PAR Form - For LIS Pending Approval at DIVISION LEVEL ONLY PARF 2.

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SCHOOLS DIVISION OF PALAWAN
LIS PENDING APPROVAL REQUEST FORM
SCHOOL YEAR 2022-2023

LIS Change CERTIFIED CORRECT:

Request No.: 59038754 Signature of School Head or
Representative:
CLC/School ID: 301726
School Name: QUEZON NHS Name of School Head: HAYDEE L. MADRINAN
Sector: Public Cell Phone Number: 9271616458
Email Address: 301726qnhs@deped.gov.ph

I. Profile of Learner with Pending Enrollment or Chancge Request

LRN: 111134130072 Sex: Male
First Name: JUSTINE JAYLO Birthdate: MAY 5, 2005
Middle Name: SARUCAM
Last Name: TOLDA Contact Person for this Request: JONATHAN REY A. DEL CASTILLO
Grade Level: Grade 8 Cell Phone Number: 9171039101
Section: DAHLIA

II. Pending Request Type

Enrolment w/ gap, Enrolment of Ineligible, Correction of Learner Profile, Correction of Grade Level, LRN Approval, Temporary Enrolment, Request for Disapproval

Enrolment of Ineligible
III. If applicable, explain or narrate additional details inside the box.

IV. Documentary Requirements for Each Pending Request Type

Pending Request Type Required Supporting Documents
*PAR Form, *SF9/SF10/Form 137 & 138,ECCD Summary of Rating for Grade 1,
Enrolment w/ gap **RFG, **PEPT, **A&E Rating
*PAR Form, *SF9/SF10/Form 137 & 138,ECCD Summary of Rating for Grade 1,
Enrolment of Ineligible **RFG, **PEPT, **A&E Rating
*PAR Form, *SF9/SF10/Form 137 & 138, ECCD Summary of Rating for Kinder,
Correction of Learner Profile *Birth Certificate

Correction of Grade Level *PAR Form, *SF9/SF10/Form 137 & 138, **RFG, **PEPT, **A&E Rating

*PAR Form, *SF9/SF10/Form 137 & 138, ECCD Summary of Rating for Grade 1,
LRN Approval **RFG, **PEPT, **A&E Rating, *Birth Certificate, or any Proof of ID
*PAR Form, *Affidavit of Undertaking, **Other available documents that may add
Temporary Enrolment support to the request
*PAR Form, *Affidavit of Undertaking, **Other available documents that may add
Request for Disapproval support to the request
*Required, **If Applicable Only.
NOTE: All attached documents must link or reflect learners eligibility to enroll in current grade level of the
school year. If there are DISCREPANCIES Between the Enrollment History in LIS and in Documents,
include an explanation to support the case.

planning.palawan@deped.gov.ph https://web.facebook.com/palawanplanning
updated 8/22/2022 PAR Facility: https://depedpalawan.com/post/parf