Report Code: SFCR (DO # 11, s.
2018)
                                                                School Forms Checking Report (SFCR)
Table 1. Learners Record Examined/Reviewed
                                                                                                                       No. With Incosistency or incomplete Supporting
Grade                                                                 Number of Examined/Reviewed (A)
                  Section                   Name ofAdviser                                                                              document (B)
Level
                                                                  Male             Female            Total              Male              Female               Total
Table 2. For Record with Inconsistency/ies or Error
                                                              Nature of Error
                                                                                (Put check)
         Gender
          (M/F)
   #                                        Name of Learner       With                                            DCC Observation/Comment or technical assistance provided
                                                               Incomplete With Inconsistency/
                                                               Supporting             error
                                                               Documents
   1
   2
   3
   4
   5
   6
Table 3. For Transferred In/Moved In
                                                                          Transfer of SF10/Form 137 (DO 54, s. 2016)
                                                                                                                                    DCC Observation/Comment or technical assisstnce provided
                                                                                                 Without SF10/Form 137
                                                                                                              (Do not include
                                                              with SF-10/F137
         Gender                                                                                  PEPT/PVT or ALS-A&E Certicate
   #                                        Name of Learner               (put check)
                   (M/F)                                                                          holders)
                                                                                                           (put check)
                                                                                                                  From Public
                                                              Received w/in Received beyond 30    From Private
                                                                                                                  School and
                                                                 30 days           days              School
                                                                                                                   SUC/LUC
   1
   2
Table 4. For Transferred In/Moved In Learners without Form 137
   #          Gender (M/F)                        LRN                                     Name of Learner                          Name of Originating School            School ID
   1
   2
   3
   4
Type of Checking Committee:      __✓__ School Checking Committee (SCC)                  _____ Division Checking Committee (DCC)
Chairperson                                       Co-Chairs                                          Member                                 Member                                   Member
Noted by:
                                  School Head                                          Date of Checking of Forms
* Accuracy level refers to the total no. consistent or with complete supporting documents over total records examined or reviewed x 100%. (Computation covers Table 1 and Table 2 only)
1. For Table 1 and Table 2, do not include learners who transferred from private school with pending transfer of form 137 or SF10
2. Table 2 is a breakdown in the data of column 7, 8, 9 of table 1.
3. For Table 3, include all issues of transfers including those learners with pending transfer of form 137 from private school.
It is the breakdown of table 3 in SFCR to be accomplished by the School Head.
4. For Table 4, list of all learners with pending transfer of SF10 (form 137) both from public and private schools with reference to table 3.
5. Add additional rows if needed in table 3 and 4.
                           Annex 1a
               * % Accuracy
                    {(A-B)/A}x100%
ssistance provided
ent or technical assisstnce provided
                  Division/ Region
             Member
d Table 2 only)
Report Code: SFCR2                                                                                                                                                                                                      Annex 1b
                                                                                    SCHOOL FORMS CHECKING REPORT
Table 1. Learners Record Examined/Reviewed
                                                                                                                                                   No. with Inconsistency or Incomplete Supporting
                                                                                                                  Number of Examined/Reviewed*                                                       ** % Accuracy
         School Name              School ID                Name of School Head   Date Completed                                                                      document (B)
                                                                                                                                                                                                           {(A-B)/A}x100%
                                                                                                            Male          Female           Total     Male            Female              Total
BANTILAN ES                           137003                CECILLE J. ALONER               5/23/2024        25              23             48         2                0                  2                                95.83%
BIGNAY I ES                           109173           CARMELITA C. CETENO                  5/23/2024       155             150            305         0                0                  0                            100.00%
BIGNAY 2 ES                           109174               JEAN LARA D. CARAIG              5/23/2024        18              11             29         0                0                  0                            100.00%
BOGON ES                              109175               MARVIN A. DE ALDAY               5/23/2024        58              58            116         1                0                  1                                99.14%
CON. BANAHAW ES                       109176        EVANGELINE B.DALAWAMPO                  5/23/2024       105              90            195         0                0                  0                            100.00%
CON.IBABA ES                          109177               ARLINA I. LAGRAZON               5/23/2024       178             173            351         0                0                  0                            100.00%
CON. PINAGBAKURAN ES                  109178               ARNEL I. TINAMISAN               5/23/2024        90              83            173         0                0                  0                            100.00%
