RF 15 (Unenrolment of Learner)

Download as xlsx, pdf, or txt
Download as xlsx, pdf, or txt
You are on page 1of 1

ICTS - User Support Division

Learner Information System (LIS) and Basic Education Information System (BEIS)
National Helpdesk
Template for Unenrollment of Learner (Request Form 15)

Service Request Type : Unenrolment of Learner


Submit to : Division Planning Officer, Schools Governance and Operations Division
Note : Endorsement of School Head is required (signed and scanned). Please use worksheet/excel format for the matrix.

Present and Correct Enrolment Learner's Personal Information Unenroled From Reason for
Region Division School School ID Grade Section Date of First LRN First Name Middle Name Last Name Ext Name Date of Birth Gender Region Division School School ID Grade Section School Year Unenrolment
Attendance (MM/DD/YY
(MM/DD/YYYY YY)
)
Multiple Enrolment in the
V Masbate San Jacinto NHS 302167 7 Magalang 3/6/2019 113900130151 JANNELLE ALBACITE BIO 09/28/2007 Female V Masbate San Jacinto NHS 302167 7 Magalang 2019-2020
Grade and Section.

Requested Teacher/ICT Coordinator Name of School School ID Division Region Date Signature
Endorsed by
by SAN JACINTO NHS 302167
EMMANUEL M. DADO MASBATE V 04/16/2020 School Head Name MARIVIC C. CONSTANTINO

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 signature
4. Attach the following copies:
a. Birth Certificate
b. Form 137 and/or Form 138

Note for Division Planning Officer:


1. Consolidate requests by school by issue
2. Submit to Regional Planning Officer for encoding in the online form

You might also like