Information and Communication Technology Ser

UserSupport Division
LIS and EBEIS Help Desk

Reques

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 an

Region

Division

School Name

La Union

Sampol Private

School ID No.1

412121

School ID No.2

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

chnology Service

Request to Merge School ID (Request Form 10)

IDs RF 10

equired (signed and scanned). Please use worksheet/excel format for the matr

sending email

ISSUED PERMIT (Private School)

School ID No.3
Permit No.
16-2548

SY Validity
2016-2017

ID (Request Form 10)

worksheet/excel format for the matrix RF10.

CURRICULAR OFFERING
CLASSIFICATION (As
Approved)
Kinder
Elementary

Requesting Personnel

Contact Details

email address

phone number

Request to Update/Change the Curricular Offering Cla

Subject: Request to Update/Change the Curricular Offering Classifica

Send to: ps.emisd@deped.gov.ph
Note: Endorsement letter from Division Office is required (signed an
ISSUED PERMIT
Region

Division

School Name

School ID
Permit No.

La Union

Sampol Private

412121 16-2548

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

SY Validity
2016-2017

Offering Classification (COC) (Request Form 09)

ering Classification (COC) RF 09

red (signed and scanned). Please use worksheet/excel format for the matrix R
CURRICULAR OFFERING
As approved COC Permit
Kinder
Elementary

As appeared in EBEIS School

Profile for COC (Screen Shot)

Requested Action/ Remark

include Kinder
Elementary

format for the matrix RF09.

Contact Details
Requesting Personnel
email address

phone number

Request For
Subject: 2016 ENROLLMENT BLOCKERS
Send to: icts.usd@deped.gov.ph
PROPOSED ENROLLMENT
LIS Username (password is
not required)

Region

Division

School

School ID

Grade

Ruth May Tadeo

CAR

BAGUIO

JOHN HAY ELE

406240

Ruth May Tadeo

CAR

BAGUIO

JOHN HAY ELE

406240

Code/Legend for Type of Issues:

1.
2.
3.
4.
5.
6.
7.

Pre-Kinder - Unable to enroll in KINDER due to EOSY 2015-2016 wit

DOB- K - Unable to enroll to Kinder with date birth between June 1 - D
DOB-G1 - Unable to enroll in grade 1 with date of birth between June
AOR - Unable to enroll in grade 2-10 due to age out of range/age no
NLS/TO - Unable to enroll in grade 1-10 due to No Longer in School
BA (BALIK ARAL) - Learners who stopped schooling and enrolled nex
Others - Other issue (Please review available RFs from LIS Support pa

Reminder:
1. Fill-up the form correctly and complete.

2. Attach this form as exel file not .jpg or screenshot.

ICTS - User Support Div

Learner Information System Na

Request Form for Reporting Enrolment Blocker (Preventi

ENROLLMENT

AS APPEARED I

Section

LRN

(Currently Used)

First Name

Middle Name

HONESTY

NONE

KYROUS KURT

P.

HONESTY

NONE

DAVE

ECHAVES

due to EOSY 2015-2016 with status Retained, Dropped out and Transferred out.
te birth between June 1 - December 31, 2011
date of birth between June 1 - December 31, 2010.
to age out of range/age not eligible.
ue to No Longer in School and Transffered Out EOSY Status.
schooling and enrolled next grade level after a year or more (No Balik Aral as reason for enrollment).
ble RFs from LIS Support page to request correction for issues not covered of this RF 8)

- User Support Division

tion System National Helpdesk

cker (Preventing Learner to Register/Enrol in LIS) - RF 08

AS APPEARED IN LIS MASTERLIST

Last Name

Date of Birth

Gender

BAUTISTA

2-Jun-10

MALE

ESTIGOY

16-Nov-09

MALE

eason for enrollment).

Ext Name

l in LIS) - RF 08

Code:
Date of 1st
Attendance
(MM/DD/YYYY)

1
2
3
4
5
6
7

Pre-Kinder
DOB-Kinder
DOB-G1
AOR
NLS/TO
BA
Others

System Notification/Message or Warning

8/22/2016

3 - DOB-G1

UNABLE TO ENROL

7/11/2016

3 - DOB-G1

UNABLE TO ENROL

ystem Notification/Message or Warning

UNABLE TO ENROL
UNABLE TO ENROL

ICTS - User Support Division

Learner Information System National Hel

LIS-SHS Module
Request Form for Correction in SHS Masterlist and Track/Pr
TRACK/PROGRAM OFFERINGS
Region

Division

school id

school name

SHS Permit No.

