ICTS - User Support Division

Learner Information System (LIS) and Basic Education Information System (BEIS)
National Helpdesk
Transfer Related Issues (Request Form 08)

Definition: is a process of resolving the issues encountered by the learners in relation to his/her transfer.
Submit to: Division Planning Officer, Schools Governance and Operations Division
Note: Endorsement of School Head is required (signed and scanned). Please use worksheet/excel format for the matrix.

Correct Learner Personal Information Code

Present and Correct Enrollment Originating School
(as appeared in Birth Certificate)
1. Joint transfer
2. Transfer Dispute
3. Confirmed/Declined but still pending
4. Transfer from Closed School
Date of First Attendance LRN Date of Birth
Region-Division School Name School ID Grade Section First Name Middle Name Last Name Ext Name Sex Region-Division School Name School ID Grade Section 5. Transfer from Philippine School Overseas
(MM/DD/YYYY) (Currently Used) (MM/DD/YYYY)
6. Wrong tagging of Previous School
7. Others

MARTHA ACADEMY
DON JOSE ELEMENTARY 108474 K ATIS - PM February 01, 2023 410116220006 BEATRIX IVY NAVARRO NODA January 10, 2017 Female MULTILINGUAL 410116 K SAINT RITA 4. Transfer from Closed School
Region IV-A-Sta. Rosa City SCHOOL Region IV-A-Binan City PRESCHOOL INC.
DON JOSE ELEMENTARY Capoocan Elementary
108474 Grade 1 CAMIA August 22, 2023 124007200041 ANICA MAE PAÑA CASAS November 12, 2013 Female 124007 K AFTERNOON 3. Confirmed/Declined but still Pending
Region IV-A-Sta. Rosa City SCHOOL Region VIII-Calbayog City School

Teacher/ICT Coordinator School's Email Address School's Contact Number School Head/System Admin Username Date Requested Endorsed by Signature
Requested by
MARLON C. DUKA djes.santarosa@deped.gov.ph 9770366075 starsky.buitizon / m_c_duka 05/24/2023 School Head Name BUITIZON,STARSKY
Position/Designation Teacher I / ICT Coordinator

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/School Form 10 and/or Form 138/School Form 9
b. Screenshot of the error or issue (if applicable)

Note for Division Planning Officer:

1. Consolidate requests by school by issue
TS - User Support Division
(LIS) and Basic Education Information System (BEIS)
National Helpdesk
Related Issues (Request Form 08)

If from Closed School,

Transfer Out Date
(MM/DD/YYYY)

If Other transfer issue,

please specify:

1/25/2023