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Republic of the Philippines

Department of Education
Caraga Region
SCHOOLS DIVISION OF SURIGAO DEL SUR

REQUEST FOR LEARNER INFORMATION SYSTEM (LIS) DATA CORRECTION


FOR SCHOOL YEAR 2021-2022

Date Requested: _____________________

School:___________________________________________ District: _______________________


Name of School Head: ___________________________ School ID: _______________________
Name of Requesting Personnel: ___________________ Contact Number: __________________
Position/ Designation: ___________________________

Please check the type of data correction(s) needed:


_____ Correction of Learner Profile _____ Correction of LRN
_____ Correction of Grade Level _____ Request for Unenrol
_____ Correction of 1st Date of Attendance for Transfer-In _____ Deactivation of LRN
_____ LRN Approval _____ Enrolment of Ineligible
_____ Enrolment of w/ Gap

Please state the nature of request.


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Date Received in the Division Planning Office: ______________
Date Resolved: ______________________

Ways to Resolve (From the Division LIS Coordinator)

Balilahan, Mabua, Tandag City, Surigao del Sur, 8300


(086) 211-3225
surigaodelsur.division@deped.gov.ph
ISO Cert. No. AW/PH909100102

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