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  • Lis Change Request and Issuance of LRN Form

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    Clifford Tungpalan Borromeo
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    This document is a request form from the Department of Education in Region 02-Cagayan Valley, Philippines. It requests a change to a learner's information in the Learner Information System (LIS), including a change of enrollment status, issuance of a new Learner Reference Number (LRN), or correction of an erroneous status. The form requires information about the learner, the school, and the reason for the requested change to be provided for approval by the Planning Officer.

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    LIS-CHANGE-REQUEST-AND-ISSUANCE-OF-LRN-FORM.docx

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    This document is a request form from the Department of Education in Region 02-Cagayan Valley, Philippines. It requests a change to a learner's information in the Learner Information System (LIS), including a change of enrollment status, issuance of a new Learner Reference Number (LRN), or correction of an erroneous status. The form requires information about the learner, the school, and the reason for the requested change to be provided for approval by the Planning Officer.

    Copyright:

    © All Rights Reserved
    Als DOCX, PDF, TXT herunterladen oder online auf Scribd lesen
    Markieren Sie unangemessene Inhalte
    126 Ansichten1 Seite

    Lis Change Request and Issuance of LRN Form

    Hochgeladen von

    Clifford Tungpalan Borromeo
    This document is a request form from the Department of Education in Region 02-Cagayan Valley, Philippines. It requests a change to a learner's information in the Learner Information System (LIS), including a change of enrollment status, issuance of a new Learner Reference Number (LRN), or correction of an erroneous status. The form requires information about the learner, the school, and the reason for the requested change to be provided for approval by the Planning Officer.

    Copyright:

    © All Rights Reserved
    Als DOCX, PDF, TXT herunterladen oder online auf Scribd lesen
    Markieren Sie unangemessene Inhalte
    von 1

    Republic of the Philippines

    DEPARTMENT OF EDUCATION
    Region 02-Cagayan Valley
    SCHOOLS DIVISION OF ISABELA

    LIS CHANGE REQUEST AND ISSUANCE OF LRN FORM

    Control Number: ___________________ Date:_______________________

    CLIENT INFORMATION CHANGE REQUEST


    Name:_ALEX D. BEDAÑA Enrolment with gap
    Position/Designation: Teacher III/LIS Coordinator Reason/s for the gap (pls specify) ___________
    School ID and Name: 300565-PALAYAN REGION HS Balik Aral - Last SY Attended 2016-2017
    Contact Number:09977850285 103009050009 – De Leon, Maricar Salvador
    E-mail address: alexlone.ab@gmail.com _____________________________________
    ________________________________________
    ISSUANCE OF NEW LRN Enrolment of ineligible
    Name of the learner: ________________________ Erroneously tag EOSY/no status
    Section: __________________________________ Correct status: _________________________
    Reasons for not having LRN: Reason for the correction: ________________
    From accredited/recognized school _________________________________________
    School year last attended: _________________ _________________________________________
    School last attended: _____________________ Others (pls. specify):
    Undergone catch-up program and _________________________________________
    assessed school readiness
    _________________________________________
    Result of the assessment:
    ______________________________ _________________________________________
    From not accredited local school _________________________________________
    Certification/Accreditation/Equivalency Exam:
    (For Planning Officer’s use only)
    _________________________________________
    PEPT Certificate no. _____________
    PVT Certificate no. _____________
    Approved Disapproved
    From foreign/Philippine school abroad
    Last school year attended: _________
    REMARKS/ ACTION TAKEN
    Last school attended: _____________ _________________________________________
    Country: _____________________ _________________________________________
    From ALS _________________________________________
    Certification/Accreditation/Equivalency Exam: _________________________________________
    _________________________________________
    PEPT Certificate no. ____________ Date Acted: _______________________________________
    PVT Certificate no. _________________
    Received/Acted by:
    Others (pls specify) ___________________
    ___________________________________ TIRSO T. REYES
    Planning Officer III

    FM-SGO-PLA-001 Rev. 00

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