Republic of the Philippines Department of Education Region Division
Request for Data Correction in the LIS This form shall contain a school or a division's request for data correction in the LIS. These data include learner enrollment records wherein the grade/year and/or enrollment status in previous school years were not cleaned up, hence rendered "Not Eligible" for enrollment in SY 2013; and the deactivation of duplicate LRNs. Please send this request to Mr Deo Genito at
[email protected], copy email address of your respective Division Planning Office.
LRN
First Name
Middle Name
Last Name
Birthdate
School ID & Name
Description of Data Corr Correc ecti tion on Reque Request st
Data Data to Be Corr Correc ecte ted d
Corr Correc ecti tion on To Be Done Done
For Example 123456789012
143211234567
3000 300018 1839 3995 9595 95
Jose
Jennifer
Step Stepha hani niee
Santos
Ramos
De guzm guzman an
Rizal
Reyes
Carl Carlos os
1/1/2001 123456, Kapalaran ES
5/6/2003 12 123456, Kapalaran ES
5/5/ 5/5/20 2003 03 1234 123456 56,, Kapa Kapala lara rann ES
Deactivation of LRN
123456789012
Not Eligible
Formal/SY 20122013/Grade 4 / Promoted
SY 2012-2013/Grade 4 /Rosal/ Retained
Not Not Elig Eligib ible le
Formal/SY 20122013/Grade 8 / Promoted
SY 2012-2013/Grade 6 /Rose/ Promoted
SUBMITTED BY:
NAME OF SCHOOL HEAD CP No. ________________
REMARKS (TO BE FILLED UP BY THE LIS ADMIN)
