Report Code: SFCR (DO # 11, s.

2018)
School Forms Checking Report (SFCR)
Name of School: RTMSCNHS School ID: 302721 Division: Bago City District: V-B

Table 1. Learners Record Examined/Reviewed

No. With Incosistency or incomplete Supporting
Grade Number of Examined/Reviewed (A) * % Accuracy
Section Name ofAdviser Date Checked document (B)
Level {(A-B)/A}x100%
Male Female Total Male Female Total
12 Caregiving Irene M. Campos 7/12/2021 7 18 25 100%
12 Cookery Reyma L. Galve 7/12/2021 10 8 18 100%
12 Gas Benilda M. Tambanillo 7/12/2021 28 16 44 100%
12 Humss A Shielanelle V. Sison 7/12/2021 20 19 39 100%
12 Humss B Kenneth Dale G. Malunes 7/12/2021 19 20 39 100%
12 Humss C Alvin C. Hilado 7/12/2021 24 14 38 100%

School Total 108 95 203

Table 2. For Record with Inconsistency/ies or Error

Nature of Error
(Put a Check)
Section
# Name of Adviser DCC Observation/Comment or technical assistance provided
With
With Inconsistency/ Total
Incomplete error
Supporting
Documents

6
Table 3. For Transferred In/Moved In
Transfer of SF10/Form 137 (DO 54, s. 2016)
DCC Observation/Comment or technical assisstnce provided
Without SF10/Form 137
(Do not include
with SF-10/F137
Gender PEPT/PVT or ALS-A&E Certicate
# Name of Learner (put check) holders)
(M/F)
(put check)
Received From Public
Received w/in 30 From Private
days beyond 30 School School and
days SUC/LUC

1 Male Flores, Renejon L. √ √

2 Male BUSTILLO, BRYAN CHRISTOPHER P. √

√
3

Table 4. For Transferred In/Moved In Learners without Form 137

# Gender (M/F) LRN Name of Learner Name of Originating School School ID Division/ Region

1
2
3
4
Type of Checking Committee: __✓__ School Checking Committee (SCC) _____ Division Checking Committee (DCC)

JOB M. BENTINGANAN
Chairperson Co-Chairs Member Member Member

Noted by: JOB M. BENTINGANAN

School Head Date of Checking of Forms

* Accuracy level refers to the total no. consistent or with complete supporting documents over total records examined or reviewed x 100%. (Computation covers Table 1 and Table 2 only)
1. For Table 1 and Table 2, do not include learners who transferred from private school with pending transfer of form 137 or SF10
2. Table 2 is a breakdown in the data of column 7, 8, 9 of table 1.
3. For Table 3, include all issues of transfers including those learners with pending transfer of form 137 from private school.
It is the breakdown of table 3 in SFCR to be accomplished by the School Head.
4. For Table 4, list of all learners with pending transfer of SF10 (form 137) both from public and private schools with reference to table 3.
5. Add additional rows if needed in table 3 and 4.
Report Code: SFCR (DO # 11, s. 2018)
School Forms Checking Report (SFCR)
RTMSCNHS
Table 1. Learners Record Examined/Reviewed
No. With Incosistency or incomplete Supporting
Grade Number of Examined/Reviewed (A) * % Accuracy
Section Name ofAdviser Date Checked document (B)
Level Male Female Total Male Female Total {(A-B)/A}x100%
7 Dew Rodriguez, Lynaine 05/19/ 2020 20 18 38 1 1 2 95%
7 Glaze Guzon, Agnes 05/19/ 2020 18 20 38 0 2 2 95%
7 Spectre Andales, Mary Grace 05/19/ 2020 19 20 39 1 0 1 97%
7 Mist Rufin, Jessica 05/19/ 2020 23 20 43 6 4 10 77%
7 Mirage Nodado, Elisha Mae 05/20/ 2020 22 15 37 2 1 3 92%
7 Shine Ortega, Meryl 05/20/ 2020 23 19 42 3 1 4 90%
7 Flare Steffan, Glenda 05/20/ 2020 21 20 41 0 0 0 100%
7 Breeze Morin, Jonathan 05/20/ 2020 23 19 42 10 8 18 57%
7 SPJ Balboa, Christine 05/22/ 2020 12 26 38 1 0 1 97%
School Total 181 177 358
Table 2. For Record with Inconsistency/ies or Error
Nature of Error
(Put a Check)
Section
# Name of Adviser With With DCC Observation/Comment or technical assistance provided
Incomplete Inconsistency / Total
Supporting error
Documents
1 Dew Rodriguez, Lynaine √ 2
2 Glaze Guzon, Agnes √ 2
3 Spectre Andales, Mary Grace √ 1
4 Mist Rufin, Jessica √ 10
5 Mirage Nodado, Elisha Mae √ 3
6 Shine Ortega, Meryl √ 4
7 Breeze Morin, Jonathan √ 0
8 SPJ Balboa, Christine √ 18
Table 3. For Transferred In/Moved In
Transfer of SF10/Form 137 (DO 54, s. 2016) DCC Observation/Comment or technical assisstnce
(Do not
with SF-10/F137 include PEPT/PVT or ALS- provided
Gender (put check) A&E Certicate holders)
# Name of Learner (put
(M/F) Received From From Public
Received w/in beyond 30 Private School and
30 days
days School SUC/LUC
1 F Caro, Jari Rumara √
2 F Prado, Jessa Joy G. √
3 M Española, Richie Jr. N. √
4 M Mellegin, Leonelle S. √
5 F Alaran, Angelica √

Table 4. For Transferred In/Moved In Learners without Form 137

# Gender (M/F) LRN Name of Learner Name of Originating School School ID Division/ Region
1 F 11751112003 Caro, Jari Rumara RTNHS 30271 Bago City/ RO-VI
2 F 117634110041 Prado, Jessa Joy G. Buruanga Academy Inc. 404157 Aklan/ RO-VI
3 M 117511120057 Española, Richie Jr. N. Cambitu ES 116623 Iloilo/ RO-VI
4 M 117392130141 Mellegin, Leonelle S. Don Simplicio Lizares ES 117386 TalisayCity/ RO-VI
5 F 117523120374 Alaran, Angelica Ma-ao Elem School 302455 Bago City/ RO-VI
Type of Checking Committee: __✓__ School Checking Committee (SCC) _____ Division Checking Committee (DCC)

JOB M. BENTINGANAN ESTELA EPACTA MYDAH H. SAMSON JOY S, VILLAFLOR RHODA BRITANICO
Chairperson Co-Chairs Member Member Member

Noted by: JOB M. BENTINGANAN

School Head Date of Checking of Forms

* Accuracy level refers to the total no. consistent or with complete supporting documents over total records examined or reviewed x 100%. (Computation covers Table 1 and Table 2 only)
1. For Table 1 and Table 2, do not include learners who transferred from private school with pending transfer of form 137 or SF10