EMILIANO GALA ES                      109179                JOEL P. DE ROXAS                5/23/2024       107             103            210         0                0                  0                            100.00%
GOV. NATALIO AND SUSANA EN            109190               MA. TERESA A. ASOY               5/23/2024       124             129            253         0                0                  0                            100.00%
GUISGUIS TALON MAIN ES                109180     MARIA TERESA AUREA F. VICENTE              5/23/2024        32              42             74         0                0                  0                            100.00%
JANAGDONG I ES                        109182           CLARISSA D. ABANILLA                 5/23/2024       116              88            204         0                0                  0                            100.00%
JANAGDONG 2 ES                        109183         GERARDO V. SANGGALANG                  5/23/2024        75              71            146         0                0                  0                            100.00%
KILING ES                             109184               ALICIA P. MERCADO                5/23/2024        15              15             30         0                0                  0                            100.00%
LUTGARDA CAUSAPIN ES                  109181               FLORENDA C. ARCEO                5/23/2024       107              93            200         0                0                  0                            100.00%
LUTUCAN BATA ES                       109185                MAILYN M. FLORES                5/23/2024       104             101            205         0                1                  1                                99.51%
LUTUCAN CENTRAL ES                    109186                VILMA P. QUEDILIG               5/23/2024       132             126            258         0                1                  1                                99.61%
LUTUCAN I ES                          165005           ARLENE R. DINGLASAN                  5/23/2024       129             129            258         0                0                  0                            100.00%
MANGGALANG I ES                       109187               GERARDO C. ALILING               5/23/2024       106             103            209         1                1                  2                                99.04%
MONTECILLO ES                         109188           MA. LILIBETH V. LUCES                5/23/2024        83              94            177         0                0                  0                            100.00%
SAMPALOC I ES                         109189        EVANGELINE C. RUBIO, PHD                5/23/2024        82              60            142         0                0                  0                            100.00%
SAN ROQUE ES                          109191                MERAFE E. ALUAN                 5/23/2024        67              84            151         0                0                  0                            100.00%
STO. CRISTO ES                        109192          REYNALDO D. LUCES JR.                 5/23/2024       206             183            389         1                0                  1                                99.74%
TULO-TULO ES                          109193                MYLENE C.LAYLO                  5/23/2024       179             175            354         2                4                  6                                98.31%
                                                                                      School Total          2293            2184           4477        7                7                 14                                99.69%
Table 2. Learner Records with Inconsistency/ies or Error
                                                                                      No. of Records per Nature of Error*                          DCC Observation/Comment or Technical Assistance provided
         School Name              School ID                Name of School Head
                                                                                 With Incomplete             With
                                                                                   Supporting           Inconsistency      Total
                                                                                   Documents                /Error
BANTILAN ES                           137003                CECILLE J. ALONER           2                    0               2
BIGNAY I ES                           109173           CARMELITA C. CETENO              0                    0               0
BIGNAY 2 ES                           109174               JEAN LARA D. CARAIG          0                    0               0
BOGON ES                              109175               MARVIN A. DE ALDAY           0                    1               1
CON. BANAHAW ES                       109176        EVANGELINE B.DALAWAMPO              1                    1               2
CON.IBABA ES                          109177               ARLINA I. LAGRAZON           0                    0               0
CON. PINAGBAKURAN ES                  109178               ARNEL I. TINAMISAN           2                    1               3
EMILIANO GALA ES                      109179                JOEL P. DE ROXAS            0                    0               0
GOV. NATALIO AND SUSANA EN            109190               MA. TERESA A. ASOY           0                    0               0
GUISGUIS TALON MAIN ES                 109180    MARIA TERESA AUREA F. VICENTE           0         0              0
JANAGDONG I ES                         109182        CLARISSA D. ABANILLA                0         0              0
JANAGDONG 2 ES                         109183      GERARDO V. SANGGALANG                 0         0              0
KILING ES                              109184          ALICIA P. MERCADO                 0         0              0
LUTGARDA CAUSAPIN ES                   109181         FLORENDA C. ARCEO                  4         0              4
LUTUCAN BATA ES                        109185          MAILYN M. FLORES                  0         1              1
LUTUCAN CENTRAL ES                     109186          VILMA P. QUEDILIG                 0         1              1
LUTUCAN I ES                           165005        ARLENE R. DINGLASAN                 0         0              0
MANGGALANG I ES                        109187         GERARDO C. ALILING                 1         1              2
MONTECILLO ES                          109188        MA. LILIBETH V. LUCES               0         0              0
SAMPALOC I ES                          109189      EVANGELINE C. RUBIO, PHD              0         0              0
SAN ROQUE ES                           109191          MERAFE E. ALUAN                   0         0              0
STO. CRISTO ES                         109192        REYNALDO D. LUCES JR.               1         0              1
TULO-TULO ES                           109193           MYLENE C.LAYLO                   0         6              6
                                         TOTAL                                           11        12             23
Table 3. For Transferred In/Moved In
                                                                                                           Transfer of SF10 (formerly Form 137)
                                                                                                                                                                DCC Observation/ Comment or Technical Assistance Provided
                                                                                                                              Without SF10/F137***   (For