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)

sion

ional Helpdesk

d Track/Program Offering (RF 07)

Action Requested
(1. For Inclussion in the
Masterlist,
2. Correction of
Program Offering,
3. Deletion from
Masterlist

Coordinating Personnel

Name

Email
LIS Username Remark/s
address/Contact
(if any)
Number

Template for Reporting Learners with Special Charact

Subject: Registration of Learner with Special Characters, Single Cha

Send to: icts.usd@deped.gov.ph
Note: Please attach a copy of Birth Certificate as supporting documen
Currently Enrolled (Present enrollment)

Region

Division

School

School ID

USER ID:
NAME OF REQUESTING PERSONNEL:
DESIGNATION:

Grade

Section

Correct LRN

ial Characters, Single Character and/or other Exemption on t

rs, Single Character and/or other Exemptions on name

rting document
Personal Information of Learners as Appeared in Birth Certificate

First Name

Middle Name

Last Name

Ext Name

Date of Birth

er Exemption on their name (Request Form 06)

te

Gender

Date of 1st
Attendance
(MM/DD/YYYY)

REMARK

LIS HOUSE KEE

FOR PENDING MULTIPLE

Subject: Multiple Enrollment

Send to: icts.usd@deped.gov.ph
Copy furnish: Divisi
Note: Endorsement of School Head is required (signed and scanned).
I. CURRENT ENROLLMENT AND BASIC PROFILE
Currently Enrolled (Present enrollment)

Region

Division

School

School ID

Grade

II. ENROLLMENT HISTORY AS APPEARED IN PERMANENT RECORD (FO

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

DIVISION

REGION

III. REQUESTING SCHOOL

Reported by

Teacher/ICT Coordinator

LIS USER NAME

Name of Sch

LIS HOUSE KEEPING REQUEST FORM (Request Form 05)

ING MULTIPLE ENROLLMENT ISSUE ELEVATED TO CENTRAL OF

opy furnish: Division Planning Unit

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

as appeared in Birth Certificate

Correct Name
Section

LRN

(Currently
Used)

First Name

Middle Name

Last Name

NENT RECORD (FORM 137)

STATUS AS APPEARED IN FORM 137

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

Name of School

School ID

Division

st Form 05)
D TO CENTRAL OFFICE

r the matrix.

ed in Birth Certificate

orrect Name
Ext Name

Date of Birth

Gender

Date of 1st
Attendance
(MM/DD/YYYY)

IS THIS ENROLLMENT
RECORD VALID? YES OR NO.
(If NO, provide explanation)

Division

Region

Endorsed by
School Head

OTHER
EXISTING LRN

Template for Reporting TW

Subject: TWIN Learners that Merged Identity

Send to: icts.usd@deped.gov.ph
Note: Endorsement of School Head is required (signed and scanned).
Currently Enrolled (Present enrollment)

Region

Division

School

School ID

USER ID:
NAME OF REQUESTING PERSONNEL:
DESIGNATION:

Grade

Section

Correct LRN

porting TWIN Learners that Merged Identity (Request Form 0

and scanned). Please use 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

y (Request Form 04)

e matrix.

te

Gender

Date of 1st
Attendance
(MM/DD/YYYY)

REMARK
Learner 1 (Twin 1)
Learner 2 (Twin 2)

Template for Enrollm

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).
Currently Enrolled (Present enrollment)

Region

Reported
by

Division

School

School ID

Teacher/ICT Coordinator

Grade

Section

LRN

Name of School

(Currently
Used)

or Enrollment with Data Issues (Request Form 02)

or Data Issues

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

as appeared in Birth Certificate
Correct Name
First Name

Middle Name

School ID

Last Name

Division

Ext Name

Date of Birth

Region

orm 02)

e 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

Template for Reporting

Subject: Multiple LRN/Enrollment

Send to: icts.usd@deped.gov.ph
Note: Endorsement of School Head is required (signed and scanned).
Currently Enrolled (Present enrollment)

Region

Reported
by

Division

School

School ID

Teacher/ICT Coordinator

Grade

Section

LRN

Name of School

(Currently
Used)

Reporting Multiple LRN/Enrollment (Request Form 01)

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

as appeared in Birth Certificate
Correct Name
First Name

Middle Name

School ID

Last Name

Division

Ext Name

Date of Birth

Region

est Form 01)

e matrix.

Gender

Region

Date of 1st
Attendance
(MM/DD/YYYY)

Endorsed by
School Head

OTHER EXISTING
LRN