Scribd Logo
Upload

Welcome to Scribd!

  • Pla 001

    Uploaded by

    Karissa Encabo
    5 views1 page
    Letter of Intent

    Original Title

    PLA-001

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    Letter of Intent

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    5 views1 page

    Pla 001

    Uploaded by

    Karissa Encabo
    Letter of Intent

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 1

    Republic of the Philippines

    Department of Education
    REGION II – CAGAYAN VALLEY
    SCHOOLS DIVISION OF ISABELA

    LEARNER INFORMATION (LIS) CHANGE REQUEST


    AND ISSUANCE OF LEARNER RERFENCE NUMBER (LRN) FORM

    Control Number: _____________________ Date: ___________________


    CLIENT INFORMATION CHANGE REQUEST
    Name: ____________________________________ Enrolment with Gap
    Position/Designation: ______________________ Reason/s for the gap (please specify)
    School ID: ______________________________ ____________________________________________
    School Name: _______________________________ ____________________________________________
    Contact Number: ___________________________
    E-mail Address: ____________________________ Enrolment of Ineligible
    Erroneously tagged EOSY/No Status
    ISSUANCE OF NEW LRN Correct Status: ____________________________
    Reason for the correction: ____________________
    Name of Learner:
    ____________________________________________
    ____________________________________________
    ____________________________________________
    Grade and Section: _________________________
    Reasons for not having LRN Others (please specify)
    ____________________________________________
    1. From accredited/recognized school
    ____________________________________________
    School Year last attended: ______________
    School last attended: ___________________ ____________________________________________
    _______________________________________ ____________________________________________
    2. Undergone catch-up program and assessed
    school readiness
    Result of the assessment: ________________ (For Planning Officer’s Use Only)
    _________________________________________
    Approved Disapproved
    3. From not accredited local school
    Certification/Accreditation/Equivalency Exam:
    a. PEPT Certificate No. ________________ REMARKS/ACTION TAKEN:
    b. PVT Certificate No. __________________ ____________________________________________
    ____________________________________________
    4. From foreign/Philippine school abroad ____________________________________________
    Last School Year attended: ___________________
    ____________________________________________
    Last School attended: ________________________
    _____________________________________________ ____________________________________________
    Date Acted: ________________________________
    5. From ALS
    Certification/Accreditation/Equivalency Exam:
    a. PEPT Certificate No. ________________ Received/Acted by:
    b. PVT Certificate No. __________________

    6. Others (please specify) ________________________ TIMOTEO H. BAHIWAL


    _____________________________________________ Planning Officer III

    Alibagu, City of Ilagan, Isabela 3300 https://deped-isabela.com.ph


    (078) 323-0281 (078) 323-2015 Sdo Isabela
    isabela@deped.gov.ph
    Doc Code: FM-SGO-PLA-001 Rev: 00
    As of: July 02, 2018 Page: 1

    You might also like