ICTS - User Support Division

Learner Information System (LIS) and Basic Education Information System (BEIS)
National Helpdesk
Templae for Request to Update/Change the Curricular Offering Classification (COC) for Schools Abroad (Request Form 17)

Service Request T : COC Updating for Schools Abroad

Send to : ps.emisd@deped.gov.ph
Note : Endorsement and Approval from DepEd CO Planning Service EMISD is required

Country Address School Name School ID Issued Permit Curricular Offering Requested Action / Remarks Requesting Personnel
Permit No. SY Validity As Approved COC Permit As Appeared in EBEIS School Name Email Address
Profile for COC

Note: Endorsed by Signature

1. Fill-up the form correctly and completely School Head Name
2. Attach this form as Excel file.
3. Attach a scanned copy of the form with School Head signature
4. Attach the following copies:
a. Approved permit
l
LIS Username
 ICTS - User Support Division
Learner Information System (LIS) and Basic Education Information System (BEIS)
National Helpdesk
Template for Correction in SHS Masterlist and Track / Program Offering for Schools Abroad (Request Form 16)

Service Request T : Updating of SHS Program Offering for Schools Abroad

Send to : ps.emisd@deped.gov.ph
Note : Endorsement and Approval from DepEd CO Planning Service EMISD is required

TRACK/PROGRAM OFFERINGS Coordinating Personnel

Action Requested (1.
For Inclussion in the Masterlist,
As approved offering As reflected in SHS 2. Correction
Country Address School Name School ID SHS Permit No. Email address/Contact LIS Username Remark/s
(copy of permit is As reflected in LIS Masterlist (Deped of Program Offering, Name
3. Number (if any)
required for non-deped) Website)
Deletion from Masterlist

Note: Endorsed by Signature

1. Fill-up the form correctly and completely School Head Name
2. Attach this form as Excel file.
3. Attach a scanned copy of the form with School Head signature
4. Attach the following copies:
a. Approved permit
 ICTS -
Learner Information System (LIS)
N
Template for Unenrol
Service Request Type : Unenrolment of Learner
Submit to : Division Planning Officer, Schools Governance and Operations Division
Note : Endorsement of School Head is required (signed and scanned). Please us

Present and Correct Enrolment Learner's

Region Division School School ID Grade Section Date of First LRN First Name
Attendance
(MM/DD/YYYY
)

Requested Teacher/ICT Coordinator Name of School School ID

by

Note for school:

1. Fill-up the form correctly and completely
2. Attach this form as Excel file.
3. Attach a scanned copy of the form with School Head signature
4. Attach the following copies:
a. Birth Certificate
b. Form 137 and/or Form 138

Note for Division Planning Officer:

1. Consolidate requests by school by issue
2. Submit to Regional Planning Officer for encoding in the online form
 ICTS - User Support Division
ormation System (LIS) and Basic Education Information System (BEIS)
National Helpdesk
Template for Unenrollment of Learner (Request Form 15)

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

Learner's Personal Information Unenroled From

Middle Name Last Name Ext Name Date of Birth Gender Region Division School
(MM/DD/YY
YY)

Division Region Date Endorsed by

School Head
Unenroled From Reason for
School ID Grade Section School Year Unenrolment

Signature
Name
 Learner Information Sy

Template for Confirm

Service Request Type : Confirmation of Transfer from Closed Schools
Submit to : Division Planning Officer, Schools Governance and Operations Division
Note : Endorsement of School Head is required (signed and scanned). Please

Present Enrolment (Receiving School) Affec

Region Division School School ID Grade Section Date of First LRN
Attendance
(MM/DD/YYY
Y)

Reported by Teacher/ICT Coordinator Name of School

Note for school:

1. Fill-up the form correctly and completely
2. Attach this form as Excel file.
3. Attach a scanned copy of the form with School Head signature
4. Attach the following:
a. Form 137 and/or Form 138

Note for Division Planning Officer:

1. Consolidate requests by school by issue
2. Submit to Regional Planning Officer for encoding in the online form
 ICTS - User Support Division
Learner Information System (LIS) and Basic Education Information System (BEIS)
National Helpdesk
Template for Confirmation of Transfer from Closed School (Request Form 14)

and Operations Division

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

Affected Learner's Details Closed School Details (Or

First Name Middle Name Last Name Ext Name Date of Birth Gender Region Division
(MM/DD/YYY
Y)

School ID Division Region Date

sed School Details (Originating School) Remarks
School School ID Grade Trasnfer Out
Date
(MM/DD/YYY
Y)

Endorsed by Signature
School Head Name
Service Request Type : Correcting Transfer Related Issues
Submit to : Division Planning Officer, Schools Governan
Note : Endorsement of School Head is required (sig

