Report Code: SFCR1 Annex 1a

SCHOOL FORMS CHECKING REPORT

SCHOOL NAME: H. J. ATIENZA ELEMENTARY SCHOOL SCHOOL ID: 136478 DISTRICT: MALATE
Table 1. Learner Records Examined / Reviewed
No. with Inconsistency or Incomplete
No. of Examined / Reviewed
Grade Level Section Name of Adviser Date Checked Supporting Documents %Accuracy
BOYS GIRLS Total Male Female Total
GRADE 5 Manila Mrs. Violeta Garlejo July 14, 2021 18 24 42 0 0 0 100% ###
GRADE 5 Lanao Ms. Jadessa Dadia July 14, 2021 22 20 42 1 0 1 98% ###
GRADE 5 Laguna Ms.April Lyn Salcedo July 14, 2021 25 17 42 0 2 2 95% ###
GRADE 5 Samar Mr. Stephen Joy Acala July 14, 2021 17 21 38 1 1 2 95% ###
GRADE 5 Roxas Mrs. Marie Alnne Gadian July 14, 2021 24 21 45 0 3 3 93% ###
GRADE 5 Iloilo Ms. Janinah Dipatuan July 14, 2021 22 24 46 1 1 2 96% ###
GRADE 5 Antique Mrs. Cheryl Masmela July 14, 2021 22 21 43 0 1 1 98% ###
GRADE 5 Sorsogon Mrs. Myra Lazaro July 14, 2021 24 21 45 1 0 1 98% ###
GRADE 5 Pangasinan Mr. Machiavelli Buna July 14, 2021 20 23 43 1 2 3 93% ###
GRADE 5 Tacloban Mrs. Arianne Silagan July 14, 2021 23 22 45 1 1 2 96% ###
GRADE 5 Camarines Sur Mr. Efren Borja July 14, 2021 21 19 40 2 2 4 90% ###
GRADE 5 Albay Ms. Judy Ann Pasoquen July 14, 2021 25 19 44 1 0 1 98% ###
School Total 263 252 515 9 13 22 96% ###
Table 2. Learner Records with Inconsistency/ies or Errors
No. of Records per Nature of Error
Grade Level Section Name of Adviser DCC Observation / Comment or Technical Assistance Provided
With Incomplete Supporting Documents With Inconsistency/Error Total

GRADE 5 Manila Mrs. Violeta Garlejo 0 0 0

GRADE 5 Lanao Ms. Jadessa Dadia 1 0 1
GRADE 5 Laguna Ms.April Lyn Salcedo 0 2 2
GRADE 5 Samar Mr. Stephen Joy Acala 0 2 2
GRADE 5 Roxas Mrs. Marie Alnne Gadian 2 1 3
GRADE 5 Iloilo Ms. Janinah Dipatuan 1 1 2
GRADE 5 Antique Mrs. Cheryl Masmela 1 0 1
GRADE 5 Sorsogon Mrs. Myra Lazaro 1 0 1
GRADE 5 Pangasinan Mr. Machiavelli Buna 2 1 3
GRADE 5 Tacloban Mrs. Arianne Silagan 2 0 2
GRADE 5 Camarines Sur Mr. Efren Borja 2 2 4
GRADE 5 Albay Ms. Judy Ann Pasoquen 1 0 1

13 9 22
Table 3. For Transferred In / Moved In
Transfer of SF 10 (Formerly Form 137)
With SF 10 Without SF10 (For Temporarily Enrolled) DCC Observation / Comment or Technical
Grade Level Section Name of Adviser
Assistance Provided
Received w/in 30 days Received beyond 30 From Private School From Public School/SUC/LUC
days
GRADE 5 Manila Mrs. Violeta Garlejo 0 0 0 0
 GRADE 5 Lanao Ms. Jadessa Dadia 0 0 0 0
GRADE 5 Laguna Ms.April Lyn Salcedo 1 0 0 1
GRADE 5 Samar Mr. Stephen Joy Acala 0 0 0 1
GRADE 5 Roxas Mrs. Marie Alnne Gadian 0 0 0 0
GRADE 5 Iloilo Ms. Janinah Dipatuan 1 0 0 1
GRADE 5 Antique Mrs. Cheryl Masmela 0 0 0 0
GRADE 5 Sorsogon Mrs. Myra Lazaro 1 0 0 0
GRADE 5 Pangasinan Mr. Machiavelli Buna 0 0 0 0
GRADE 5 Tacloban Mrs. Arianne Silagan 0 0 1 0
GRADE 5 Camarines Sur Mr. Efren Borja 0 0 0 0
GRADE 5 Albay Ms. Judy Ann Pasoquen 0 0 0 0

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

Grade Level Section Name of Adviser LRN Name of Learner Name of originating school School ID Division / Region
GRADE 5 Manila Mrs. Violeta Garlejo
GRADE 5 Lanao Ms. Jadessa Dadia
GRADE 5 Laguna Ms.April Lyn Salcedo 133971160001 Kalmag, Muhaina S. Datu Pendililang Elem School Maguinadanao
GRADE 5 Samar Mr. Stephen Joy Acala
GRADE 5 Roxas Mrs. Marie Alnne Gadian 150797/150796 Bragais, Michaela, Bragais, Mickyla Bantog Elem, School
GRADE 5 Iloilo Ms. Janinah Dipatuan 134930130029 Dimapinto, Johaira T. Saduc Elem. School Marawi City
GRADE 5 Antique Mrs. Cheryl Masmela
GRADE 5 Sorsogon Mrs. Myra Lazaro
GRADE 5 Pangasinan Mr. Machiavelli Buna
GRADE 5 Tacloban Mrs. Arianne Silagan 406298150434 Vallecer, Emmanuel B. Holy Child Catholic Sch Manila NCR
GRADE 5 Camarines Sur Mr. Efren Borja
GRADE 5 Albay Ms. Judy Ann Pasoquen

Type of Checking Committee: _____ School Checking Committee (SCC) _____ Division Checking Committee (DCC)
Prepared by:
SHERWIN S. BALLESTA MARY GRACE J. SURIAGA ANALIE O. BARREDO JANINAH D. DIPATUAN
MT-II CO-CHAIR Member Member

Conforme: GRACIANO A. BUDOY JR.

School Head/SSC Chair Date Completed (Division Level)
* Accuracy level refers to the percentage of correct/consistent records over total records examined or reviewed.