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: support.ebeis-lis@deped.gov.ph

CURRENT SCHOOL (PRESENT ENROLLMENT) LEARNER'S INFORMATION CREDENTIALS PRESENTED Contact Details CODE
Personal Information as appeared in Birth Certificate Status as appeared in 1 - Multiple Records/LRNs
Date of 1st Attendance
Requesting
Track/Program Learner Reference Form 138 or Equivalent Username 2 - From PSHS Remarks
Region Division School ID School Name Grade Level (Actual Date of School ID School Name School Year Personnel Email Address Phone Number
Offering Attendance in the Class)
Number First Name Middle Name Last Name Ext Name Date of Birth Gender Document 3 - Unenrolled
(Please Specify) 4 - Others

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 support.ebeis-lis@deped.gov.ph
4. Subject for this email should be: RF 11-B Not Enrolled for Tagging of QVRs - Public/SUCs/LUCs
 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: support.ebeis-lis@deped.gov.ph

CURRENT SCHOOL (PRESENT ENROLLMENT) LEARNER'S INFORMATION CREDENTIALS PRESENTED Contact Details LIS STATUS
Personal Information as appeared in Birth Certificate 1 - Enrolled
Date of 1st Status as appeared in Form 138 or Requesting
Track/Program Learner Reference Username Remarks
Region Division School ID School Name Grade Level Attendance (* School ID School Name School Year Equivalent Document Personnel Email Address Phone Number
Offering Number First Name Middle Name Last Name Ext Name Date of Birth Gender 2 - Registered
as appeared in LIS) (Please Specify)

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 support.ebeis-lis@deped.gov.ph
4. Subject for this email should be: RF 11 Untagged QVRs - School Name
 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
Track/Program Form 138 or Equivalent Personnel
Region Division School ID School Name Grade Level Attendance Learner Reference Number School ID School Name School Year email address phone number
Offering First Name Middle Name Last Name Ext Name Date of Birth Gender Document (Please
(mm/dd/yyy)
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 Support Division
Learner Information System National Helpdesk
Request to Merge School ID (Request Form 10)
Subject: EBEIS - Request to Merge Multiple School IDs RF 10
Send to: support.ebeis-lis@deped.gov.ph
Note: Endorsement letter from Division Office is required (signed and scanned). Please use worksheet/excel format for the matrix RF10.

ISSUED PERMIT (Private School) Contact Details

CURRICULAR OFFERING
Region Division School Name School ID No.1 School ID No.2 School ID No.3 CLASSIFICATION (As Requesting Personnel
Permit No. SY Validity Approved) email address phone number

I La Union Sampol Private 412121 123456 16-2548 2016-2017 Kinder

Elementary

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
 ICTS - User Support Div
Learner Information System Nati
Request to Update/Change the Curricular Offering Clas

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 worksheet/exce

ISSUED PERMIT
CURRICULAR OFFERI
Region Division School Name School ID
As approved COC Permit
Permit No. SY Validity

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
CTS - User Support Division
formation System National Helpdesk
Curricular Offering Classification (COC) (Request Form 09)

se use worksheet/excel format for the matrix RF09.

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

phone number
 Reques
Subject: 2016 ENROLLMENT BLOCKERS
Send to: support.ebeis-lis@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,
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,
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 Ou
6. BA (BALIK ARAL) - Learners who stopped schooling and enrolled next grade level after
7. Others - Other issue (Please review available RFs from LIS Support page to request cor
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
Request Form for Reporting Enrolment Blocker (Preventing Learner to Register/Enrol in LIS) - RF 08

AS APPEARED IN LIS MASTERLIST

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

125485762415 Landon Carter Sevilla II

16 with status Retained, Dropped out and Transferred out.

e 1 - December 31, 2011
June 1 - December 31, 2010.
e not eligible.
hool and Transffered Out EOSY Status.
ed next grade level after a year or more (No Balik Aral as reason for enrollment).
port page to request correction for issues not covered of this RF 8)
Enrol in LIS) - RF 08

Code:
ERLIST
1 - Pre-Kinder
Date of 1st 2 - DOB-Kinder
Attendance 3 - DOB-G1 System Notification/Message or Warning
Date of Birth Gender (MM/DD/YYYY) 45 -- AOR
NLS/TO
6 - BA
7 - Others
Form Validation Failed. Learner is not eligib
August 12, 2005 Male 6/13/2016 5-NLS/TO
for this grade level
m Notification/Message or Warning

alidation Failed. Learner is not eligible

Sample data only
for this grade level
 ICTS - User Support Division
Learner Information System National Helpdesk
Request Form for Correction in SHS Masterlist and Track/Program Offering (RF 07)