Present Enrolment (Receiving School)

Region Division School School ID Grade

XI DAVAO DEL NORTE Cabadiangan Integrated School 501074 9

XI DAVAO DEL NORTE CABADIANGAN INTEGRATED SCHOOL 501074 8

Reported by Teacher/ICT Coordinator Name of Sch

JOLI MAE R. SATO CABADIANGAN INTEGRA

Note for school:

1. Fill-up the form correctly and completely
2. Attach this form as Excel file.
3. Attach a scanned copy of the form with School Head signature
4. Attach the following:
a. Form 137 and/or Form 138

Note for Division Planning Officer:

1. Consolidate requests by school by issue
2. Submit to Regional Planning Officer for encoding in the online form
 ICTS - User Support Division
Learner Information System (LIS) and Basic Education Information Sys
National Helpdesk
Template for Reporting Transfer Related Errors (Request Form
ansfer Related Issues
ning Officer, Schools Governance and Operations Division
t of School Head is required (signed and scanned). Please use worksheet/excel format for the matrix.

Affected Learner's Details

Section Date of First LRN First Name Middle Name Last Name Ext Name
Attendance
(MM/DD/YYY
Y)

DIAMOND 9/10/2020 ### ALWIN BERDIN BAGUBAY

WALING-WALING 9/10/2020 126745130021 PRINCESS SARAH BERDIN BAGUBAY

Name of School School ID Division

CABADIANGAN INTEGRATED SCHOOL 501074 Davao del Norte
 Division
ducation Information System (BEIS)
esk
d Errors (Request Form 13)

Previous Enrolment (Originating School)

Date of Birth Gender Region Division School
(MM/DD/YYY
Y)

06/21/2004 MALE X BUKIDNON DIVINE MERCY SCHOOL OF BUKIDNON, INC

05/24/2005 FEMALE X BUKIDNON DIVINE MERCY SCHOOL OF BUKIDNON, INC.

Region Date Endorsed by

11 JULY 8, 2021 School Head
ginating School) Remarks
(Transfer Error)
School ID Grade Section

459524 9 ST. Lorenzo Ruiz Pending Transfer

459524 7 Pending Transfer

Signature
Name ELSIE P. LUCINO
Pending Transfer
 Learner

Service Request Type : Reopening of School Enrolment

Submit to : Division Planning Officer, Schools Governance and Operations Division
Note : Endorsement of School Head is required (signed and scanned). Please

School Details Learne

Region Division School School ID Grade Section Date of First

Attendance
(MM/DD/YYYY)

Reported by Teacher/ICT Coordinator Name of School

Note for school:

1. Fill-up the form correctly and completely
2. Attach this form as Excel file.
3. Attach a scanned copy of the form with School Head signature

Note for Division Planning Officer:

1. Consolidate requests by school by issue
2. Submit to Regional Planning Officer for encoding in the online form
 ICTS - User Support Division
Learner Information System (LIS) and Basic Education Information System (BEIS)
National Helpdesk
Template for Reopening of School Enrolment (Request Form 12)

rnance and Operations Division

d (signed and scanned). Please use worksheet/excel format for the matrix.

Learners to be Enrolled

LRN First Name Middle Name Last Name Ext Name Date of Birth Gender
(MM/DD/YYYY)

School ID Division Region Date Endorsed by

School Head
m (BEIS)

School/Calendar Year Reason for

to be Reopened Reopening
K-10 SHS ALS Enrolment

Signature
Name
 Lea

Service Request Type : Merging of School IDs

Submit to : Division Planning Officer, Schools Governance and Operations Division
Note : Endorsement letter from Division Office is required (signed and scanned

School ID Numbers for Merging Issued Permit (Private

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

Requested By Name Designation Name of School School ID

Note for School:

1. Fill-up the form correctly and completely
2. Attach this form as Excel file.
3. Attach a scanned copy of the form with School Head signature
4. For private school, attached a valid permit
5. For public school, attached endorsement letter from Division SGOD

Note for Division Planning Officer:

1. Consolidate requests by school by issue
2. Submit to Regional Planning Officer for encoding in the online form
 ICTS - User Support Division
Learner Information System (LIS) and Basic Education Information System (BEIS)
National Helpdesk
Template for Request to Merge School ID (Request Form 10)

rnance and Operations Division

s required (signed and scanned). Please use worksheet/excel format for the matrix RF10.

ued Permit (Private Curricular School Contact Details

School) Offering
SY Validity Classification Contact Person School Address Phone Number Email Address
(As Approved)

Division Region Date Endorsed by Signature

School Head Name
em (BEIS)

Remarks
 Learner Inform

Template fo
Service Request Type : Unmerge LRN
Submit to : Division Planning Officer, Schools Governance and Operations Divisio
Note : Endorsement of School Head is required (signed and scanned). Pleas

