ICTS - User Support Division

Learner Information System National Helpdesk

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

CURRENT SCHOOL (PRESENT ENROLLMENT) LEARNER'S INFORMATION CREDENTIALS PRESENTED Contact Details CODE
Personal Information as appeared in Birth Certificate 1 - Multiple Records/LRNs
Date of 1st Attendance Status as appeared in Form Requesting Personnel Username 2 - From PSHS Remarks
Track/Program
Region Division School ID School Name Grade Level (Actual Date of Attendance in Learner Reference Number School ID School Name School Year 138 or Equivalent Document Email Address Phone Number
Offering the Class) First Name Middle Name Last Name Ext Name Date of Birth Gender 3 - Unenrolled
(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 icts.usd@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) - RF 11-A
Subject: Untagged QVRs - Public/SUCs/LUCs
Send to: icts.usd@deped.gov.ph

CURRENT SCHOOL (PRESENT ENROLLMENT) LEARNER'S INFORMATION CREDENTIALS PRESENTED Contact Details LIS STATUS
Personal Information as appeared in Birth Certificate 1 - Enrolled
Status as appeared in Form 138 or Requesting Personnel Username Remarks
Track/Program Date of 1st Attendance Learner Reference
Region Division School ID School Name Grade Level School ID School Name School Year Equivalent Document (Please Email Address Phone Number
Offering (* as appeared in LIS) Number First Name Middle Name Last Name Ext Name Date of Birth Gender 2 - Registered
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 icts.usd@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
Date of 1st Status as appeared in Form Requesting
Track/Program REMARKS
Region Division School ID School Name Grade Level Attendance Learner Reference Number School ID School Name School Year 138 or Equivalent Document Personnel email address phone number
Offering First Name Middle Name Last Name Ext Name Date of Birth Gender
(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 Support Division
Learner Information System National Helpdesk
Request to Merge School ID (Request Form 10)
Subject: EBEIS - Request to Merge Multiple School IDs RF 10
Send to: icts.usd@deped.gov.ph
Note: Endorsement letter from Division Office is required (signed and scanned). Please use worksheet/excel format for the matrix RF10.

ISSUED PERMIT (Private School)

Region Division School Name School ID No.1 School ID No.2 School ID No.3
CURRICULAR OFFERING
CLASSIFICATION (As Approved)
Permit No. SY Validity

I La Union Sampol Private 412121 123456 16-2548 2016-2017 Kinder

Elementary

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
 Contact Details

Requesting Personnel
email address phone number
 Learner
Request to Update/Change th

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 worksh

ISSUED PERMIT

Region Division School Name School ID

Permit No. SY Validity

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

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
 ICTS - User Support Division
Learner Information System National Helpdesk
t to Update/Change the Curricular Offering Classification (COC) (Request Form 09)

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

CURRICULAR OFFERING
Requested Action/ Remark
As appeared in EBEIS School
As approved COC Permit
Profile for COC (Screen Shot)

Kinder include Kinder

Elementary Elementary
09)

Contact Details

Requesting Personnel
email address phone number
Subject: 2016 ENROLLMENT BLOCKERS
Send to: icts.usd@deped.gov.ph

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

teacher01 III Bulacan Tibagan ES 104795

Code/Legend for Type of Issues:

1. Pre-Kinder - Unable to enroll in KINDER due to EOSY 2015-2016 with status Ret
2. DOB- K - Unable to enroll to Kinder with date birth between June 1 - December 31,
3. DOB-G1 - Unable to enroll in grade 1 with date of birth between June 1 - Decembe
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 Transffer
6. BA (BALIK ARAL) - Learners who stopped schooling and enrolled next grade leve
7. Others - Other issue (Please review available RFs from LIS Support page to reque
Reminder:
1. Fill-up the form correctly and complete.
2. Attach this form as exel file not .jpg or screenshot.
 ICTS - User Support Division
Learner Information System National
Request Form for Reporting Enrolment Blocker (Preventing Lear

ENROLLMENT AS APPEAR

LRN (Currently
Grade Section First Name Middle Name
Used)

5 Burgos 125485762415 Landon Carter

5-2016 with status Retained, Dropped out and Transferred out.

June 1 - December 31, 2011
ween June 1 - December 31, 2010.
e/age not eligible.
n School and Transffered Out EOSY Status.
nrolled next grade level after a year or more (No Balik Aral as reason for enrollment).
Support page to request correction for issues not covered of this RF 8)
ser Support Division
on System National Helpdesk
ker (Preventing Learner to Register/Enrol in LIS) - RF 08

