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
Male Female Total Male Female Total
GRADE 6 Masskara Sherwin S. Ballesta July 14,2021 22 24 46 0 0 0 100% ###
GRADE 6 Pamulinawen Maribel A. Palma July 14,2021 26 24 50 1 0 1 98% ###
GRADE 6 Higantes Soccoro G. Rivero July 12,2021 23 23 46 1 1 2 96% ###
GRADE 6 Pahiyas Winnalyn B. Labbuanan July 12,2021 23 23 46 0 0 0 100% ###
GRADE 6 Panagbenga Liezel R. Cabacungan July 14,2021 23 22 45 0 2 2 96% ###
GRADE 6 Pintados Arselette S. Cabauatan July 12,2021 21 21 42 2 0 2 95% ###
GRADE 6 Hermosa Jessielyn M. Ablat July 14,2021 23 24 47 0 0 0 100% ###
GRADE 6 Aliwan Tessie P. Calagui July 14,2021 23 24 47 0 2 2 96% ###
GRADE 6 Kadayawan Summy J. Capague July 14,2021 22 23 45 1 0 1 98% ###
GRADE 6 Dinagyang Tobby O. Acuba July 12,2021 22 25 47 1 1 2 96% ###
GRADE 6 Ati-atihan Joan S. Taytay July 14,2021 24 24 48 0 1 1 98% ###
GRADE 6 Sinulog Wilma E. Amerez July 14,2021 24 23 47 0 1 1 98% ###
###
School Total 276 280 556 6 8 14 97% ###

Table 2. Learner Records with Inconsistency/ies or Errors

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

GRADE 6 Masskara Sherwin S. Ballesta 0 0 0

GRADE 6 Pamulinawen Maribel A. Palma 1 0 1
GRADE 6 Higantes Soccoro G. Rivero 2 0 2
GRADE 6 Pahiyas Winnalyn B. Labbuanan 0 0 0
GRADE 6 Panagbenga Liezel R. Cabacungan 2 0 2
GRADE 6 Pintados Arselette S. Cabauatan 2 0 2
GRADE 6 Hermosa Jessielyn M. Ablat 0 0 0
GRADE 6 Aliwan Tessie P. Calagui 2 0 2
GRADE 6 Kadayawan Summy J. Capague 1 0 1
GRADE 6 Dinagyang Tobby O. Acuba 2 0 2
GRADE 6 Ati-atihan Joan S. Taytay 1 0 1
GRADE 6 Sinulog Wilma E. Amerez 1 0 1

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 From Private School From Public School/SUC/LUC
30 days
GRADE 6 Masskara Sherwin S. Ballesta
 GRADE 6 Pamulinawen Maribel A. Palma 1
GRADE 6 Higantes Soccoro G. Rivero
GRADE 6 Pahiyas Winnalyn B. Labbuanan
GRADE 6 Panagbenga Liezel R. Cabacungan
GRADE 6 Pintados Arselette S. Cabauatan 2
GRADE 6 Hermosa Jessielyn M. Ablat
GRADE 6 Aliwan Tessie P. Calagui 1 1
GRADE 6 Kadayawan Summy J. Capague 1
GRADE 6 Dinagyang Tobby O. Acuba
GRADE 6 Ati-atihan Joan S. Taytay 1
GRADE 6 Sinulog Wilma E. Amerez 1

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 6 Masskara Sherwin S. Ballesta
GRADE 6 Pamulinawen Maribel A. Palma 106694140110 Nhoel R. Soriano San Nicolas E/S 106694 Tarlac Region 3
GRADE 6 Higantes Soccoro G. Rivero
GRADE 6 Pahiyas Winnalyn B. Labbuanan
GRADE 6 Panagbenga Liezel R. Cabacungan
GRADE 6 Pintados Arselette S. Cabauatan107925120029/134944110012
Datuimam, Jabbar G./Dimapinto, Jorald
SultanT.Esmael E/S/Saduc Central 107925/134944
E/S Cavite/Marawi Region 4-A/ARMM
GRADE 6 Hermosa Jessielyn M. Ablat
GRADE 6 Aliwan Tessie P. Calagui 136478150333/108187130760
Jubelag, Adriana A./Calupaz, Jenny C. WMC/Trece Martirez E/S 136478/108187 Manila/Cavite NCR/IV-A
GRADE 6 Kadayawan Summy J. Capague 123855140023 Michael Vincent T. Abella Vigo E/S 123855 Quezon Region 4-A
GRADE 6 Dinagyang Tobby O. Acuba
GRADE 6 Ati-atihan Joan S. Taytay 113140120104 Abegail T. Esmarin Cagliliog E/S 113140 Camarines Sur Region 5
GRADE 6 Sinulog Wilma E. Amerez 406327150286 Ma. Robelyn Apil Nazarene Catholic School 406327 Manila NCR
Type of Checking Committee: _____ School Checking Committee (SCC) _____ Division Checking Committee (DCC)
Prepared by:

MA. VIOLETA S. GARLEJO MARY GRACE SURIAGA WINNALYN B. LABBUANAN SOCCORO G. RIVERO
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.