Definition: is a process of resolving the issues encountered by the learn

Submit to: Division Planning Officer, Schools Governance and Operatio

Note: Endorsement of School Head is required (signed and scanne

Present and Correct Enrollment

Region-Division School Name School ID

Region IV-A-Quezon Real Central Elementary School 109074

Teacher/ICT Coordinator
Requested by
DIANNE V. SANCHEZ
Position/Designation Teacher
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 signa
4. Attach the following:
a. Form 137/School Form 10 and/or Form 138/School For
b. Screenshot of the error or issue (if applicable)

Note for Division Planning Officer:

1. Consolidate requests by school by issue
 ountered by the learners in relation to his/her transfer.
ernance and Operations Division
d (signed and scanned). Please use worksheet/excel format for the matrix.

Enrollment

Date of First Attendance LRN

Grade Section
(MM/DD/YYYY) (Currently Used)

Five E. Jacinto August 23, 2022 108563150004

ator School's Email Address

EZ
ely

th School Head signature

Form 138/School Form 9

f applicable)

sue
 ICTS - User Support Division
Learner Information System (LIS) and Basic Education Information S
National Helpdesk
Transfer Related Issues (Request Form 08)

Correct Learner Personal Information

(as appeared in Birth Certificate)

First Name Middle Name Last Name

Jhodell Alterado Collamat

School's Contact Number School Head/System Admin Username

r Support Division
Basic Education Information System (BEIS)
nal Helpdesk
ssues (Request Form 08)

rmation
Origi
icate)

Date of Birth
Ext Name Sex Region-Division
(MM/DD/YYYY)

NA December 03, 2009 Male Region I-Pangasinan I, Ling

Date Requested Endorsed by Signature

02/27/2023 School Head Name IREEN O. AVENO
 Originating School

School Name School ID Grade Section

Real Elementary School 101690 Four NA

REEN O. AVENO
 Code

1. Joint transfer If from Closed School,

2. Transfer Dispute Transfer Out Date
3. Confirmed/Declined but still pending (MM/DD/YYYY)
4. Transfer from Closed School
5. Transfer from Philippine School Overseas If Other transfer issue,
6. Wrong tagging of Previous School please specify:
7. Others

3. Confirmed/Declined but still Pending