Report Code: SFCR1 Annex 1a

SCHOOL FORMS CHECKING REPORT

DISTRICT
SCHOOL NAME: CABASAGAN ELEMENTARY SCHOOL SCHOOL ID 129198 BOSTON
:

Table 1. Learner Records Examined/Reviewed

No. with Inconsistency or Incomplete
Grade No. of Examined/Reviewed* % Accuracy**
Section Name of Adviser Date Checked Supporting Documents
Level
Male Female Total Male Female Total
 Kinder  Luna  Chippy O. Acdog 3-15-2019  12 17  29   0 0  0   100%
 I  Mabini  Adelina C. Reyes 3-15-2019  16 16  32   0 0  0   100%
II Burgos Mercedes B. Dante 3-15-2019 18 7 25 0 0 0 100%
III Bonifacio Levina L. Ombogan 3-15-2019 18 16 34 0 0 0 100%
IV Rizal Lita A. Dunan 3-18-2019 21 14 35 0 0 0 100%
V Gomez Mayveln C. Gumera 3-19-2019 18 25 43 1 1 2 98%
 VI  Zamora  Robert M. Medilo 3-15-2019  11 15  26   2 1   3  88%
                   
                   

School Total 114 110 224 3 2 5 98%

Table 2. Learner Records with Inconsistency/ies or Errors

No. of Records per Nature of Error* SCC Observation/Comment or Technical
Grade Assistance Provided
Section Name of Adviser With Incomplete With
Level Total
Supporting Documents Inconsistency/Error

V GOMEZ MAYVELYN C. GUMERA 1 1 2

VI ZAMORA ROBERT M. MEDILO 1 2 3

 WAITING FOR THE APPROVAL OF THE NATIONAL

            FOR MERGING LRN.
           

           
           
           
*Do not include Temporarily 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.
Report Code: SFCR1 Annex 1a

Table 3. For Transferred In/Moved In

Transfer of SF10 (formerly Form 137)
SCC Observation/Comment or Technical
Without SF10***
Grade With SF10 Assistance Provided
Section Name of Adviser (For Temporarily Enrolled)
Level
Received w/in Received beyond From Private From Public
30 days 30 days School School/SUC/LUC
I MABINI ADELINA C. REYES 4
II BURGOS MERCEDES B. DANTE 1
REQUESTED AND WAITING FOR THE
III BONIFACIO LEVINA L. OMBAOGAN 2
COMING OF THE DOCUMENTS
IV RIZAL LITA A. DUNAN 2
V BURGOZ MAYVELYN C. GUMERA 2 1
VI ZAMORA ROBERT M. MEDILO 2 1
             

***Do not include PEPT/PVT or ALS-A&E Certificate holders.

Table 4. For Transferred In/Moved In Learners Without SF 10 (formerly Form 137)

Grade Division/
Section Name of Adviser LRN Name of Learner Name of Originating School School ID
Level Region
GERAGA, JULIANNE SANTO TOMAS
V  GOMEZ  MAYVELYN C. GUMERA  128765131110    128765  TAGUM/XI 
CLAROS  SPED CENTER
SANTO TOMAS
VI ZAMORA ROBERT M. MEDILO 128765120484 CLAROS, JUSTINE 128765 TAGUM/XI
SPED CENTER
               

               
               
               

Type of Checking Committee: __/__ School Checking Committee (SCC) _____ Division Checking Committee (DCC)
Prepared by:

CRISTINA M. PAGADUAN MAYVELYN C. GUMERA CRISHIEL MAE E. LINTOGONAN JELLY- ANN R. PAWAON MERCEDES B. DANTE
Chair Vice Chairs Member Member Member

-----------------------------------------------------------------------All fields below are solely for the use of the Division Checking Committee (DCC) -----------------------------------------------------------------------
Conforme:
Report Code: SFCR1 Annex 1a
CRISTINA M. PAGADUAN
School Head/SCC Chair Date Completed (Division Level)