TRACK/PROGRAM OFFERINGS Coordinating Personnel

Action Requested (1.
For Inclussion in the Masterlist,
As approved offering As reflected in SHS 2. Correction
Region Division school id school name SHS Permit No. As reflected in LIS Email address/Contact LIS Username Remark/s
(copy of permit is Masterlist (Deped of Program Offering, Name
(screen shot) 3. Number (if any)
required for non-deped) Website)
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 support.ebeis-lis@deped.gov.ph
3. Subject for this email should be: RF 07 Correction of Masterlist and Program Offering (your Region & Division)
 ICTS - User Supp
Learner Information System
Template for Reporting Learners with Special Characters, Single Char

Subject: Registration of Learner with Special Characters, Single Character and/or other Exemptions on nam
Send to: support.ebeis-lis@deped.gov.ph
Note: Please attach a copy of Birth Certificate as supporting document

Currently Enrolled (Present enrollment) Personal Information o

Region Division School School ID Grade Section Correct LRN First Name

USER ID:
NAME OF REQUESTING PERSONNEL:
DESIGNATION:
 ICTS - User Support Division
Learner Information System National Helpdesk
ecial 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

Middle Name Last Name Ext Name Date of Birth Gender Date of 1st Attendance
(MM/DD/YYYY)
orm 06)

REMARK
 ICTS - User Sup
Learner Information Syste
FOR PENDING MULTIPLE ENROLLMENT IS
Subject: Multiple Enrollment
Send to: support.ebeis-lis@deped.gov.ph Copy furnish: Division Planning Unit
Note: Endorsement of School Head is required (signed and scanned). Please use worksheet/excel format fo

I. CURRENT ENROLLMENT AND BASIC PROFILE

Currently Enrolled (Present enrollment)

Region Division School School ID Grade Section

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

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

III. REQUESTING SCHOOL

Reported by Teacher/ICT Coordinator LIS USER NAME Name of School
 ICTS - User Support Division
Learner Information System National Helpdesk
ENDING MULTIPLE ENROLLMENT ISSUE ELEVATED TO CENTRAL OFFICE

nish: Division Planning Unit

Please use worksheet/excel format for the matrix.

as appeared in Birth Certificate

Correct Name

LRN (Currently
First Name Middle Name Last Name Ext Name Date of Birth Gender
Used)

ORD (FORM 137)

STATUS AS APPEARED IN FORM 137 IS THIS ENROLLMENT RECORD
Grade/Year Level (Promoted, Retained, VALID? YES OR NO. (If NO, provide
Transferred Out, Dropout) explanation)

Name of School School ID Division Region

 Date of 1st OTHER EXISTING
Attendance
(MM/DD/YYYY) LRN

Endorsed by
School Head
 ICTS - User Supp
Learner Information System
Template for Reporting TWIN Learners tha
Subject: TWIN Learners that Merged Identity
Send to: support.ebeis-lis@deped.gov.ph
Note: Endorsement of School Head is required (signed and scanned). Please use worksheet/excel format fo

Currently Enrolled (Present enrollment) Personal Information o

Region Division School School ID Grade Section Correct LRN First Name

USER ID:
NAME OF REQUESTING PERSONNEL:
DESIGNATION:
 ICTS - User Support Division
Learner Information System National Helpdesk
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

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

Learner 1 (Twin 1)
Learner 2 (Twin 2)
 ICTS - User Support D
Learner Information System Nat
Template for Enrollment with Data Issu

Subject: Enrollment with Possible Multiple Enrollment or Data Issues

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

as app
Currently Enrolled (Present enrollment)

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

Reported Teacher/ICT Coordinator Name of School School ID

by
 ICTS - User Support Division
arner Information System National Helpdesk
for Enrollment with Data Issues (Request Form 02)

se worksheet/excel format for the matrix.

as appeared in Birth Certificate

Correct Name

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

School ID Division Region Endorsed by

School Head
 Code:
1 - No enrollment Found
2 - Update Failed
3 - Enrolment Failed
 ICTS - User Support
Learner Information System N
Template for Reporting Multiple LRN/Enr

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/excel format fo

as app
Currently Enrolled (Present enrollment)

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

Reported Teacher/ICT Coordinator Name of School School ID

by
 ICTS - User Support Division
earner Information System National Helpdesk
r Reporting Multiple LRN/Enrollment (Request Form 01)

se 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