Present Enrolment

Region Division School School ID Grade Section Date of First

Attendance
(MM/DD/YYYY)

Requested by Teacher/ICT Coordinator Name of School School ID Division

Note for School:

1. Fill-up the form correctly and completely
2. Attach this form as Excel file.
3. Attach a scanned copy of the form with School Head signature
4. Attach the following copies:
a. Birth Certificate
b. Form 137 and/or Form 138

Note for Division Planning Officer:

1. Consolidate requests by school by issue
2. Submit to Regional Planning Officer for encoding in the online form
 ICTS - User Support Division
Learner Information System (LIS) and Basic Education Information System (BEIS)
National Helpdesk
Template for Reporting TWIN Learners that Merged Identity (Request Form 04)

ance and Operations Division

signed and scanned). Please use worksheet/excel format for the matrix.

Learner's Personal Information

(as appeared in Birth Certificate)

Correct LRN First Name Middle Name Last Name Ext Name Date of Birth Gender
(MM/DD/YY
YY)

Division Region Date Endorsed by Signature

School Head Name
ystem (BEIS)

st Form 04)

Remarks

Learner 1
Learner 2
 ICTS - User Support Division
Learner Information System (LIS) and Basic Education Information System (BEIS)
National Helpdesk
Template for LRN Reactivation / Enrollment with Data Issues (Request Form 02)

Service Request Ty : LRN Reactivation / Enrolment with Data Issues

Submit to : Division Planning Officer, Schools Governance and Operations Division
Note : Endorsement of School Head is required (signed and scanned). Please use worksheet/excel format for the matrix.

Present Enrolment Correct Learner Personal Information Code: Reason for

(as appeared in Birth Certificate) 1. No enrolment found
2. Update Failed
Reactivation
Regio Division School School ID Grade Section Date of First LRN First Name Middle Name Last Name Ext Name Date of Birth Gender Mother's Maiden Name 3. Enrolment Failed
n Attendance (Currently Used) (MM/DD/YYYY) 4. Previously Disapproved
(MM/DD/YYYY)

XI DAVAO DEL NORTE LANGAN ELEMENTARY SCHOOL 128655 3 NARRA 5/6/2017 128655170032 KURTH JELORD N/A BRIGULA N/A 4/8/2008 MALE CATHERINE NACUA BRIGULA 3 FOR ENROLMENT

Reque Teacher/ICT Coordinator Name of School School ID Division Region Date Endorsed by Signature
sted JEFFREY B. SELIGBON LANGAN ELEMENTARY SCHOOL 128655 DAVAO DEL NORTE XI 4/10/2019 School Head Name DIANALYN L. SUYMAN
by

Note for School:

1. Fill-up the form correctly and completely
2. Attach this form as Excel file.
3. Attach a scanned copy of the form with School Head signature
4. Attach the following copies:
a. Birth Certificate
b. Form 137 and/or Form 138

Note for Division Planning Officer:

1. Consolidate requests by school by issue
2. Submit to Regional Planning Officer for encoding in the online form
 ICTS - User Support Division
Learner Information System (LIS) and Basic Education Information System (BEIS)
National Helpdesk
Template for Reporting Multiple LRN/Enrollment (Request Form 01)

Service Request Type : LRN Merging

Submit to : Division Planning Officer, Schools Governance and Operations Division
Note : Endorsement of School Head is required (signed and scanned). Please use worksheet/excel format for the matrix.

Present Enrolment Correct Learner Personal Information Other Existing

(as appeared in Birth Certificate) LRNs
Region Division School School ID Grade Section Date of First LRN First Name Middle Name Last Name Ext Name Date of Birth Gender Mother's Maiden Name
Attendance (Currently Used) (MM/DD/YYYY)
(MM/DD/YYYY)

XI DAVAO DEL NORTE LANGAN ELEMENTARY SCHOOL 128655 3 NARRA 5/6/2017 128655170032 KURTH JELORD N/A BRIGULA 4/8/2008 MALE CATHERINE NACUA BRIGULA 128655170044

Requestedby Teacher/ICT Coordinator Name of School School ID Division Region Date Endorsed by Signature
JEFFREY B. SELIGBON LANGAN ELEMENTARY SCHOOL 128655 DAVAO DEL NORTE XI 4/10/2019 School Head Name DIANALYN L. SUYMAN

Note for School:

1. Fill-up the form correctly and completely
2. Attach this form as Excel file.
3. Attach a scanned copy of the form with School Head signature
4. Attach the following copies:
a. Birth Certificate
b. Form 137 and/or Form 138

Note for Division Planning Officer:

1. Consolidate requests by school by issue
2. Submit to Regional Planning Officer for encoding in the online form