ICTS - User Support Division

Learner Information System National Helpdesk

Template for Reporting QVRs - Public/SUCs/LUCs (Learner/s who are not Enrolled in LIS for Tagging with QVR) (Request Form 11-A)
Subject: RF 11-B Not Enrolled for Tagging of QVRs - Public/SUCs/LUCs
Send to: support.ebeis-lis@deped.gov.ph

CURRENT SCHOOL (PRESENT ENROLLMENT) LEARNER'S INFORMATION CREDENTIALS PRESENTED Contact Details CODE
Date of 1st Attendance
Personal Information as appeared in Birth Certificate Status as appeared in 1 - Multiple Records/LRNs
Requesting
Grade Track/Program (Actual Date of Learner Reference Form 138 or Equivalent Username 2 - From PSHS Remarks
Region Division School ID School Name School ID School Name School Year Personnel Email Address Phone Number
Level Offering Attendance in the Number First Name Middle Name Last Name Ext Name Date of Birth Gender Document 3 - Unenrolled
Class) (Please Specify) 4 - Others

CODE/LEGEND:
1. Multiple Records/LRNs - Unable to enroll Learner due to student has multiple records or multiple LRNs
2. From PSHS - Unable to enroll Learner due to student was previously enrolled in Philippine Science High School
3. Unenrolled - Unable to enroll Learner due to student was unenrolled but not able to re-enroll in the LIS
4. Others - Unable to enroll Learner due to other reason/s. Please detailed reason why student was not able to enrolled in the Remarks column.

REMINDERS:
1. Date of First Attendance should be in MM-DD-YYYY format
2. Attach scanned copies of the following documents:
a. Form 137 or Form 138
b. Birth Certificate
c. Request Letter with approval of SDS. Letter must be addressed to Director Roger B. Masapol of Planning Service (PS)
3. Submit this properly accomplished form in excel format with the attachment (mentioned above) to support.ebeis-lis@deped.gov.ph
4. Subject for this email should be: RF 11-B Not Enrolled for Tagging of QVRs - Public/SUCs/LUCs
 ICTS - User Support Division
Learner Information System National Helpdesk
Request Form for Reporting QVRs - Public/SUCs/LUCs (Learner/s who are not tagged with QVR in LIS) (Request Form 11-A)
Subject: Untagged QVRs - Public/SUCs/LUCs
Send to: support.ebeis-lis@deped.gov.ph

CURRENT SCHOOL (PRESENT ENROLLMENT) LEARNER'S INFORMATION CREDENTIALS PRESENTED Contact Details LIS STATUS
Date of 1st Personal Information as appeared in Birth Certificate 1 - Enrolled
Status as appeared in Form Requesting
Grade Track/Program Attendance Learner Reference Username Remarks
Region Division School ID School Name School ID School Name School Year 138 or Equivalent Document Personnel Email Address Phone Number
Level Offering (* as appeared in Number First Name Middle Name Last Name Ext Name Date of Birth Gender 2 - Registered
LIS)
(Please Specify)

STATUS/LEGEND:
1. Enrolled - * Learner who was already enrolled with assigned track in the LIS
2. Registered - Learner who is not yet enrolled with unassigned track in the LIS

REMINDERS:
1. Date of First Attendance should be in MM-DD-YYYY format
2. Attach scanned copies of the following documents:
a. Form 137 or Form 138
b. Birth Certificate
3. Submit this properly accomplished form in excel format with the attachment (mentioned above) to support.ebeis-lis@deped.gov.ph
4. Subject for this email should be: RF 11 Untagged QVRs - School Name
 ICTS - User Support Division
Learner Information System National Helpdesk
Request Form for Reporting QVRs - Public/SUCs/LUCs (Learner/s who are not tagged with QVR in LIS) - RF 11
Subject: Untagged QVRs - Public/SUCs/LUCs
Send to: icts.usd@deped.gov.ph
CURRENT SCHOOL (PRESENT ENROLLMENT) LEARNER'S INFORMATION CREDENTIALS PRESENTED Contact Details
Personal Information as appeared in Birth Certificate
Status as appeared in Requesting
Date of 1st REMARKS
Grade Track/Program Learner Reference Form 138 or Personnel email address phone number
Region Division School ID School Name Attendance School ID School Name School Year
Level Offering Number First Name Middle Name Last Name Ext Name Date of Birth Gender Equivalent Document
(mm/dd/yyy)
(Please Specify)

