Republic of the Philippines Document Code:

Department of Education SDO-KAL-OSDS-ICT-GQF-07

Cordillera Administrative Region Revision: 00
SCHOOLS DIVISION OF KALINGA Effectivity date: 09-03-2018

TECHNICAL ASSISTANCE FORM

Name of Office: ICTS

Date: School ID: Control No.:

TAR- __ __ __ __ - 2018
Division/Unit/District: School Name:

First Name Middle Initial Last Name User Account (DepEd Email, LIS, EBEIS, EHRIS, etc.)

Nature of Request:
________ Software Installation ________ Hardware Assessment/ Repair
________Internet/ Network Problem ________ LIS Technical Support
________Request for Inspection ________ EBEIS Technical Support
________Software/ Hardware Specification
________Others: pls. Specify ___________________________________________
___________________________________________________________

Action Taken:

-- -- -- -- -- -- -- -- -- -- -- -- -- --

Action Taken:
___ Account Created ____ Password Reset ____ Account/Role Modification

Account Name: ____________________________________ New Password: ___________________________

Issued by:

MICHELLE E. ALAGOY
Information Technology Officer 1