Definition: is a process of re-activating LRN that was previously disappr

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

Teacher/ICT Coordinator
Requested by

Position/Designation

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 copies:
a. Birth Certificate
b. Form 137/School Form 10 and/or Form 138/School Fo

Note for Division Planning Officer:

1. Consolidate requests by school by issue
 ICTS - User Support
Learner Information System (LIS) and Basic Ed
National Helpde
LRN Reactivation (Requ

was previously disapproved by the Division Planning Officer.

vernance and Operations Division
red (signed and scanned). Please use worksheet/excel format for the matrix.

t Enrollment

Date of First Attendance LRN

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

nator School's Email Address

etely

with School Head signature

or Form 138/School Form 9
 ICTS - User Support Division
tion System (LIS) and Basic Education Information System (BEIS)
National Helpdesk
LRN Reactivation (Request Form 02)

Correct Learner Personal Information

(as appeared in Birth Certificate)

First Name Middle Name Last Name

School's Contact Number School Head/System Admin Username

onal Information
rth Certificate)
Date of Birth Mother's Maiden
Ext Name Sex
(MM/DD/YYYY) Name

Date Requested Endorsed by Signature

School Head Name
Reason for Reactivation