REMINDERS:
1. Attach scanned copies of the following documents:
a. Form 137 or Form 138
b. Birth Certificate
2. Submit this properly accomplished form in excel format with the attachment (mentioned above) to icts.usd@deped.gov.ph
3. Subject for this email should be: RF 11 Untagged QVRs - School Name
 ICTS - User Su
Learner Information Sys
Template for Request to Merge
Subject: EBEIS - Request to Merge Multiple School IDs RF 10
Send to: support.ebeis-lis@deped.gov.ph
Note: Endorsement letter from Division Office is required (signed and scanned). Please use work

Region Division School Name School ID No.1 School ID No.2 School ID No.3

I La Union Sampol Private 412121 123456

Important
1. Complete required information in the form
2. For Private School, attached valid permit
3. For Public School, attached endorsement/report from SGOD
4. Indicate "EBEIS Request to Merge Multiple School IDs" as subhject in sending email
Contact No.
638-2251, 635-3958 and 635-3986
 ICTS - User Support Division
Learner Information System National Helpdesk
plate for Request to Merge School ID (Request Form 10)

scanned). Please use worksheet/excel format for the matrix RF10.

ISSUED PERMIT (Private School)

CURRICULAR OFFERING
CLASSIFICATION (As Requesting Personnel
Permit No. SY Validity Approved)

16-2548 2016-2017 Kinder

Elementary
 Contact Details

email address phone number

 ICTS - User Support Div
Learner Information System Natio
Templae for request to Update/Change the Curricular Offering

Subject: Request to Update/Change the Curricular Offering Classification (COC) RF 09

Send to: ps.emisd@deped.gov.ph
Note: Endorsement letter from Division Office is required (signed and scanned). Please use work

ISSUED PERMIT CURRICULAR OFFERIN

Region Division School Name School ID
As approved COC
Permit No. SY Validity
Permit

I La Union Sampol Private 412121 16-2548 2016-2017 Kinder

Elementary

NOTE:
Remarks - Please indicate what action needs to be done on your COC.
ex. Remove kinder or add junior high school.

Contact No.
638-2251, 635-3958 and 635-3986
TS - User Support Division
ormation System National Helpdesk
the Curricular Offering Classification (COC) (Request Form 09)

COC) RF 09

ned). Please use worksheet/excel format for the matrix RF09.

Contact Details
URRICULAR OFFERING
Requested Action/
As appeared in EBEIS Requesting Personnel
Remark
School Profile for COC email address
(Screen Shot)
include Kinder
Elementary
Contact Details

phone number
 Template
Subject: 2016 ENROLLMENT BLOCKERS
Send to: support.ebeis-lis@deped.gov.ph

PROPOSED ENROLLMENT
LIS Username
(password is not
required) School
Region Division School Grade Section
ID

teacher01 III Bulacan Tibagan ES 104795 5 Burgos

Code/Legend for Type of Issues:

1. Pre-Kinder - Unable to enroll in KINDER due to EOSY 2015-2016 with status Retained
2. DOB- K - Unable to enroll to Kinder with date birth between June 1 - December 31, 2011
3. DOB-G1 - Unable to enroll in grade 1 with date of birth between June 1 - December 31
4. AOR - Unable to enroll in grade 2-10 due to age out of range/age not eligible.
5. NLS/TO - Unable to enroll in grade 1-10 due to No Longer in School and Transffered O
6. BA (BALIK ARAL) - Learners who stopped schooling and enrolled next grade level afte
7. Others - Other issue (Please review available RFs from LIS Support page to request cor
Reminder:
1. Fill-up the form correctly and complete.
2. Attach this form as exel file.
3. Attach copy of Birth Certificate.
 ICTS - User Support Division
Learner Information System National Helpdesk
Template for Reporting Enrolment Blocker (Preventing Learner to Register/Enrol in LIS) (Reque

