Request For Correction Forms

Template for Reporting Learners with Special Characters, Single Character and/
Subject: Registration of Learner with Special Characters, Single Character and/or other Exemptions o
Send to: icts.usd@deped.gov.ph
Note: Please attach a copy of Birth Certificate as supporting document
Currently Enrolled (Present enrollment)
Region
Division
School
School ID
USER ID:
NAME OF REQUESTING PERSONNEL:
DESIGNATION:
Grade
Section
Personal Information of Learners as Appeared in
Correct LRN
First Name
Middle Name
Last Name
ter and/or other Exemption on their name (Request Form 06)
mptions on name
rs as Appeared in Birth Certificate
Ext Name
Date of Birth
Gender
Date of 1st
Attendance
(MM/DD/YYYY)
REMARK
LIS HOUSE KEEPING REQUEST FORM (Re

FOR PENDING MULTIPLE ENROLLMENT ISSUE ELEVA
Subject: Multiple Enrollment

Copy furnish: Division Planning Unit
Note: Endorsement of School Head is required (signed and scanned). Please use worksheet/excel form
I. CURRENT ENROLLMENT AND BASIC PROFILE
Region
Division
School
School ID
Grade
Section
LRN
(Currently
Used)
First Name
II. ENROLLMENT HISTORY AS APPEARED IN PERMANENT RECORD (FORM 137)

NAME OF SCHOOL
(Provide additional row/s if needed)
DIVISION
STATUS AS APPEARED IN F
School
REGION
Grade/Year Level
Year
(Promoted, Retained, Tran
Dropout)
III. REQUESTING SCHOOL

Reported by
Teacher/ICT Coordinator
LIS USER NAME
Name of School
School ID
FORM (Request Form 05)

SSUE ELEVATED TO CENTRAL OFFICE
eet/excel format for the matrix.
as appeared in Birth Certificate

Correct Name
Middle Name
Last Name
Ext Name
Date of Birth
Gender
Date of 1st
Attendance
(MM/DD/YYYY)
S APPEARED IN FORM 137
IS THIS ENROLLMENT RECORD

VALID? YES OR NO. (If NO,
d, Retained, Transferred Out,
provide explanation)
Dropout)
chool ID
Division
Region
Endorsed by
School Head
OTHER
EXISTING LRN
Template for Reporting TWIN Learners that Merged I
Subject: TWIN Learners that Merged Identity

Region
Division
School
School ID
USER ID:
NAME OF REQUESTING PERSONNEL:
DESIGNATION:
Grade
Section
Personal Information of Learners as Appeared in
Correct LRN
First Name
Middle Name
Last Name
Merged Identity (Request Form 04)
excel format for the matrix.
rs as Appeared in Birth Certificate
Ext Name
Date of Birth
Gender
Date of 1st
Attendance
(MM/DD/YYYY)
REMARK
Learner 1 (Twin 1)
Learner 2 (Twin 2)
Template for Reporting Learners that Actually not Attending Classe
Subject: Request for Removal of Enrollment Record or Void Enrollment

Send to:icts.usd@deped.gov.ph
Region
Improtant:
1.
2.
3.
4.
Division
School
School ID
Grade
Section
Personal Information of Learners as Registe
LRN
First Name
Middle Name
Last Name
For Learner who did not attend classes since opening (June 1, 2015 up to present) ONLY.
Under Reason for "Requesting Removal" please explain the reason why/how the inclussion of these leaners in LIS
Must not be included in Report on Promotion (SF 5)
Submit report to the Office of the Schools Division Superintendent. Copy furnish LIS Help Desk (icts.usd@deped.gov.ph)
ng Classes since June 1, 2015 (Request Form 03)
earners as Registered in LIS
Ext Name
Date of Birth
Gender
Date of 1st
Attendance
(MM/DD/YYYY)
Reason for Requesting

Removal of Enrollment
Record
Template for Enrollment with Data Issues (Req
Subject: Enrollment with Possible Multiple Enrollment or Data Issues

Region
Reported
by
Division
School
School ID
Grade
Section
Correct Name
LRN
Name of School
(Currently
Used)
First Name
Middle Name
School ID
Last Name
Division
es (Request Form 02)
Code:
n Birth Certificate
ect Name
Division
1 - No enrollment Found
Ext Name
Date of Birth
Region
Gender
Date of 1st
Attendance
(MM/DD/YYYY)
Endorsed by
School Head
2 - Update Failed
3 - Enrolment Failed
Template for Reporting Multiple LRN/Enrollment (
Subject: Multiple LRN/Enrollment

Region
Reported
by
Division
School
School ID
Grade
Section
Correct Name
LRN
Name of School
(Currently
Used)
First Name
Middle Name
School ID
Last Name
Division
llment (Request Form 01)
n Birth Certificate
ect Name
Division
Ext Name
Date of Birth
Region
Gender
Date of 1st
Attendance
(MM/DD/YYYY)
Endorsed by
School Head
OTHER EXISTING
LRN

Request For Correction Forms

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Request For Correction Forms

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Template for Reporting Learners with Special Characters, Single Character and/

Personal Information of Learners as Appeared in

ter and/or other Exemption on their name (Request Form 06)

rs as Appeared in Birth Certificate

LIS HOUSE KEEPING REQUEST FORM (Re

Subject: Multiple Enrollment

Currently Enrolled (Present enrollment)

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

III. REQUESTING SCHOOL

LIS USER NAME

FORM (Request Form 05)

eet/excel format for the matrix.

as appeared in Birth Certificate

S APPEARED IN FORM 137

IS THIS ENROLLMENT RECORD

Template for Reporting TWIN Learners that Merged I

Subject: TWIN Learners that Merged Identity

Personal Information of Learners as Appeared in

Merged Identity (Request Form 04)

excel format for the matrix.

rs as Appeared in Birth Certificate

Template for Reporting Learners that Actually not Attending Classe

Subject: Request for Removal of Enrollment Record or Void Enrollment

Personal Information of Learners as Registe

ng Classes since June 1, 2015 (Request Form 03)

excel format for the matrix.

earners as Registered in LIS

Reason for Requesting

Template for Enrollment with Data Issues (Req

Subject: Enrollment with Possible Multiple Enrollment or Data Issues

Currently Enrolled (Present enrollment)

es (Request Form 02)

excel format for the matrix.

Template for Reporting Multiple LRN/Enrollment (

Subject: Multiple LRN/Enrollment

Currently Enrolled (Present enrollment)

llment (Request Form 01)

excel format for the matrix.

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