ICTS - User Support Division

Learner Information System National Helpdesk

Template for Reporting QVRs - Public/SUCs/LUCs (Learner/s who are not Enrolled in LIS for Tagging with QVR) (Request Form 11-A)
Subject: RF 11-B Not Enrolled for Tagging of QVRs - Public/SUCs/LUCs
Send to: support.ebeis-lis@deped.gov.ph

CURRENT SCHOOL (PRESENT ENROLLMENT) LEARNER'S INFORMATION CREDENTIALS PRESENTED Contact Details CODE
Date of 1st Attendance
Personal Information as appeared in Birth Certificate Status as appeared in 1 - Multiple Records/LRNs
Requesting
Grade Track/Program (Actual Date of Learner Reference Form 138 or Equivalent Username 2 - From PSHS Remarks
Region Division School ID School Name School ID School Name School Year Personnel Email Address Phone Number
Level Offering Attendance in the Number First Name Middle Name Last Name Ext Name Date of Birth Gender Document 3 - Unenrolled
Class) (Please Specify) 4 - Others

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 support.ebeis-lis@deped.gov.ph
4. Subject for this email should be: RF 11-B Not Enrolled for Tagging of QVRs - Public/SUCs/LUCs
 ICTS - User Support Division
Learner Information System National Helpdesk
Request Form for Reporting QVRs - Public/SUCs/LUCs (Learner/s who are not tagged with QVR in LIS) (Request Form 11-A)
Subject: Untagged QVRs - Public/SUCs/LUCs
Send to: support.ebeis-lis@deped.gov.ph

CURRENT SCHOOL (PRESENT ENROLLMENT) LEARNER'S INFORMATION CREDENTIALS PRESENTED Contact Details LIS STATUS
Date of 1st Personal Information as appeared in Birth Certificate 1 - Enrolled
Status as appeared in Form Requesting
Grade Track/Program Attendance Learner Reference Username Remarks
Region Division School ID School Name School ID School Name School Year 138 or Equivalent Document Personnel Email Address Phone Number
Level Offering (* as appeared in Number First Name Middle Name Last Name Ext Name Date of Birth Gender 2 - Registered
LIS)
(Please Specify)

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 support.ebeis-lis@deped.gov.ph
4. Subject for this email should be: RF 11 Untagged QVRs - School Name
 ICTS - User Support Division
Learner Information System National Helpdesk
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
Personal Information as appeared in Birth Certificate
Status as appeared in Requesting
Date of 1st REMARKS
Grade Track/Program Learner Reference Form 138 or Personnel email address phone number
Region Division School ID School Name Attendance School ID School Name School Year
Level Offering Number First Name Middle Name Last Name Ext Name Date of Birth Gender Equivalent Document
(mm/dd/yyy)
(Please Specify)

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
 Templa
Subject: 2016 ENROLLMENT BLOCKERS
Send to: support.ebeis-lis@deped.gov.ph

PROPOSED ENROLLMENT
LIS Username
(password is not
required) School
Region Division School Grade Section
ID

404483cbd1 7 Cebu City CBD COLLEGE 404483 8 Garnet

Code/Legend for Type of Issues:

1. Pre-Kinder - Unable to enroll in KINDER due to EOSY 2015-2016 with status Retained
2. DOB- K - Unable to enroll to Kinder with date birth between June 1 - December 31, 2011
3. DOB-G1 - Unable to enroll in grade 1 with date of birth between June 1 - December 31
4. AOR - Unable to enroll in grade 2-10 due to age out of range/age not eligible.
 5. NLS/TO - Unable to enroll in grade 1-10 due to No Longer in School and Transffered O
6. BA (BALIK ARAL) - Learners who stopped schooling and enrolled next grade level afte
7. Others - Other issue (Please review available RFs from LIS Support page to request cor

Reminder:
1. Fill-up the form correctly and complete.
2. Attach this form as exel file.
3. Attach copy of Birth Certificate.
 ICTS - User Support Division
Learner Information System National Helpdesk
Template for Reporting Enrolment Blocker (Preventing Learner to Register/Enrol in LIS) (Reques

AS APPEARED IN LIS MASTERLIST

LRN
First Name Middle Name Last Name Ext Name
(Currently Used)

303920140055 Rafael Patangan Cardozo

6 with status Retained, Dropped out and Transferred out.

- December 31, 2011
June 1 - December 31, 2010.
not eligible.
 ool and Transffered Out EOSY Status.
d next grade level after a year or more (No Balik Aral as reason for enrollment).
ort page to request correction for issues not covered of this RF 8)
esk
r/Enrol in LIS) (Request Form 08)

Code:
S MASTERLIST
1 - Pre-Kinder
Date of 1st 2 - DOB-Kinder
Mother's Attendance 3 - DOB-G1
4 - AOR
Date of Birth Gender Maiden (MM/DD/YYYY) 5 - NLS/TO
Name 6 - BA
7 - Others

Julie
4/4/2002 Male Jauculan 6/18/2018 5-NLS/TO
Patangan
System Notification/Message or Warning

Form Validation Failed. Learner cannot be

enrolled in same Grade Level because he was
promoted in the previous school instead he
was Dropped Out.