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

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: icts.usd@deped.gov.ph
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
Note: Endorsement of School Head is required (signed and scan). Please use worksheet/excel format for the matrix
Region
Reported
by
Division
School
School ID
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: listrackermain@gmail.com
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

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
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 (listrackermain@gmail.com)
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

Region
Division
School
School ID
USER ID:
NAME OF REQUESTING PERSONNEL:
DESIGNATION:
Grade
Section
e/Format for Reporting TWIN Learners that Merged Identity (
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
copy furnish: division planning unit
I. CURRENT ENROLLMENT AND BASIC PROFILE
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
LIS USER NAME
Name of School
School ID
Division
Region

Region
Division
School
School ID
Correct Name
Grade
Section
LRN
(Currently
Used)
First Name
Middle Name
Last Name
Ext Name
Date of Birth

NAME OF SCHOOL
needed)
DIVISION
REGION

IS THIS ENROLLMENT
School
Grade/Year Level
Year
Dropout)

Reported by
LIS USER NAME
Name of School
School ID
Division
Region

Region
Division
School
School ID
Correct Name
Grade
Section
LRN
(Currently
Used)
First Name
Middle Name
Last Name
Ext Name
Date of Birth

NAME OF SCHOOL
needed)
DIVISION
REGION

IS THIS ENROLLMENT
School
Grade/Year Level
Year
Dropout)

Reported by
LIS USER NAME
Name of School
School ID
Division
Region

Region
Division
School
School ID
Correct Name
Grade
Section
LRN
(Currently
Used)
First Name
Middle Name
Last Name
Ext Name
Date of Birth

NAME OF SCHOOL
needed)
DIVISION
REGION

IS THIS ENROLLMENT
School
Grade/Year Level
Year
Dropout)

Reported by
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

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

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

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Verfügbare Formate

Template/Format for REPORTING MULTIPLE LRN/ENROLL

Template/Format for Enrollment with Data Issues (Requ

quest Form 03)

UE ELEVATED TO CENTRAL OFFICE

Template/Format for REPORTI

Subject: Multiple LRN/Enrollment

e/Format for REPORTING MULTIPLE LRN/ENROLLMENT (Requ

LMENT (Request Form 01)

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

Currently Enrolled (Present enrollment)

Template/Format for Reporting Learners tha

Subject: Request for Removal of Enrollment Record or Void Enrollme

eporting Learners that Actually not Attending Classes since

ent Record or Void Enrollment

Personal Information of Learners as Registered in LIS

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

vision Superintendent. Copy furnish LIS Help Desk (listrackermain@gmail.com)

Classes since June 2, 2014 (Request Form 03)

Reason for Requesting

Template/Format for Reporting

Subject: TWIN Learners that Merged Identity

e/Format for Reporting TWIN Learners that Merged Identity (

Personal Information of Learners as Appeared in Birth Certificate

rged Identity (Request Form 04)

LIS HOUSE KEEPING REQUEST FORM (Request Form 05)

Currently Enrolled (Present enrollment)

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

STATUS AS APPEARED IN FORM 137

III. REQUESTING SCHOOL

LIS USER NAME

LIS HOUSE KEEPING REQUEST FORM (Request Form 05)

Currently Enrolled (Present enrollment)

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

STATUS AS APPEARED IN FORM 137

III. REQUESTING SCHOOL

LIS USER NAME

LIS HOUSE KEEPING REQUEST FORM (Request Form 05)

Currently Enrolled (Present enrollment)

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

STATUS AS APPEARED IN FORM 137

III. REQUESTING SCHOOL

LIS USER NAME

LIS HOUSE KEEPING REQUEST FORM (Request Form 05)

Currently Enrolled (Present enrollment)

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

STATUS AS APPEARED IN FORM 137

III. REQUESTING SCHOOL

LIS USER NAME

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