Division
School ID
School Name
Grade Level
LEARNER'S INFORMATION
Track/Program
Offering
CODE/LEGEND:
1. Multiple Records/LRNs - Unable to enroll Learner due to student has multiple records or multiple LRNs
2. From PSHS - Unable to enroll Learner due to student was previously enrolled in Philippine Science High School
3. Unenrolled - Unable to enroll Learner due to student was unenrolled but not able to re-enroll in the LIS
4. Others - Unable to enroll Learner due to other reason/s. Please detailed reason why student was not able to enrolled in the Remarks column.
REMINDERS:
1. Date of First Attendance should be in MM-DD-YYYY format
2. Attach scanned copies of the following documents:
a. Form 137 or Form 138
b. Birth Certificate
c. Request Letter with approval of SDS. Letter must be addressed to Director Roger B. Masapol of Planning Service (PS)
3. Submit this properly accomplished form in excel format with the attachment (mentioned above) to icts.usd@deped.gov.ph
4. Subject for this email should be: RF 11-B Not Enrolled for Tagging of QVRs - Public/SUCs/LUCs
CREDENTIALS PRESENTED
First Name
Middle Name
Last Name
Ext Name
Date of Birth
Gender
School ID
School Name
School Year
CODE
Contact Details
Status as appeared in
Form
138 or Equivalent Document
(Please Specify)
Requesting Personnel
Username
Email Address
Phone Number
1 - Multiple Records/LRNs
2 - From PSHS
3 - Unenrolled
4 - Others
Remarks
LEARNER'S INFORMATION
CREDENTIALS PRESENTED
Division
School ID
School Name
Grade Level
Track/Program
Offering
STATUS/LEGEND:
1. Enrolled - * Learner who was already enrolled with assigned track in the LIS
2. Registered - Learner who is not yet enrolled with unassigned track in the LIS
REMINDERS:
1. Date of First Attendance should be in MM-DD-YYYY format
2. Attach scanned copies of the following documents:
a. Form 137 or Form 138
b. Birth Certificate
3. Submit this properly accomplished form in excel format with the attachment (mentioned above) to icts.usd@deped.gov.ph
4. Subject for this email should be: RF 11 Untagged QVRs - School Name
Learner Reference
Number
First Name
Middle Name
Last Name
Ext Name
Date of Birth
Gender
School ID
School Name
School Year
Status as appeared in
Equivalent Document
Specify)
Contact Details
Form 138 or
Requesting Personnel
(Please
Username
LIS STATUS
1 - Enrolled
Email Address
Phone Number
2 - Registered
Remarks
Request Form for Reporting QVRs - Public/SUCs/LUCs (Learner/s who are not tagged with QVR in LIS) - RF 11
Subject: Untagged QVRs - Public/SUCs/LUCs
Send to: icts.usd@deped.gov.ph
CURRENT SCHOOL (PRESENT ENROLLMENT)
LEARNER'S INFORMATION
CREDENTIALS PRESENTED
Contact Details
Division
School ID
School Name
Grade Level
Track/Program
Offering
First Name
Middle Name
Last Name
REMINDERS:
1. Attach scanned copies of the following documents:
a. Form 137 or Form 138
b. Birth Certificate
2. Submit this properly accomplished form in excel format with the attachment (mentioned above) to icts.usd@deped.gov.ph
3. Subject for this email should be: RF 11 Untagged QVRs - School Name
Ext Name
Date of Birth
Gender
School ID
School Name
School Year
Status as appeared in
Form
138 or Equivalent Document
(Please Specify)
Requesting
Personnel
email address
phone number
REMARKS
Region
Division
La Union
School Name
Sampol Private
School ID No.1
412121
Important
School ID No.2
123456
SY Validity
2016-2017
rt Division
National Helpdesk
(Request Form 10)
CURRICULAR OFFERING
CLASSIFICATION (As Approved)
Kinder
Elementary
Requesting Personnel
Contact Details
email address
phone number
Learner
Request to Update/Change th
Division
School Name
School ID
Permit No.
La Union
Sampol Private
412121 16-2548
NOTE:
SY Validity
2016-2017
include Kinder
Elementary
09)
Contact Details
Requesting Personnel
email address
phone number
Region
Division
School
School ID
teacher01
III
Bulacan
Tibagan ES
104795
Reminder:
1. Fill-up the form correctly and complete.
2. Attach this form as exel file not .jpg or screenshot.
ENROLLMENT
AS APPEAR
Grade
Section
Burgos
LRN
(Currently
Used)
125485762415
First Name
Middle Name
Landon
Carter
Last Name
Ext Name
Date of Birth
Gender
Sevilla
II
Male
Date of 1st
Attendance
(MM/DD/YYYY)
6/13/2016
Code:
1 - Pre-Kinder
2 - DOB-Kinder
3 - DOB-G1
4 - AOR
5 - NLS/TO
6 - BA
7 - Others
5-NLS/TO
m Notification/Message or Warning
Division
school id
school name
Instructions
1. Attach scanned copy of permit and screen shot as it appear in LIS and Deped Website Masterlist
2. Submit this properly accomplished form in excel format together with the attachment mentioned above to icts.usd@deped.gov.ph
3. Subject for this email should be: RF 07 Correction of Masterlist and Program Offering (your Region & Division)
As reflected in LIS
As reflected in SHS
(screen shot)
Masterlist (Deped Website)
Helpdesk
k/Program Offering (RF 07)
Coordinating Personnel
Action Requested
(1. For
Inclussion in the Masterlist,
2. Correction of Program
Offering,
3. Deletion from Masterlist
Name
Email address/Contact
Number
LIS Username
(if any)
Remark/s
Subject: Registration of Learner with Special Characters, Single Character and/or other Exemptions
Send to: icts.usd@deped.gov.ph
Note: Please attach a copy of Birth Certificate as supporting document
Currently Enrolled (Present enrollment)
Region
Division
School
USER ID:
NAME OF REQUESTING PERSONNEL:
DESIGNATION:
School ID
Grade
Section
Correct LRN
First Name
Middle Name
Last Name
Ext Name
Date of Birth
ate
REMARK
Gender
FOR PENDING M
Region
Division
School
School ID
Grade
(Provide
DIVISION
REGION
Teacher/ICT Coordinator
Name of Schoo
School Year
LRN
(Currently
Used)
Grade/Year Level
Name of School
First Name
Middle Name
Last Name
School ID
Division
AL OFFICE
ed in Birth Certificate
orrect Name
Ext Name
Date of Birth
Gender
Division
Region
Endorsed by
School Head
OTHER EXISTING
LRN
Template for Re
Division
School
USER ID:
NAME OF REQUESTING PERSONNEL:
DESIGNATION:
School ID
Grade
Section
Correct LRN
Middle Name
Last Name
Ext Name
Date of Birth
04)
ate
REMARK
Gender
Learne
Template for
Reported by
Division
School
School ID
Teacher/ICT Coordinator
Grade
Section
LRN
Name of School
(Currently
Used)
Middle Name
School ID
Last Name
Ext Name
Division
Date of Birth
Region
Code:
Gender
Region
Endorsed by
School Head
1 - No enrollment Found
2 - Update Failed
3 - Enrolment Failed
Lear
Template for R
Reported by
Division
School
School ID
Teacher/ICT Coordinator
Grade
Section
LRN
Name of School
(Currently
Used)
Middle Name
School ID
Last Name
Ext Name
Division
Date of Birth
Region
Region
Endorsed by
School Head