AS APPEARED IN LIS MASTERLIST

LRN
First Name Middle Name Last Name Ext Name
(Currently Used)

125485762415 Landon Carter Sevilla II

2016 with status Retained, Dropped out and Transferred out.

ne 1 - December 31, 2011
een June 1 - December 31, 2010.
/age not eligible.
School and Transffered Out EOSY Status.
olled next grade level after a year or more (No Balik Aral as reason for enrollment).
upport page to request correction for issues not covered of this RF 8)
pdesk
ter/Enrol in LIS) (Request Form 08)

Code:
S MASTERLIST
1 - Pre-Kinder
Date of 1st 2 - DOB-Kinder
Mother's Attendance 3 - DOB-G1
4 - AOR
Date of Birth Gender Maiden (MM/DD/YYYY) 5 - NLS/TO
Name 6 - BA
7 - Others
August 12, 2005 Male 6/13/2016 5-NLS/TO
System Notification/Message or Warning

Form Validation Failed. Learner is not eligible

Sample data only
for this grade level
 ICTS - User Support Division
Learner Information System National Helpdesk
Template for Correction in SHS Masterlist and Track/Program Offering (Request Form 07)

TRACK/PROGRAM OFFERINGS Action Requested Coord

(1. For Inclussion in the
Masterlist,
As approved offering 2. Correction of
Region Division school id school name SHS Permit No. As reflected in As reflected in SHS
(copy of permit is
LIS (screen Masterlist (Deped Program Offering, Name
required for non-
shot) Website)
deped) 3. Deletion from
Masterlist

Instructions
1. Attach scanned copy of permit and screen shot as it appear in LIS and Deped Website Masterlist
2. Submit this properly accomplished form in excel format together with the attachment mentioned above to support.ebeis-lis@deped.gov.ph
3. Subject for this email should be: RF 07 Correction of Masterlist and Program Offering (your Region & Division)
Coordinating Personnel

Email Remark/s
LIS Username
address/Contact
(if any)
Number
 ICTS - User S
Learner Information System (LIS) and B
National
Template for Reporting Learners with Special Characters, Single C

Subject: Registration of Learner with Special Characters, Single Character and/or other Exemptio
Send to: support.ebeis-lis@deped.gov.ph
Note: Please attach a copy of Birth Certificate as supporting document

as
Currently Enrolled (Present enrollment)

Region Division School School ID Grade Section Correct LRN First Name

USER ID:
NAME OF REQUESTING PERSONNEL:
DESIGNATION:

Reminder:
1. Fill-up the form correctly and complete.
2. Attach this form as exel file.
3. Attach copy of Birth Certificate.
 ICTS - User Support Division
rmation System (LIS) and Basic Education Information System (BEIS)
National Helpdesk
Special Characters, Single Character and/or other Exemption on their name (Request Form 06)

racter and/or other Exemptions on name

as appeared in Birth Certificate

Personal Information
Mother's Date of 1st
Middle Name Last Name Ext Name Date of Birth Gender Maiden Attendance
Name (MM/DD/YYYY)
Form 06)

REMARK
 ICTS - User
Learner Information System (LIS) and B
Nationa
Template for Pending Multiple Enrolment Iss
Subject: Multiple Enrollment
Send to: support.ebeis-lis@deped.gov.ph Copy furnish: Division Planning Unit
Note: Endorsement of School Head is required (signed and scanned). Please use worksheet/exce

I. CURRENT ENROLLMENT AND BASIC PROFILE

Currently Enrolled (Present enrollment)

LRN
Region Division School School ID Grade Section
(Currently Used)

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

NAME OF SCHOOL School
DIVISION REGION Grade/Year Level
(Provide additional row/s if needed) Year

III. REQUESTING SCHOOL

Reported by Teacher/ICT Coordinator LIS USER NAME Name of School

Reminder:
1. Fill-up the form correctly and complete.
2. Attach this form as exel file.
3. Attach the following copies:
a. Birth Certificate
b. Form 137 and/or Form 138
 ICTS - User Support Division
System (LIS) and Basic Education Information System (BEIS)
National Helpdesk
ltiple Enrolment Issue Elevated to Central Office (Request Form 05)

lanning Unit
use worksheet/excel format for the matrix.

