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 Le

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 I
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)
ENROLLMENT ISSUE ELEVATED TO CENTRAL OFFICE

Planning 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 Le

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 Reporting Learners that Actually not Attend
Subject: Request for Removal of Enrollment Record or Void Enrollment
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

Region Division School School ID Grade Section LRN First Name

Improtant:
1. For Learner who did not attend classes since opening (June 1, 2015 up to present) ONLY.
2. Under Reason for "Requesting Removal" please explain the reason why/how the inclussion of these leaners in
3. Must not be included in Report on Promotion (SF 5)
4. Submit report to the Office of the Schools Division Superintendent. Copy furnish LIS Help Desk (icts.usd@depe
at Actually not Attending Classes since June 1, 2015 (Request Form 03)

. Please use worksheet/excel format for the matrix.

Personal Information of Learners as Registered in LIS

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

esent) ONLY.
w the inclussion of these leaners in LIS

rnish LIS Help Desk (icts.usd@deped.gov.ph)

est Form 03)

Reason for Requesting

Removal of Enrollment
Record
 Template for Enrollment with Data Iss
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)
C

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

Reported Name of School School ID

by Teacher/ICT Coordinator
rollment 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)
C

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

Reported Teacher/ICT Coordinator Name of School School ID

by
rting 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