ICTS - User Support Divisio

Learner Information System (LIS) and Basic Education

National Helpdesk
Template for LRN Reactivation / Enrollment with Data

Service Request Type : 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 ma

Present Enrolment Correct Learner Persona

(as appeared in Birth Ce
Region Division School School ID Grade Section Date of First LRN First Name Middle Name Last Name
Attendance (Currently Used)
(MM/DD/YYYY)

X Bukidnon Halapitan s 459553 1 Emerald 09/25/2020 None Yzrah Aligato Mendio

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

by Halapitan SDA 459553 Bukidnon
Lady Love C. Andin-o X

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
- User Support Division
) and Basic Education Information System (BEIS)
National Helpdesk
Enrollment with Data Issues (Request Form 02)

xcel format for the matrix.

Learner Personal Information Code: Reason for

s appeared in Birth Certificate) 1. No enrolment found
2. Update Failed
Reactivation
Ext Name Date of Birth Gender Mother's 3. Enrolment Failed
(MM/DD/YYYY) Maiden 4. Previously Disapproved
Name

12/22/2015 female Aligato no enrolment found for enrolment

Date Endorsed by Signature

07/30/2021 School Head Name JORECYDEL B. BANAY