Definition: is a process of removing ineligible learners from the masterlis
Submit to: Division Planning Officer, Schools Governance and Operatio
Note: Endorsement of School Head is required (signed and scanne
Present and Correct Enrollment
Region-Division School Name / CLC Name School ID
Region IV-A-Batangas Nasugbu West Central School 107512
Teacher/ICT Coordinator
Requested by
PERPETUA MAE S. SABAREZA
Position/Designation Teacher/ICT Coordinator
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 signa
4. Attach the following copies:
a. Birth Certificate
b. Form 137/School Form 10 and/or Form 138/School For
5. Encode the correct codes
6. If system error, provide screenshot
Note for Division Planning Officer:
1. Consolidate requests by school by issue
ners from the masterlist.
ernance and Operations Division
d (signed and scanned). Please use worksheet/excel format for the matrix.
t Enrollment
Grade Section Date of First Attendance LRN
(MM/DD/YYYY)
2 ilang-ilang July 29, 2024 107512220345
nator School's Email Address
111990@deped.gov.ph
tely
ith School Head signature
Form 138/School Form 9
sue
ICTS - User Support Division
Learner Information System (LIS) and Basic Education In
National Helpdesk
Unenrollment of Learner (Request For
Learner's Personal Information
First Name Middle Name Last Name
James Ivan Villafranca Borromeo
School's Contact Number School Head/System Admin Username
9354192475 JENNELYN O. BONZO
TS - User Support Division
LIS) and Basic Education Information System (BEIS)
National Helpdesk
ent of Learner (Request Form 09)
ion
Ext Name Date of Birth Sex Region-Division
(MM/DD/YYYY)
n/a October 23, 2016 Male Region V-Albay
Date Requested Endorsed by Signature
10/31/2024 School Head Name JENNELYN O. BONZO
Unenrolled From
School Name / CLC Name School ID Grade Section School Year
MAYSUA ELEMENTARY SCHO 111990 5 DIAMOND 2024-2025
NZO
Reason for Unenrollment
1. Incorrect Grade Level (SHS)
2. 1st Sem Declined
3. Multiple Enrollment
4. Mistakenly Enrolled
5. No Appearance Since BOSY If Others, please
Semester 6. System Error specify:
7. PEPT/ALS Passer
(For SHS only) 8.Tagging of Temporary Enrollment
9. Others
