Republic of the Philippines Department of Education Region Division

Request for Data Correction in the LIS

This form shall contain a school or a division's request for data correction in the LIS. These data include learner enrollment records wherein the grade/year and/or enrollment status in previous school years were not cleaned up, hence rendered "Not Eligible" for enrollment in SY 2013; and the deactivation of duplicate LRNs. Please send this request to Mr Deo Genito at deogracias.genito@deped.gov.ph, copy email address of your respective Division Planning Office.
LRN For Example 123456789012 First Name Jose Middle Name Santos Rizal Last Name Birthdate School ID & Name Description of Data Correction Request Deactivation of LRN Data to Be Corrected 123456789012 Formal/SY 20122013/Grade 4 / Promoted Formal/SY 20122013/Grade 8 / Promoted SY 2012-2013/Grade 4 /Rosal/ Retained SY 2012-2013/Grade 6 /Rose/ Promoted Correction To Be Done REMARKS (TO BE FILLED UP BY THE LIS ADMIN)

1/1/2001 123456, Kapalaran ES

143211234567

Jennifer

Ramos

Reyes

5/6/2003 123456, Kapalaran ES

Not Eligible

300018399595

Stephanie

De guzman

Carlos

5/5/2003 123456, Kapalaran ES

Not Eligible

SUBMITTED BY:

NAME OF SCHOOL HEAD CP No. ________________