Definition: is a process of resolving the issues encountered by the learn

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 School ID

500339
NCR-Malabon City Tañong Integrated School
NCR-Malabon City Tañong Integrated School 500339
NCR-Malabon City Tañong Integrated School 500339
NCR-Malabon City Tañong Integrated School 500339
NCR-Malabon City Tañong Integrated School 500339
NCR-Malabon City Tañong Integrated School 500339
NCR-Malabon City Tañong Integrated School 500339
NCR-Malabon City Tañong Integrated School 500339
NCR-Malabon City Tañong Integrated School 500339
NCR-Malabon City Tañong Integrated School 500339

Teacher/ICT Coordinator
Requested by
 Requested by
Position/Designation

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:
a. Form 137/School Form 10 and/or Form 138/School For
b. Screenshot of the error or issue (if applicable)

Note for Division Planning Officer:

1. Consolidate requests by school by issue
s encountered by the learners in relation to his/her transfer.
Governance and Operations Division
quired (signed and scanned). Please use worksheet/excel format for the matrix.

ect Enrollment

Date of First Attendance LRN

Grade Section
(MM/DD/YYYY) (Currently Used)

1 Gumamela 08/22/2022 107945200048

1 Rosas 08/22/2022 136839200156

1 Sampaguita 08/22/2022 487524200021

1 Santan 08/22/2022 136826190096

08/22/2022
08/22/2022
08/22/2022
08/22/2022
08/22/2022
08/22/2022

dinator School's Email Address

mpletely

m with School Head signature

nd/or Form 138/School Form 9

ue (if applicable)

by issue
 ICTS - User Support Division
Learner Information System (LIS) and Basic Education Informatio
National Helpdesk
Transfer Related Issues (Request Form 08)

Correct Learner Personal Information

(as appeared in Birth Certificate)

First Name Middle Name Last Name

JOHN LOURHENZ ESPINA MARQUEZ

MICHAEL CLAIN SANTIAGO SANTIAGO

JOHNELLA ROSE VILLANUEVA MODINA

PRINCE KARLYNE BALDAGO

School's Contact Number School Head/System Admin Username

ser Support Division
nd Basic Education Information System (BEIS)
onal Helpdesk
d Issues (Request Form 08)

rmation
Orig
icate)

Date of Birth
Ext Name Sex Region-Division
(MM/DD/YYYY)

Male
02/13/2014 Region IV-A-Cavite
3/7/2015 Male NCR-Malabon City
06/03/2015  Female NCR-Malabon City
05/29/2014 Male NCR-Valenzuela City

Date Requested Endorsed by Signature

School Head
Endorsed by
School Head Name
 Originating School

School Name School ID Grade Section

Gen. Gregorio S. Alona,

Sr. Memorial Elementary 107945 1 MATAPAT
School
Tonsuya Elementary School 136839 1 PINYA
 Torres Pre-School House Inc. 487524 Kinder ST JOSEPH

San Miguel Heights ES 136826  Kinder DILAW

 Code

1. Joint transfer If from Closed School,

2. Transfer Dispute Transfer Out Date
3. Confirmed/Declined but still pending (MM/DD/YYYY)
4. Transfer from Closed School
5. Transfer from Philippine School Overseas If Other transfer issue,
6. Wrong tagging of Previous School please specify:
7. Others

3. Confirmed/Declined but still Pending

3. Confirmed/Declined but still Pending

3. Confirmed/Declined but still Pending
3. Confirmed/Declined but still Pending
3. Confirmed/Declined but still Pending
3. Confirmed/Declined but still Pending
3. Confirmed/Declined but still Pending
3. Confirmed/Declined but still Pending
3. Confirmed/Declined but still Pending
3. Confirmed/Declined but still Pending
1