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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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Unenrollment of Learner (Request Form 09)
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Definition:is a process of removing ineligible learners from the masterlist.
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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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Present and Correct EnrollmentLearner's Personal InformationUnenrolled FromReason for Unenrollment

1. Incorrect Grade Level (SHS)
2. 1st Sem Declined
3. Multiple Enrollment
4. Mistakenly Enrolled
5. No Appearance Since BOSY
6. System Error
7. PEPT/ALS Passer
8.Tagging of Temporary Enrollment
9. Others		If Others, please specify:
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Region-DivisionSchool NameSchool IDGradeSectionDate of First Attendance
(MM/DD/YYYY)		LRNFirst NameMiddle NameLast NameExt NameDate of Birth (MM/DD/YYYY)SexRegion-DivisionSchool NameSchool IDGradeSectionSchool YearFor SHS
(Semester)
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Requested byTeacher/ICT CoordinatorSchool's Email AddressSchool's Contact NumberSchool Head/System Admin Username
Date Requested
Endorsed 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 the form correctly and completely
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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:
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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. Encode the correct codes
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6. 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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