School Forms Checking Report: School Name: School Id: District: Table 1. Learner Records Examined/Reviewed

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Report Code: SFCR1 Annex 1a

SCHOOL FORMS CHECKING REPORT


DISTRICT
SCHOOL NAME: CIRIACO C. GODOY ELEMENTARY SCHOOL SCHOOL ID: 129091 SANTA CRUZ SOUTH DISTRICT
:

Table 1. Learner Records Examined/Reviewed


No. with Inconsistency or Incomplete
Grade No. of Examined/Reviewed* % Accuracy**
Section Name ofAdviser Date Checked Supporting Documents
Level
Male Female Total Male Female Total
 KINDER  ROSE  LARMI T. FORMENTO 05/05/2021 11 7 18 1 1 1 98%
 ONE  DAISY  JAMALDINE C. CHUA 05/05/2021 8 7 15 2 0 2 98%
JESSAH MAE T. 05/05/2021
TWO LILY UBUNGEN 11 9 20 1 0 1 99%
CHARLOTTE EFFIE V. 05/05/2021
THREE TULIPS ARMIOLA 9 10 19 0 0 0 100%
REY RENHARD L. 05/05/2021
FOUR SANTAN DOMINICE 9 9 18 1 1 2 98%
FIVE ORCHIDS CHARMAIN P. PINOTE 05/05/2021 3 8 11 1 0 1 99%
 SIX  SAMPAGUITA  JHOANNE U. DAQUIZ 05/05/2021 7 12 19 0 0 0 100%
     
     

School Total

Table 2. Learner Records with Inconsistency/ies or Errors


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

KINDER ROSE LARMI T. FORMENTO 0 1 1


ONE DAISY JAMALDINE C. CHUA 0 2 2
JESSAH MAE T.
TWO LILY UBUNGEN 0 1 1
CHARLOTTE EFFIE V.
THREE TULIPS ARMIOLA 0 0 0
 REY RENHARD L.
 FOUR  SANTAN DOMINICE 0 2 2
 FIVE  ORCHIDS  CHARMAIN P. PINOTE 0 0 0
SIX SAMPAGUITA JHOANNE U. DAQUIZ 0 0 0
Report Code: SFCR1 Annex 1a
           
           
           
*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.

Table 3. For Transferred In/Moved In


Transfer of SF10 (formerly Form 137)
SCC/DCC Observation/Comment or
Without SF10***
Grade With SF10 Technical 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
KINDER ROSE LARMI T. FORMENTO
ONE DAISY JAMALDINE C. CHUA /
JESSAH MAE T.
TWO LILY UBUNGEN /
CHARLOTTE EFFIE V.  
THREE TULIPS ARMIOLA /
REY RENHARD L.
FOUR SANTAN DOMINICE /
FIVE ORCHIDS CHARMAIN P. PINOTE /
SIX SAMPAGUITA JHOANNE U. DAQUIZ /
             

***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) or Temporarily Enrolled
Grade
Section Name of Adviser LRN Name of Learner Name of Originating School School ID Division/ Region
Level
KINDER  ROSE  LARMI T. FORMRNTO   NONE           
ONE DAISY JAMALDINE C. CHUA NONE
 JESSAH MAE T.
 TWO LILY    NONE    
UBUNGEN  
CHARLOTTE EFFIE V.
THREE TULIPS NONE
ARMIOLA
 REY RENHARD L.
 FOUR SANTAN
DOMINICE    NONE      
 FIVE ORCHIDS  CHARMAIN P. PINOTE    NONE      
Report Code: SFCR1 Annex 1a
 SIX SAMPAGUITA  JHOANNE U. DAQUIZ    NONE      

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

Chair Vice Chairs Member Member Member

-----------------------------------------------------------------------All fields below are solely for the use of the Division Checking Committee (DCC) -----------------------------------------------------------------------
Conforme:

School Head/SCC Chair Date Completed by DCC

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