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    Request Form-Unenrollment of Learner

    Uploaded by

    CHESKA BEBE
    This document is a template for requesting the unenrollment of a learner from the Learner Information System. It contains fields for entering the learner's personal details like name, date of birth, gender, region, and division. It also contains fields for the school the learner is currently enrolled in including the school ID, grade, section, and school year. There is a section to provide the reason for unenrollment and spaces for the request to be endorsed by the school head including their signature. The template provides notes for correctly filling out the form and attaching required documents before submitting the request to the Division Planning Officer.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd

    Request Form-Unenrollment of Learner

    Uploaded by

    CHESKA BEBE
    36 views3 pages
    This document is a template for requesting the unenrollment of a learner from the Learner Information System. It contains fields for entering the learner's personal details like name, date of birth, gender, region, and division. It also contains fields for the school the learner is currently enrolled in including the school ID, grade, section, and school year. There is a section to provide the reason for unenrollment and spaces for the request to be endorsed by the school head including their signature. The template provides notes for correctly filling out the form and attaching required documents before submitting the request to the Division Planning Officer.

    Original Description:

    REQUEST FORM-UNENROLLMENT OF LEARNER

    Original Title

    REQUEST FORM-UNENROLLMENT OF LEARNER

    Copyright

    © © All Rights Reserved

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    This document is a template for requesting the unenrollment of a learner from the Learner Information System. It contains fields for entering the learner's personal details like name, date of birth, gender, region, and division. It also contains fields for the school the learner is currently enrolled in including the school ID, grade, section, and school year. There is a section to provide the reason for unenrollment and spaces for the request to be endorsed by the school head including their signature. The template provides notes for correctly filling out the form and attaching required documents before submitting the request to the Division Planning Officer.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    36 views3 pages

    Request Form-Unenrollment of Learner

    Uploaded by

    CHESKA BEBE
    This document is a template for requesting the unenrollment of a learner from the Learner Information System. It contains fields for entering the learner's personal details like name, date of birth, gender, region, and division. It also contains fields for the school the learner is currently enrolled in including the school ID, grade, section, and school year. There is a section to provide the reason for unenrollment and spaces for the request to be endorsed by the school head including their signature. The template provides notes for correctly filling out the form and attaching required documents before submitting the request to the Division Planning Officer.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    of 3

    ICT

    Learner Information System (L

    Template for Une

    Service Request Type : Unenrolment of Learner


    Submit to : Division Planning Officer, Schools Governance and Operations Division
    Note : Endorsement of School Head is required (signed and scanned). Please us

    Present and Correct Enrolment Learn


    Region Division School School ID Grade Section Date of First LRN
    Attendance
    (MM/DD/YYYY)
    QUEZON
    MIMAROPA PALAWAN NHS 301726 10 ROXAS 10/18/2020 111120080085

    Requested Teacher/ICT Coordinator Name of School School ID


    by QUEZON NATIONAL HIGH SCHOOL 301726
    LAARNI GRACE E. SOBERANO

    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 copies:
    a. Birth Certificate
    b. 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
    rner Information System (LIS) and Basic Education Information System (BEIS)
    National Helpdesk
    Template for Unenrollment of Learner (Request Form 15)

    nd Operations Division
    d and scanned). Please use worksheet/excel format for the matrix.

    Learner's Personal Information Unenroled


    First Name Middle Name Last Name Ext Name Date of Birth Gender Region Division
    (MM/DD/
    YYYY)

    ANTHONY IPONG CASTILLOTE 9/5/2002 MALE MIMAROPA PALAWAN

    School ID Division Region Date Endorsed by


    301726 PALAWAN MIMAROPA DECEMBER 7, 2020 School Head
    Unenroled From Reason for
    School School ID Grade Section School Year Unenrolment

    QUEZON
    NHS 301726 10 ROXAS 2020-2021 PEPT PASSER

    Endorsed by Signature
    School Head Name HAYDEE L. MADRIÑAN

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