Professional Documents
Culture Documents
Division
School Name
School ID
Permit No.
La Union
Sampol Private
412121 16-2548
NOTE:
Contact No.
638-2251, 635-3958 and 635-3986
SY Validity
2016-2017
ired (signed and scanned). Please use worksheet/excel format for the matrix R
CURRICULAR OFFERING
As approved COC Permit
Kinder
Elementary
include Kinder
Elementary
phone number
Request
Subject: 2016 ENROLLMENT BLOCKERS
Send to: icts.usd@deped.gov.ph
PROPOSED ENROLLMENT
LIS Username (password is
not required)
teacher01
Region
Division
School
School ID
III
Bulacan
Tibagan ES
104795
Reminder:
1. Fill-up the form correctly and complete.
2. Attach this form as exel file not .jpg or screenshot.
NROLLMENT
AS APPEAR
Grade
Section
Burgos
LRN
(Currently Used)
125485762415
First Name
Middle Name
Landon
Carter
OSY 2015-2016 with status Retained, Dropped out and Transferred out.
between June 1 - December 31, 2011
f birth between June 1 - December 31, 2010.
out of range/age not eligible.
o Longer in School and Transffered Out EOSY Status.
ng and enrolled next grade level after a year or more (No Balik Aral as reason for enrollment).
from LIS Support page to request correction for issues not covered of this RF 8)
r Support Division
rollment).
Last Name
Ext Name
Date of Birth
Gender
Sevilla
II
Male
LIS) - RF 08
Code:
Date of 1st
Attendance
(MM/DD/YYYY)
6/13/2016
1
2
3
4
5
6
7
Pre-Kinder
DOB-Kinder
DOB-G1
AOR
NLS/TO
BA
Others
5-NLS/TO
Division
school id
school name
As approved
offering (copy of
permit is required
for non-deped)
As reflected in
As reflected in
LIS (screen
SHS Masterlist
shot)
(Deped Website)
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)
ision
tional Helpdesk
Coordinating Personnel
Name
Email
LIS Username Remark/s
address/Contact
(if any)
Number
Region
Division
School
School ID
USER ID:
NAME OF REQUESTING PERSONNEL:
DESIGNATION:
Grade
Section
Correct LRN
porting document
Personal Information of Learners as Appeared in Birth Certificate
First Name
Middle Name
Last Name
Ext Name
Date of Birth
te
Gender
Date of 1st
Attendance
(MM/DD/YYYY)
REMARK
Region
Division
School
School ID
Grade
DIVISION
REGION
Teacher/ICT Coordinator
Name of Scho
LRN
(Currently
Used)
First Name
Middle Name
Last Name
Name of School
School ID
Division
r the matrix.
ed in Birth Certificate
orrect Name
Ext Name
Date of Birth
Gender
Date of 1st
Attendance
(MM/DD/YYYY)
Division
Region
Endorsed by
School Head
OTHER
EXISTING LRN
Region
Division
School
School ID
USER ID:
NAME OF REQUESTING PERSONNEL:
DESIGNATION:
Grade
Section
Correct LRN
First Name
Middle Name
Last Name
Ext Name
Date of Birth
he matrix.
te
Gender
Date of 1st
Attendance
(MM/DD/YYYY)
REMARK
Learner 1 (Twin 1)
Learner 2 (Twin 2)
Region
Reported
by
Division
School
School ID
Teacher/ICT Coordinator
Grade
Section
LRN
Name of School
(Currently
Used)
Middle Name
School ID
Last Name
Division
Ext Name
Date of Birth
Region
Form 02)
he matrix.
Code:
1 - No enrollment Found
Gender
Region
Date of 1st
Attendance
(MM/DD/YYYY)
Endorsed by
School Head
2 - Update Failed
3 - Enrolment Failed
Region
Reported
by
Division
School
School ID
Teacher/ICT Coordinator
Grade
Section
LRN
Name of School
(Currently
Used)
Middle Name
School ID
Last Name
Division
Ext Name
Date of Birth
Region
he matrix.
Gender
Region
Date of 1st
Attendance
(MM/DD/YYYY)
Endorsed by
School Head
OTHER EXISTING
LRN