Republic of the Philippines

DEPARTMENT OF EDUCATION
Region XI
Schools Division of the City of Mati
Mati North District
MATIAO NATIONAL HIGH SCHOOL
SY 2022-2023
Request for Data Correction in the LIS
Grade & Section:
Adviser:

Description of Data Correction REMARKS (TO BE FILLED UP BY THE

LRN First Name Middle Name Last Name Birthdate School ID & Name Request Data to Be Corrected Correction To Be Done LIS ADMIN)
For Example
123456789012 Jose Marie Chan Rizal 1/1/2001 123456, Kapalaran ES Correction of First name Jose Marie Josie Marie

SUBMITTED BY:

RECEIVED BY:
 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 deogracias.genito@deped.gov.ph, copy email address of your respective Division Planning Office.

Description of Data Correction REMARKS (TO BE FILLED UP BY THE

LRN First Name Middle Name Last Name Birthdate School ID & Name Request Data to Be Corrected Correction To Be Done LIS ADMIN)
For Example
123456789012 Jose Santos Rizal 1/1/2001 123456, Kapalaran ES Deactivation of LRN 123456789012
Formal/SY
2012-2013/Grade 4 / SY 2012-2013/Grade 4
143211234567 Jennifer Ramos Reyes 5/6/2003 123456, Kapalaran ES Not Eligible Promoted /Rosal/ Retained
Formal/SY
2012-2013/Grade 8 / SY 2012-2013/Grade 6
300018399595 Stephanie De guzman Carlos 5/5/2003 123456, Kapalaran ES Not Eligible Promoted /Rose/ Promoted

SUBMITTED BY:

NAME OF SCHOOL HEAD

CP No. ________________