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ICTS - User Support Division
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Learner Information System (LIS) and Basic Education Information System (BEIS)
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National Helpdesk
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Incident Report
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Definition:
is a process of resolving issues that does not fall into any Request Forms
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Submit to:Division Planning Officer, Schools Governance and Operations Division
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Note:Endorsement of School Head is required (signed and scanned). Please use worksheet/excel format for the matrix.
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Details of Affected DataSchool Class CalendarCode
1. Elementary
2. Secondary
3. SHS 1st Sem
4. SHS 2nd Sem		Description of Issue
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Region-DivisionSchool NameSchool IDLRNFirst NameMiddle NameLast NameExt NameDate of Birth
(MM/DD/YYYY)		SexMother's Maiden NameStart Date
(MM/DD/YYYY)		End Date
(MM/DD/YYYY)
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Requested byTeacher/ICT CoordinatorSchool's Email AddressSchool's Contact NumberSchool Head/System Admin UsernameDate RequestedEndorsed by
School Head		Signature
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Name
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Position/Designation
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Note for School:
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1. Fill-up all the applicable information correctly
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2. Attach this form as Excel file.
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3. Attach a scanned copy of the form with School Head signature
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4. Attach the following copies, if applicable:
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a. Birth Certificate
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b. Form 137/School Form 10 and/or Form 138/School Form 9
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5. If system error, provide screenshot
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Note for Division Planning Officer:
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1. Consolidate requests by school by issue
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