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Schools Division Office of Isabela: Department of Education Region 02 (Cagayan Valley)

This document is an ICT technical assistance form used by the Department of Education in Region 02, Philippines. It collects information about a school's ICT issues including requests for email password resets, changes to user accounts in the LIS/EBEIS system, and troubleshooting of hardware, software or network problems with the DepED Computerization Program. The form is filled out by the school and submitted to the ICT unit for status updates, recommendations and remarks on resolving the issues.

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Myra Dacquil Alingod
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164 views

Schools Division Office of Isabela: Department of Education Region 02 (Cagayan Valley)

This document is an ICT technical assistance form used by the Department of Education in Region 02, Philippines. It collects information about a school's ICT issues including requests for email password resets, changes to user accounts in the LIS/EBEIS system, and troubleshooting of hardware, software or network problems with the DepED Computerization Program. The form is filled out by the school and submitted to the ICT unit for status updates, recommendations and remarks on resolving the issues.

Uploaded by

Myra Dacquil Alingod
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Republic of the Philippines

Department of Education
Region 02 (Cagayan Valley)
SCHOOLS DIVISION OFFICE OF ISABELA
Alibagu, City of Ilagan, Isabela 3300

ICTU-TAF-02 ICT EXTERNAL TECHNICAL ASSISTANCE (TA) FORM


CLIENT INFORMATION For DepED Email Password Creation/Reset,
School ID: ____________________________ Pls fill this up: Emp. No.: ________________
School Name: ____________________________________ First Name: ___________________________________________
District: ______________________________ Middle Name: ________________________________________
School Head: _____________________________________ Last Name: ___________________________________________
Contact No.: _________________________ DepED Email (for Reset): _____________________________
ICT Coordinator: __________________________________ Contact No.: ______________________________
Contact No.: _________________________ TIN: _________________ Birthdate: __________________
For DepED LIS/EBEIS User Acct. Mng’t. System: For Internet Connectivity Concern/Issues:
Pls fill this up: Pls fill this up:
Request for Password Reset: Request for TA-Installation:
School Head Username: __________________________ Municipality: __________________________________________
Desired Password: ______________________ Potential Provider: ____________________________________
System Admin Username: __________________________ Request for TA-Existing Subscriber:
Desired Password: ______________________ Status: ( ) Fixed ( ) Portable
Nature: ( ) Postpaid ( ) Prepaid
Request for Change of School Head:
Provider: _______________________________
Name of New School Head: ________________________
Average Spending: ____________________
TIN (New School Head): _____________________
Date of Birth: ______________________ Remarks:
_______________________________________________________
Name of Prev. School Head: ________________________
_______________________________________________________
TIN (Prev. School Head): ____________________
_______________________________________________________
Date of Birth: ______________________
DepED Computerization Program (DCP)
DCP Batch No. ________ Date of Delivery: ______________________
Part Code Hardware Software Network Others
1. Printer 4. Internal 7. OS 10. Installation 13. LAN Configuration
Number: 2. System Unit 5. Peripherals 8. Drivers 11. Update 14. Router/Cables
3. Monitor/Display 6. Connectors/Plugs/Power 9. Malware 12. Files/Data 15. Internet
ITEM DESCRIPTION PROBLEM/ISSUE SERIAL NO.
(Please identify Part Code Number) (Please specify) (Please refer to your Delivery Receipt)
FINDINGS

-----------To be filled up by ICT Unit-----------


STATUS/RECOMMENDATION/REMARKS:

( ) GOOD/RETURNED ( ) CHECK FOR AUTHORIZED SERVICE CENTER ( ) FOR REPLACEMENT ( ) UNSERVICEABLE


OTHER DETAILS:
School Head/Representative: Received/Noted by:

ORLANDO L. NICOLAS, JR.


Signature over Printed Name Information Technology Officer I
Date:_________________________ Date:_________________________

(078) 323-0281 Sdo Isabela Document Code: FM-SDS-ICT-004


(078) 323-2015 https://deped-isabela.com.ph Rev.: 00
[email protected] As of: 07-02-2018

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