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 V-Masbate City Bantigue High School 321805

Teacher/ICT Coordinator
Requested by
KING ACE C. FRANCO
Position/Designation SCHOOL PLANNING OFFICER/ LIS COORDINATOR

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
s encountered by the learners in relation to his/her transfer.
Governance and Operations Division
quired (signed and scanned). Please use worksheet/excel format for the matrix.

rrect Enrollment

Date of First Attendance LRN

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

11 TVL 8/22/2022 302133130151

dinator School's Email Address
321805@deped.gov.ph
LIS COORDINATOR

mpletely

rm with School Head signature

nd/or Form 138/School Form 9

ue (if applicable)

by issue
 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

JESSIE ALTAREJOS MANLAPAZ

School's Contact Number School Head/System Admin Username
9095213989 Jerry C. Torres/ 321801bolo
 Support Division
Basic Education Information System (BEIS)
al Helpdesk
sues (Request Form 08)

rmation
Orig
icate)

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

October 14, 1999 Male Region V-Masbate City

Date Requested Endorsed by Signature
07/03/2023 School Head Name JERRY C. TORRES
 Originating School

School Name School ID Grade Section

COLMHS 302133 11 TVL

ES
 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