AS APPEARED IN LIS MASTERLIST

Last Name Ext Name Date of Birth Gender

Sevilla II August 12, 2005 Male

 Code:
1 - Pre-Kinder
Date of 1st 2 - DOB-Kinder
Attendance 3 - DOB-G1 System Notification/Message or Warning
4 - AOR
(MM/DD/YYYY) 5 - NLS/TO
6 - BA
7 - Others
Form Validation Failed. Learner is not eligible for this grade
6/13/2016 5-NLS/TO
level
m Notification/Message or Warning

on Failed. Learner is not eligible for this grade

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

TRACK/PROGRAM OFFERINGS Coordinating P

Action Requested (1. For
Inclussion in the Masterlist,
Region Division school id school name SHS Permit No. As approved offering (copy As reflected in SHS 2. Correction of Program
As reflected in LIS
of permit is required for Masterlist (Deped Offering, Name
(screen shot)
non-deped) Website) 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 icts.usd@deped.gov.ph
3. Subject for this email should be: RF 07 Correction of Masterlist and Program Offering (your Region & Division)
Coordinating Personnel

Email address/Contact LIS Username Remark/s

Number (if any)
 Template for Reporting Learners with Spec

Subject: Registration of Learner with Special Characters, Single Character and/or other Exemptions
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 Grade Section Correct LRN

USER ID:
NAME OF REQUESTING PERSONNEL:
DESIGNATION:
 ICTS - User Support Division
Learner Information System National Helpdesk
g Learners with Special Characters, Single Character and/or other Exemption on their name (Request Form 06)

/or other Exemptions on name

Personal Information of Learners as Appeared in Birth Certificate

First Name Middle Name Last Name Ext Name Date of Birth
 their name (Request Form 06)

ate

REMARK
Gender Date of 1st Attendance
(MM/DD/YYYY)
 FOR PENDING M
Subject: Multiple Enrollment
Send to: icts.usd@deped.gov.ph Copy furnish: Division Plann
Note: Endorsement of School Head is required (signed and scanned). Please use worksheet/excel fo

I. CURRENT ENROLLMENT AND BASIC PROFILE

Currently Enrolled (Present enrollment)

Region Division School School ID Grade

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

NAME OF SCHOOL (Provide
DIVISION REGION
additional row/s if needed)

III. REQUESTING SCHOOL

Reported by Teacher/ICT Coordinator LIS USER NAME Name of Schoo
 ICTS - User Support Division
Learner Information System National Helpdesk
FOR PENDING MULTIPLE ENROLLMENT ISSUE ELEVATED TO CENTRAL OFFICE

opy furnish: Division Planning Unit

ase use worksheet/excel format for the matrix.

as appeared in Birth Certificate

Correct Name

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

STATUS AS APPEARED IN FORM 137

School Year Grade/Year Level (Promoted, Retained, Transferred Out,
Dropout)

Name of School School ID Division

AL OFFICE

ed in Birth Certificate
orrect Name OTHER EXISTING
Date of 1st Attendance
(MM/DD/YYYY) LRN
Ext Name Date of Birth Gender

IS THIS ENROLLMENT RECORD VALID?

YES OR NO. (If NO, provide explanation)

Division Region Endorsed by

School Head
 Template for Re
Subject: TWIN Learners that Merged Identity
Send to: icts.usd@deped.gov.ph
Note: Endorsement of School Head is required (signed and scanned). Please use worksheet/excel fo

Currently Enrolled (Present enrollment)

Region Division School School ID Grade Section Correct LRN

USER ID:
NAME OF REQUESTING PERSONNEL:
DESIGNATION:
 ICTS - User Support Division
Learner Information System National Helpdesk
Template for Reporting TWIN Learners that Merged Identity (Request Form 04)

se worksheet/excel format for the matrix.

Personal Information of Learners as Appeared in Birth Certificate

First Name Middle Name Last Name Ext Name Date of Birth
 04)

ate
REMARK
Gender Date of 1st Attendance
(MM/DD/YYYY)
Learner 1 (Twin 1)
Learner 2 (Twin 2)
 Learne
Template for

Subject: Enrollment with Possible Multiple Enrollment or Data Issues

Send to: icts.usd@deped.gov.ph
Note: Endorsement of School Head is required (signed and scanned). Please use worksheet/excel fo

Currently Enrolled (Present enrollment)

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

Reported by Teacher/ICT Coordinator Name of School

 ICTS - User Support Division
Learner Information System National Helpdesk
Template for Enrollment with Data Issues (Request Form 02)

se worksheet/excel format for the matrix.

as appeared in Birth Certificate

Correct Name

First Name Middle Name Last Name Ext Name Date of Birth

School ID Division Region

 Code:
1 - No enrollment Found
Date of 1st Attendance 2 - Update Failed
Gender
(MM/DD/YYYY) 3 - Enrolment Failed

Region Endorsed by
School Head
 Lear
Template for R

Subject: Multiple LRN/Enrollment

Send to: icts.usd@deped.gov.ph
Note: Endorsement of School Head is required (signed and scanned). Please use worksheet/excel fo

Currently Enrolled (Present enrollment)

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

Reported by Teacher/ICT Coordinator Name of School

 ICTS - User Support Division
Learner Information System National Helpdesk
Template for Reporting Multiple LRN/Enrollment (Request Form 01)

se worksheet/excel format for the matrix.

as appeared in Birth Certificate

Correct Name

First Name Middle Name Last Name Ext Name Date of Birth

School ID Division Region

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

Region Endorsed by
School Head