Learner Information
Template for
Service Request Type : Correcting Transfer Related Issues
Submit to : Division Planning Officer, Schools Governance and Operations D
Note : Endorsement of School Head is required (signed and scanned).
Present Enrolment (Receiving School) A
Region Division School School ID Grade Section Date of First
Attendance
(MM/DD/
YYYY)
X BUKIDNON KIBENTON I 500679 6 ARISTOTLE 07/30/2024
Reported by Teacher/ICT Coordinator Name of School
JOLIE MHAY N. NAQUILA KIBENTON INTEGRATED SCHOOL
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 signature
4. Attach the following:
a. Form 137 and/or Form 138
Note for Division Planning Officer:
1. Consolidate requests by school by issue
2. Submit to Regional Planning Officer for encoding in the online form
ICTS - User Support Division
Learner Information System (LIS) and Basic Education Information System (BEIS)
National Helpdesk
Template for Reporting Transfer Related Errors (Request Form 13)
s Governance and Operations Division
equired (signed and scanned). Please use worksheet/excel format for the matrix.
Affected Learner's Details Previous En
LRN First Name Middle Last Name Ext Name Date of Birth Gender Region
Name (MM/DD/
YYYY)
#FMT KIVEN ALEJANDRO BUTALID 04/30/2013 MALE XI
of School School ID Division Region Date
EGRATED SCHOOL 500679 BUKIDNON X 04/14/2025
Previous Enrolment (Originating School) Remarks
(Transfer Error)
Division School School ID Grade Section
DAVAO OCCI CADAATAN E 129106 5A MISTAKENLY ENROLLED DUE TO SAME LAST NAME
Date Signature
Endorsed by
04/14/2025 School Head Name JOLIE MHAY NAQUILA
E TO SAME LAST NAME
