Republic of the Philippines

Department of Education
Region VI – Western Visayas
Division of Capiz
FELIX BALGOS NATIONAL HIGH SCHOOL
Agbalo Panay, Capiz

ADVISER’S SCHOOL FORMS CHECKING REPORT

S.Y.- 2018-2019

GRADE & SECTION: 11-AMETHYSTU NO. OF ENROLLEMNT: MALE: 26

ADVISER : MARY CHARMINE GRACE O. BANIAGO FEMALE: 13

DATE CHECKED/ EXAMINED/REVIEWED: _________________ TOTAL: 39

A. LEARNERS’ RECORDS EXAMINED/REVIEWED

No. of Learners’ examined/reviewed: Male 26

Female 13
Total 39

No. of Learners with inconsistency or

Incomplete supporting documents Male 10
Female 3
Total 13

B. LERANERS’ RECORDS WITH INCONSISTENSIES/ERRORS

No. of Records with incomplete supporting documents: Male 10

Female 3
Total 13

NAME OF STUDENT NAME OF INCOMPLTE REASON FOR INCOMPLETE

DOCUMENTS DOCUMENTS
Bacero, Ereneo Jr. B. Elementary Form 137
Bacero, Rey Ann Elementary and JHS Form 137, PSA
Live Birth
Bitoon, Sandy PSA Live Birth
Blancaflor, Rechie PSA Live Birth
Bulao, Ike Vincent Elementary Form 137
Cerelos, Leo Andrew Elementary Form 137
Dadula, Jefferson Elementary Form 137, PSA Live
Birth
Deldacan, Jheovenne PSA Live Birth
Phaule
Lumio, Christian Ed PSA Live Birth
Dumalag, Andre Only Photocopy of Livebirth
submitted
Iwayan, Cindy PSA Live Birth
Vilariez, Remielyn Elementary and JHS Form 137, PSA
Live Birth
Golbiogo, Ella Paula No Documents submitted
 No. of Records with inconsistency or errors: Male : ______________
Female : ______________
Total : ______________

NAME OF STUDENTS NATURE OF INCONSISTENCY OR ERROR

C. FOR TRANSFERRED IN/MOVED IN WITH SF 10/FORM 137

NAME OF STUDENTS DATE DATED SF 10/ FORM 137 RECEIVIED

TRANSFERRED MOVED IN
IN IN 30 DAYS BEYOND 30
DAYS

D. FOR TRANSFERRED IN/MOVED IN WITHOUT SF 10/FORM 137

NAME OF STUDENTS DATE DATED LRN ORIGINATING SCHOOL

TRANSFERRED MOVED NUMBER
IN IN

E. FOR TRANSFERRED OUT/ MOVED OUT

NAME OF STUDENTS DATE TRANSFERRED OUT REASON

Prepared by:

MARY CHARMINE GRACE O. BANIAGO

Adviser

Checked/Examined/Reviewed

JENIFER B. ANDRADE
SHS Coordinator

MARIJUL G. BALGOS RICKY B. AZARCON

Teacher III Master Teacher I