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)
Region

Division

School ID

School Name

Grade Level

LEARNER'S INFORMATION
Track/Program
Offering

Date of 1st Attendance

(Actual Date of Attendance in
the Class)

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

CREDENTIALS PRESENTED

Personal Information as appeared in Birth Certificate

Learner Reference Number

First Name

Middle Name

Last Name

Ext Name

Date of Birth

Gender

School ID

School Name

School Year

CODE

Contact Details
Status as appeared in
Form
138 or Equivalent Document
(Please Specify)

Requesting Personnel

Username

Email Address

Phone Number

1 - Multiple Records/LRNs
2 - From PSHS
3 - Unenrolled
4 - Others

Remarks

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

Personal Information as appeared in Birth Certificate

Region

Division

School ID

School Name

Grade Level

Track/Program
Offering

Date of 1st Attendance

(* as appeared in LIS)

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

Learner Reference
Number

First Name

Middle Name

Last Name

Ext Name

Date of Birth

Gender

School ID

School Name

School Year

Status as appeared in
Equivalent Document
Specify)

Contact Details
Form 138 or
Requesting Personnel
(Please

Username

LIS STATUS
1 - Enrolled

Email Address

Phone Number

2 - Registered

Remarks

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

Region

Division

School ID

School Name

Grade Level

Track/Program
Offering

Date of 1st Attendance

(mm/dd/yyy)

Learner Reference Number

First Name

Middle Name

Last Name

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

Ext Name

Date of Birth

Gender

School ID

School Name

School Year

Status as appeared in
Form
138 or Equivalent Document
(Please Specify)

Requesting
Personnel

email address

phone number

REMARKS

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 worksh

Region

Division

La Union

School Name

Sampol Private

School ID No.1

412121

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

School ID No.2

123456

ICTS - User Support Division

Learner Information System National Helpdesk
Request to Merge School ID (Request Form 10)

anned). Please use worksheet/excel format for the matrix RF10.

ISSUED PERMIT (Private School)
School ID No.3
Permit No.
16-2548

SY Validity
2016-2017

rt Division
National Helpdesk
(Request Form 10)

CURRICULAR OFFERING
CLASSIFICATION (As Approved)
Kinder
Elementary

Requesting Personnel

Contact Details

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.

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

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
As approved COC Permit
Kinder
Elementary

As appeared in EBEIS School

Profile for COC (Screen Shot)

Requested Action/ Remark

include Kinder
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 Reta
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 Transffere
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

Grade

Section

Burgos

LRN

(Currently
Used)
125485762415

First Name

Middle Name

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

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

6/13/2016

Code:
1 - Pre-Kinder
2 - DOB-Kinder
3 - DOB-G1
4 - AOR
5 - NLS/TO
6 - BA
7 - Others
5-NLS/TO

System Notification/Message or Warning

Form Validation Failed. Learner is not eligible for this grade

level

m Notification/Message or Warning

on Failed. Learner is not eligible for this grade

level

Sample data only

ICTS - User Support Division

Learner Information System National Helpdesk
Request Form for Correction in SHS Masterlist and Track/Program Offe
TRACK/PROGRAM OFFERINGS
Region

Division

school id

school name

SHS Permit No.

As approved offering (copy

of permit is required for nondeped)

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)

As reflected in LIS
As reflected in SHS
(screen shot)
Masterlist (Deped Website)

Helpdesk
k/Program Offering (RF 07)
Coordinating Personnel
Action Requested
(1. For
Inclussion in the Masterlist,
2. Correction of Program
Offering,
3. Deletion from Masterlist

Name

Email address/Contact
Number

LIS Username
(if any)

Remark/s

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

USER ID:
NAME OF REQUESTING PERSONNEL:
DESIGNATION:

School ID

Grade

Section

Correct LRN

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
additional row/s if needed)

(Provide

DIVISION

REGION

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
Section

School Year

LRN

(Currently
Used)

Grade/Year Level

Name of School

First Name

Middle Name

Last Name

STATUS AS APPEARED IN FORM 137

(Promoted, Retained, Transferred Out,
Dropout)

School ID

Division

AL OFFICE

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 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

USER ID:
NAME OF REQUESTING PERSONNEL:
DESIGNATION:

School ID

Grade

Section

Correct LRN

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)
Region

Reported by

Division

School

School ID

Teacher/ICT Coordinator

Grade

Section

LRN

Name of School

(Currently
Used)

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

School ID

Last Name

Ext Name

Division

Date of Birth

Region

Code:
Gender

Region

Date of 1st Attendance

(MM/DD/YYYY)

Endorsed by
School Head

1 - No enrollment Found
2 - Update Failed
3 - Enrolment Failed

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)

Region

Reported by

Division

School

School ID

Teacher/ICT Coordinator

Grade

Section

LRN

Name of School

(Currently
Used)

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

School ID

Last Name

Ext Name

Division

Date of Birth

Region

Date of 1st Attendance

(MM/DD/YYYY)
Gender

Region

Endorsed by
School Head

OTHER EXISTING LRN