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
7 AMIABILITY MEDADO V. SALCEDO 26 8 34

Table 2. For Record with Inconsistency/ies or Error

Nature of Error
(Put check)
Gender
(M/F)
# Name of Learner DCC Observation/Comment or technical assistance provid
With
Incomplete With Inconsistency/
Supporting error
Documents

1 M AMANTE, CHRISTIAN
2 M AMARGA, JECEL
3 M AMARGA, JOEBERT
4 M ARTIAGA, CLENTON
5 M AUMENTAR, DJ
6 M BACULIO, JOHN(Gaid)
7 M BARONTOY, RICA JONES
8 M BARRO, JOMARI
9 M BATAHOY, JAN CHRISTOPHER
10 M BATAHOY, NOEL MAR
11 M BULAGAO, BANJO
12 M CABASAN, JOYARIB
13 M CAMBAYA, REYNANTE
14 M COLE, JR
15 M DABLO, MARK JOEL
16 M DADOLE, CHRISTIAN DAVE
17 M DADOLE, IAN DAVE
18 M FRANCISCO, KYLE
19 M JARALVE, JUSTEN
20 M MACABALE, RHEN DAN
21 M TACBOBO, JADE
22 M TACBOBO, JOESER
23 M TAGANAS, JR
24 M TANOY, JREBEKHEM
25 M TAPIC, VIANJEZZ
26 M UBANAN, RONITO
27 M VILLAROZA, REYHAN
1 F AMARGA, J-ROSE
2 F ARTIAGA, CLAUDINE
3 F CABANILLA, KETH ALYZA
4 F CABIGQUEZ, MAE
5 F CANOY, LORENCIA
6 F OMBLERO, JOLANI
7 F RATUNIL, CHAYVEN RIEH
8 F SAWIN-AY, JUDITH
Table 3. For Transferred In/Moved In
Transfer of SF10/Form 137 (DO 54, s. 2016)

Without SF10/Form 137

(Do not include
with SF-10/F137
Gender PEPT/PVT or ALS-A&E Certicate
# Name of Learner (put check) DCC Observation/Comment or technical a
(M/F) holders)
(put check)
From Public
Received Received beyond 30 From Private School and
w/in 30 days days School SUC/LUC

1 M
AMANTE, CHRISTIAN
2 M
AMARGA, JECEL
3 M
AMARGA, JOEBERT
4 M
ARTIAGA, CLENTON
5 M
AUMENTAR, DJ
6 M
BACULIO, JOHN
7 M
BARONTOY, RICA JONES
8 M
BARRO, JOMARI
9 M
BATAHOY, JAN CHRISTOPHER
10 M
BATAHOY, NOEL MAR
11 M
BULAGAO, BANJO
12 M
CABASAN, JOYARIB
13 M
CAMBAYA, REYNANTE
14 M
COLE, JR
15 M
DABLO, MARK JOEL
16 M
DADOLE, CHRISTIAN DAVE
17 M
DADOLE, IAN DAVE
18 M
FRANCISCO, KYLE
19 M
JARALVE, JUSTEN
20 M
MACABALE, RHEN DAN
21 M
TACBOBO, JADE
22 M
TACBOBO, JOESER
23 M
TAGANAS, JR
24 M
TANOY, JERBEKHEM
25 M
TAPIC, VIANJEZZ
26 M
UBANAN, RONITO
27 M
VILLAROZA, REYHAN
1 F
AMARGA, J-N-ROSE
2 F
ARTIAGA, CLAUDINE
3 F
CABANILLA, KETH ALYZA
4 F
CABIGQUEZ, MAE
5 F
CANOY, LORENCIA
6 F
OMBLERO, JOLANI
7 F
RATUNIL, CHAYVEN RIEH
 8 F
SAWIN-AY, JUDITH

Table 4. For Transferred In/Moved In Learners without Form 137

# Gender (M/F) LRN Name of Learner Name of Originating School

1
2
3
4
5
6
7
8
9
10
Type of Checking Committee: __✓__ School Checking Committee (SCC) _____ Division Checking Committee (DCC)

RICKY D. LANGALA PAUL HARLEY A. SACABIN SEAN ANTHONY GENOVIA CELSO S. BURAY
Chairperson Co-Chairs Member Member

Noted by: NANETTE M. TEDLOS 01/29/2020

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 on
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.
ncomplete Supporting
nt (B) * % Accuracy
{(A-B)/A}x100%
Total

or technical assistance provided

ation/Comment or technical assisstnce provided
 School ID Division/ Region

MEDADO V. SALCEDO
Member

covers Table 1 and Table 2 only)