as appeared in Birth Certificate

Correct Name
Mother's
First Name Middle Name Last Name Ext Name Date of Birth Gender Maiden
Name

STATUS AS APPEARED IN FORM 137

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

School ID Division Region

 Date of 1st OTHER
Attendance
(MM/DD/YYYY) EXISTING LRN

Endorsed by
School Head
 ICTS - User S
Learner Information System (LIS) and B
National
Template for Reporting TWIN Learners
Subject: TWIN Learners that Merged Identity
Send to: support.ebeis-lis@deped.gov.ph
Note: Endorsement of School Head is required (signed and scanned). Please use worksheet/exce

as
Currently Enrolled (Present enrollment)

Region Division School School ID Grade Section Correct LRN First Name

USER ID:
NAME OF REQUESTING PERSONNEL:
DESIGNATION:

Reminder:
1. Fill-up the form correctly and complete.
2. Attach this form as exel file.
3. Attach the following copies:
a. Birth Certificate
b. Form 137 and/or Form 138
 ICTS - User Support Division
rmation System (LIS) and Basic Education Information System (BEIS)
National Helpdesk
or Reporting TWIN Learners that Merged Identity (Request Form 04)

Please use worksheet/excel format for the matrix.

as appeared in Birth Certificate

Personal Information
Date of 1st
Mother's Attendance
Middle Name Last Name Ext Name Date of Birth Gender Maiden Name (MM/DD/YYYY)
 REMARK

Learner 1 (Twin 1)
Learner 2 (Twin 2)
 ICTS - User Suppo
Learner Information System (LIS) and Basic E
National Help
Template for Enrollment with Data
Subject: Enrollment with Possible Multiple Enrollment or Data Issues
Send to: support.ebeis-lis@deped.gov.ph
Note: Endorsement of School Head is required (signed and scanned). Please use worksheet/exce

as
Currently Enrolled (Present enrollment)

LRN
Region Division School School ID Grade Section First Name
(Currently Used)

Reported Teacher/ICT Coordinator Name of School School ID

by

Reminder:
1. Fill-up the form correctly and complete.
2. Attach this form as exel file.
3. Attach the following copies:
a. Birth Certificate
b. Form 137 and/or Form 138
 ICTS - User Support Division
on System (LIS) and Basic Education Information System (BEIS)
National Helpdesk
te for Enrollment with Data Issues (Request Form 02)

Please use worksheet/excel format for the matrix.

as appeared in Birth Certificate

Correct Name
Date of 1st
Mother's Attendance
Middle Name Last Name Ext Name Date of Birth Gender Maiden Name (MM/DD/YYYY)

School ID Division Region Endorsed by

School Head
 Code:
1 - No enrollment Found
2 - Update Failed
3 - Enrolment Failed
 ICTS - User Supp
Learner Information System (LIS) and Basic
National He
Template for Reporting Multiple LRN

Subject: Multiple LRN/Enrollment

Send to: support.ebeis-lis@deped.gov.ph
Note: Endorsement of School Head is required (signed and scanned). Please use worksheet/exce

as
Currently Enrolled (Present enrollment)

LRN
Region Division School School ID Grade Section First Name
(Currently Used)

Reported Teacher/ICT Coordinator Name of School School ID

by

Reminder:
1. Fill-up the form correctly and complete.
2. Attach this form as exel file.
3. Attach the following copies:
a. Birth Certificate
b. Form 137 and/or Form 138
 ICTS - User Support Division
tion System (LIS) and Basic Education Information System (BEIS)
National Helpdesk
for Reporting Multiple LRN/Enrollment (Request Form 01)

Please use worksheet/excel format for the matrix.

as appeared in Birth Certificate

Date of 1st
Correct Name Attendance
Mother's (MM/DD/YYYY)
Middle Name Last Name Ext Name Date of Birth Gender Maiden Name

School ID Division Region Endorsed by

School Head
OTHER EXISTING
LRN