Information and Communication Technology Service

UserSupport Division
LIS and EBEIS Help Desk
Request to Merge Scho
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 wo

Region Division School Name School ID No.1 School ID No.2 School ID No.3

I La Union Sampol Private 412121 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
equest to Merge School ID (Request Form 10)

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

ISSUED PERMIT (Private School)

CURRICULAR OFFERING
CLASSIFICATION (As Requesting Personnel
Permit No. SY Validity
Approved)

16-2548 2016-2017 Kinder

Elementary
 Contact Details

email address phone number

 Request to Update/Change the Curricular Offering Classification (COC)
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 wo

ISSUED PERMIT CURRICULAR OFFERIN

Region Division School Name School ID
As approved COC
Permit No. SY Validity
Permit

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

Elementary

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
ssification (COC) (Request Form 09)
COC) RF 09

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

Contact Details
URRICULAR OFFERING
Requested Action/ Requesting Personnel
As appeared in EBEIS Remark
School Profile for COC email address
(Screen Shot)
include Kinder
Elementary
Contact Details

phone number
 Request Form for Rep
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 Section

teacher01 III Bulacan Tibagan ES 104795 5 Burgos

Code/Legend for Type of Issues:

1. Pre-Kinder - Unable to enroll in KINDER due to EOSY 2015-2016 with status Retained, Dropp
2. DOB- K - Unable to enroll to Kinder with date birth between June 1 - December 31, 2011
3. DOB-G1 - Unable to enroll in grade 1 with date of birth between June 1 - December 31, 2010
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 Transffered Out EOS
6. BA (BALIK ARAL) - Learners who stopped schooling and enrolled next grade level after a year
7. Others - Other issue (Please review available RFs from LIS Support page to request correction
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 Helpdesk
uest Form for Reporting Enrolment Blocker (Preventing Learner to Register/Enrol in

AS APPEARED IN LIS MASTERLIST

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

125485762415 Landon Carter Sevilla II

ith status Retained, Dropped out and Transferred out.

1 - December 31, 2011
une 1 - December 31, 2010.
not eligible.
ol and Transffered Out EOSY Status.
ext grade level after a year or more (No Balik Aral as reason for enrollment).
page to request correction for issues not covered of this RF 8)
k
o Register/Enrol in LIS) - RF 08

Code:
TERLIST
1 - Pre-Kinder
Date of 1st 2 - DOB-Kinder
Attendance 3 - DOB-G1 System Notification/Message or Warning
(MM/DD/YYYY) 4 - AOR
Date of Birth Gender 5 - NLS/TO
6 - BA
7 - Others
Form Validation Failed. Learner is not eligible fo
August 12, 2005 Male 6/13/2016 5-NLS/TO this grade level
em Notification/Message or Warning

dation Failed. Learner is not eligible for

Sample data only
this grade level
 ICTS - User Support Division
Learner Information System National Helpdesk
LIS-SHS Module
Request Form for Correction in SHS Masterlist and Track/Program Offering (RF 07)
TRACK/PROGRAM OFFERINGS Coord
Action Requested
(1. For Inclussion in the
As approved offering Masterlist,
(copy of permit is As reflected in As
Region Division school id school name SHS Permit No. reflected in SHS 2. Correction of Program
Masterlist (Deped Offering, Name
required for non- LIS (screen shot) Website) 3.
deped)
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 Remark/s
address/Contact LIS Username
(if any)
Number
 Template for Reporting Learners with Special Characters, Single Chara
Subject: Registration of Learner with Special Characters, Single Character and/or other Exempti
Send to: icts.usd@deped.gov.ph
Note: Please attach a copy of Birth Certificate as supporting document

Currently Enrolled (Present enrollment) Personal Information of L

Region Division School School ID Grade Section Correct LRN First Name

USER ID:
NAME OF REQUESTING PERSONNEL:
DESIGNATION:
aracters, Single Character and/or other Exemption on their name (Request Form 06)
acter and/or other Exemptions on name

Personal Information of Learners as Appeared in Birth Certificate

Date of 1st
Middle Name Last Name Ext Name Date of Birth Gender Attendance
(MM/DD/YYYY)
r name (Request Form 06)

REMARK
 LIS HOUSE KEEPING REQUEST F
FOR PENDING MULTIPLE ENROLLMENT IS
Subject: Multiple Enrollment
Send to: icts.usd@deped.gov.ph Copy furnish: Division Planning Unit
Note: Endorsement of School Head is required (signed and scanned). Please use worksheet/exc

I. CURRENT ENROLLMENT AND BASIC PROFILE

Currently Enrolled (Present enrollment)

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

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

NAME OF SCHOOL DIVISION REGION School
(Provide additional row/s if needed) Year Grade/Year Level

III. REQUESTING SCHOOL

Reported by Teacher/ICT Coordinator LIS USER NAME Name of School
ING REQUEST FORM (Request Form 05)
NROLLMENT ISSUE ELEVATED TO CENTRAL OFFICE

lanning Unit
use worksheet/excel format for the matrix.

as appeared in Birth Certificate

Correct Name Date of 1st
Attendance
(MM/DD/YYYY)
First Name Middle Name Last Name Ext Name Date of Birth Gender

STATUS AS APPEARED IN FORM 137 IS THIS ENROLLMENT RECORD

(Promoted, VALID? YES OR NO. (If NO,
Retained, Transferred Out, Dropout) provide explanation)

School ID Division Region Endorsed by

School Head
 OTHER
EXISTING LRN
 Template for Reporting TWIN Learners tha
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/exc

Currently Enrolled (Present enrollment) Personal Information of L

Region Division School School ID Grade Section Correct LRN First Name

USER ID:
NAME OF REQUESTING PERSONNEL:
DESIGNATION:
g TWIN Learners that Merged Identity (Request Form 04)

Please use worksheet/excel format for the matrix.

Personal Information of Learners as Appeared in Birth Certificate

Date of 1st
Middle Name Last Name Ext Name Date of Birth Gender Attendance
(MM/DD/YYYY)
 REMARK

Learner 1 (Twin 1)
Learner 2 (Twin 2)
 Template for Enrollment with Data Is
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/exc

as appea
Currently Enrolled (Present enrollment)

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

Reported Name of School School ID

by Teacher/ICT Coordinator
ollment with Data Issues (Request Form 02)

Please use worksheet/excel format for the matrix.

as appeared in Birth Certificate

Correct Name

Date of 1st
Middle Name Last Name Ext Name Date of Birth Gender Attendance
(MM/DD/YYYY)

School ID
Division Region Endorsed by
School Head
 Code:
1 - No enrollment Found
2 - Update Failed

3 - Enrolment Failed
 Template for Reporting Multiple LRN/En
Subject: Multiple LRN/Enrollment
Send to: icts.usd@deped.gov.ph
Note: Endorsement of School Head is required (signed and scanned). Please use worksheet/exc

as appea
Currently Enrolled (Present enrollment)

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

Reported Teacher/ICT Coordinator Name of School School ID

by
ting Multiple LRN/Enrollment (Request Form 01)

Please use worksheet/excel format for the matrix.

as appeared in Birth Certificate

Correct Name Date of 1st
Attendance
(MM/DD/YYYY)
Middle Name Last Name Ext Name Date of Birth Gender

School ID Division Region Endorsed by

School Head
OTHER EXISTING
LRN