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
Status as appeared in Requesting
Date of 1st REMARKS
Grade Track/Program Learner Reference Form 138 or Personnel email address phone number
Region Division School ID School Name Attendance School ID School Name School Year
Level Offering Number First Name Middle Name Last Name Ext Name Date of Birth Gender Equivalent Document
(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 Sup
Learner Information System (LIS) and Bas
National H
Template for Reporting Multiple LR

Subject: Multiple LRN/Enrollment

Send to: support.ebeis-lis@deped.gov.ph
Note: Endorsement of School Head is required (signed and scanned). Please use worksheet/exce

a
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

Reminder:
1. Fill-up the form correctly and complete.
2. Attach this form as exel file.
3. Attach the following copies:
a. Birth Certificate
b. Form 137 and/or Form 138
 ICTS - User Support Division
tion System (LIS) and Basic Education Information System (BEIS)
National Helpdesk
for Reporting Multiple LRN/Enrollment (Request Form 01)

Please use worksheet/excel format for the matrix.

as appeared in Birth Certificate

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

School ID Division Region Endorsed by

School Head
OTHER EXISTING
LRN