                                                                                                    With SF10/F137
                                                                                                                                 Temporarily Enrolled)
         School Name              School ID                   Name of School Head
                                                                                                                                                  From Public
                                                                                              Received w/in    Received
                                                                                                                           From Private School    School and
                                                                                                30 days     beyond 30 days
                                                                                                                                                   SUC/LUC
BANTILAN ES                     137003                         CECILLE J. ALONER                   8              9                 0                 0
BIGNAY I ES                     109173                       CARMELITA C. CETENO                   2              1                 0                 0
BIGNAY 2 ES                     109174                        JEAN LARA D. CARAIG                  5              3                 0                 0
BOGON ES                        109175                        MARVIN A. DE ALDAY                   0              3                 0                 0
CON. BANAHAW ES                 109176                     EVANGELINE B. DALAWAMPO                 8              0                 0                 0
CON.IBABA ES                    109177                         ARLINA I. LAGRAZON                  7              8                 0                 0
CON. PINAGBAKURAN ES            109178                         ARNEL I. TINAMISAN                  2              2                 0                 1
EMILIANO GALA ES                109179                         JOEL P. DE ROXAS                    5              7                 0                 0
GOV. NATALIO AND SUSANA EN 109190                             MA. TERESA A. ASOY                   2              11                0                 0
GUISGUIS TALON MAIN ES          109180                   MARIA TERESA AUREA F. VICENTE             0              8                 0                 0
JANAGDONG I ES                  109182                        CLARISSA D. ABANILLA                 3              2                 0                 0
JANAGDONG 2 ES                  109183                      GERARDO V. SANGGALANG                  1              7                 0                 1
KILING ES                       109184                         ALICIA P. MERCADO                   4              9                 0                 0
LUTGARDA CAUSAPIN ES            109181                        FLORENDA C. ARCEO                    1              11                1                 0
LUTUCAN BATA ES                 109185                         MAILYN M. FLORES                    18             2                 0                 0
LUTUCAN CENTRAL ES              109186                         VILMA P. QUEDILIG                   1              3                 1                 0
LUTUCAN I ES                    165005                        ARLENE R. DINGLASAN                  0              15                0                 0
MANGGALANG I ES                 109187                        GERARDO C. ALILING                   4              6                 0                 0
MONTECILLO ES                   109188                        MA. LILIBETH V. LUCES                4              2                 0                 0
SAMPALOC I ES                   109189                     EVANGELINE C. RUBIO, PHD                2              8                 0                 0
SAN ROQUE ES                    109191                          MERAFE E. ALUAN                    6              1                 0                 0
STO. CRISTO ES                  109192                       REYNALDO D. LUCES JR.                 3              3                 0                 0
TULO-TULO ES                    109193                          MYLENE C.LAYLO                     14             8                 0                 22
                                                                  TOTAL                           100            129                2                 24
Table 4. For Transferred In/Moved In Learners without SF10 (formerly Form 137)
                        School Name                                      School ID                       LRN                    Name of Learner                                  Name of Originating School   School ID           Division/ Region
                     LUTUCAN BATA ES                           109185                               136632210724                SALAMERO, ABIGAIL FLORENDO                    AMPARO ELEMENTARY SCHOOL              136632
                                                                                                                                                                                                                             CALOOCAN/NCR
                                                                                                                                                                                 ST. JOSEPH ACADEMY OF
                  LUTUCAN CENTRAL ES                                                   109186       402815170019                     YOME, ALESSAH MAE B.                                                           402815
                                                                                                                                                                                     SARIAYA QUEZON                          SARIAYA, QUEZON
                CONCEPCION PINAGBAKURAN ES                                              109178     112575210014                         NATHALIE TORZAR                             BAGONG SILANG ES          112575         CAMARINES SUR/REGION V
                              Type of Checking Committee:       ____ School Checking Committee (SCC)                       ___/__ Division Checking Committee (DCC)
                                                                                                 All fields below are solely for the use of the Division Checking Committee
Prepared by:
LORENA S. WALANGSUMBAT-CID CHIEF                               ELIZABETH M. DE VILLA-SGOD CHIEF                                         JOAN ALEJAIDA R. MAUHAY-EPS OSCAR G. DUMA JR. - SEPS (PAR)              MARBIN JERAMIL D. FRAGATA-DPO
               Chair                                                  Vice Chairs                                                                 Member                       Member                                      Member
Verified by:
                                                 MA. LOURDES C. CABANAG                                                                                    5/24/2024
                                                      Vice Chair (PSDS)                                                                            Date Completed (District Level)
*Do not include Temporily Enrolled Learners as defined in DepEd Order No. 3, s. 2018.
** %Accuracy refers to the percentage of correct/consistent records over total records examined or reviewed.
***Do not include PEPT/PVT or ALS-A&E Certificate holders