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
Total Male Female Total
GRADE 4 KAWASAN FALLS Dory C. Onde July 9, 2021 19 22 41 1 0 1 98%
GRADE 4 NADSADJAN FALLS Mary Joy B. Baldago July 9, 2021 22 21 43 4 4 8 81%
GRADE 4 MA. CRISTINA FALLS Sittie Haynah M. Mautante July 9, 2021 22 20 42 2 0 2 95%
GRADE 4 PALOGTOC FALLS Mary Rosekie A. Fajemos July 9, 2021 22 19 41 2 2 4 90%
GRADE 4 BOMOD-OK FALLS Heartwel M. Dargantes July 9, 2021 24 19 43 1 3 4 91%
GRADE 4 CONSOCEP FALLS Ernesto Hermipo R. Borja July 9, 2021 21 22 43 1 1 2 95%
GRADE 4 CASARORO FALLS Rio Niel O. Tejas July 9, 2021 23 19 42 4 3 7 83%
GRADE 4 TARA FALLS Shiela Marie M. Nalam July 9, 2021 23 18 41 2 2 4 90%
GRADE 4 DARANAK FALLS Rejoys V. Aguilar July 9, 2021 23 21 44 0 0 0 100%
GRADE 4 BUGTONG-BATO FALLS Esther A. Ricabar July 9, 2021 20 23 43 0 2 2 95%
GRADE 4 PAGSANJAN FALLS Christine Joy S. Buagas July 9, 2021 20 23 43 0 3 3 93%
GRADE 4 TINAGO FALLS Olga I. Singcol July 9, 2021 20 24 44 2 0 2 95%

School Total 259 251 510 19 20 39 92%

Table 2. Learner Records with Inconsistency/ies or Errors

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

GRADE 4 KAWASAN FALLS Dory C. Onde 1 0 1

GRADE 4 NADSADJAN FALLS Mary Joy B. Baldago 3 5 8
GRADE 4 MA. CRISTINA FALLS Sittie Haynah M. Mautante 1 1 2
GRADE 4 PALOGTOC FALLS Mary Rosekie A. Fajemos 2 2 4
GRADE 4 BOMOD-OK FALLS Heartwel M. Dargantes 3 1 4
GRADE 4 CONSOCEP FALLS Ernesto Hermipo R. Borja 1 1 2
GRADE 4 CASARORO FALLS Rio Niel O. Tejas 3 4 7
GRADE 4 TARA FALLS Shiela Marie M. Nalam 1 3 4
GRADE 4 DARANAK FALLS Rejoys V. Aguilar 0 0 0
GRADE 4 BUGTONG-BATO FALLS Esther A. Ricabar 1 1 2
GRADE 4 PAGSANJAN FALLS Christine Joy S. Buagas 0 3 3
GRADE 4 TINAGO FALLS Olga I. Singcol 1 1 2
17 22 39
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 4 KAWASAN FALLS Dory C. Onde 2
GRADE 4 NADSADJAN FALLS Mary Joy B. Baldago 3 1 Provided assistance to parents to get SF10
GRADE 4 MA. CRISTINA FALLS Sittie Haynah M. Mautante 1
GRADE 4 PALOGTOC FALLS Mary Rosekie A. Fajemos 2
GRADE 4 BOMOD-OK FALLS Heartwel M. Dargantes 1
GRADE 4 CONSOCEP FALLS Ernesto Hermipo R. Borja 3
GRADE 4 CASARORO FALLS Rio Niel O. Tejas 1
GRADE 4 TARA FALLS Shiela Marie M. Nalam 3 1 Provided assistance to parents to get SF10
GRADE 4 DARANAK FALLS Rejoys V. Aguilar 2
GRADE 4 BUGTONG-BATO FALLS Esther A. Ricabar 2
GRADE 4 PAGSANJAN FALLS Christine Joy S. Buagas 1
GRADE 4 TINAGO FALLS Olga I. Singcol

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 4 KAWASAN FALLS Dory C. Onde
GRADE 4 NADSADJAN FALLS Mary Joy B. Baldago 136478131381 Mark Lawrence Dosal Munda Bacan Elementary School 114658 Banga Aklan
GRADE 4 MA. CRISTINA FALLS Sittie Haynah M. Mautante
GRADE 4 PALOGTOC FALLS Mary Rosekie A. Fajemos
GRADE 4 BOMOD-OK FALLS Heartwel M. Dargantes
GRADE 4 CONSOCEP FALLS Ernesto Hermipo R. Borja
GRADE 4 CASARORO FALLS Rio Niel O. Tejas
GRADE 4 TARA FALLS Shiela Marie M. Nalam 136478132267 Joseph Casing Abad Benigno Aquino Jr. Elementary School 136968 Manila NCR
GRADE 4 DARANAK FALLS Rejoys V. Aguilar
GRADE 4 BUGTONG-BATO FALLS Esther A. Ricabar
GRADE 4 PAGSANJAN FALLS Christine Joy S. Buagas
GRADE 4 TINAGO FALLS Olga I. Singcol

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

MARIA MATILDE T. FLORES MARY GRACE SURIAGA JOCEL LOREJAS DORY ONDE
MT-I 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.