a form for requesting approval to enroll a learner in the learner information system with a gap in enrollment. It provides details of the learner, Sarah Jane Lumibao Velasco, who has not enrolled for 1 year. It specifies the type of request is for enrollment with a gap and lists the required supporting documents. It also provides instructions for submitting the form and attachments.

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Lourence Jay Evio
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131 views1 page

Sta. Cruz Elementary School

The document is a form for requesting approval to enroll a learner in the learner information system with a gap in enrollment. It provides details of the learner, Sarah Jane Lumibao Velasco, who has not enrolled for 1 year. It specifies the type of request is for enrollment with a gap and lists the required supporting documents. It also provides instructions for submitting the form and attachments.

Uploaded by

Lourence Jay Evio
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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PAR Form - For LIS Pending Approval at Division Level Only

SCHOOLS DIVISION OF PALAWAN


LIS PENDING APPROVAL REQUEST FORM
SY 2019-2020
LIS Change CERTIFIED CORRECT:
Request No.: Signature of School Head or
Representative:
School ID: 111202
School Name: STA. CRUZ ELEMENTA Name of School Head: LUCIA Y. PECORE
District: San Vicente Contact Number: 9105842690
Email Address: [email protected]

I. Profile of Learner with Data Issues/Problems


LRN: Sex: Female
First Name: SARAH JANE Birthdate: DECEMBER 03,2009
Middle Name: LUMIBAO
Last Name: VELASCO Name of Adviser: LUCIA Y. PECORE
Grade Level: 3 Username:
Section: A

II. Pending Request Type


Enrolment w/ gap, Enrolment of Ineligible, Correction of Learner Profile, Correction of Grade Level, LRN Approval, Temporary Enrolment

Enrolment w/ gap

III. Additional Details/Narrative/Justification if applicable


If applicable, narrate additional details inside the box.
has stopped for 1 year

IV. Documentary Requirements for Each Pending Request Type


Pending Request Type Required Supporting Documents
*PAR Form, *SF9/SF10/Form 137 & 138,ECCD Summary of Rating for Grade 1,
Enrolment w/ gap
**RFG, **PEPT, **A&E Rating
*PAR Form, *SF9/SF10/Form 137 & 138,ECCD Summary of Rating for Grade 1,
Enrolment of Ineligible
**RFG, **PEPT, **A&E Rating
*PAR Form, *SF9/SF10/Form 137 & 138, ECCD Summary of Rating for Kinder,
Correction of Learner Profile
*Birth Certificate

Correction of Grade Level *PAR Form, *SF9/SF10/Form 137 & 138, **RFG, **PEPT, **A&E Rating

*PAR Form, *SF9/SF10/Form 137 & 138, ECCD Summary of Rating for Grade 1,
LRN Approval
**RFG, **PEPT, **A&E Rating, *Birth Certificate, or any Proof of ID
*PAR Form, *Affidavit of Undertaking, **Other available documents that may add
Temporary Enrolment
support to the request
*Required, **If Applicable Only.
NOTE: All attached documents must link or reflect learners eligibility to enroll in current grade level of the school year.

V. Instructions:
General instructions in using and submitting this form and attachments.
1. Properly fill out the required and applicable information in this form. One (1) form per request.
2. Print the filled out form to be signed by the school head. Scan the signed form and Supporting documents.
3.Upload the form and supporting documents at tiny.cc/PAL_LIS_PARF. Log in using Official DepEd Email for Public Schools and
any GMail for SUCs, LUCs and Private Schools.
4. Originally signed hard copies of this form shall be filed at the School Head's Office.
5. For inqueries and follow up, contact us at 0917 125 7774 and 0917 110 1321.
[email protected] Palawan.PRS

updated 9/16/2019 Download form at: tiny.cc/LIS_PAR_FORM

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