Repost Code: SFRC 1 Annex 1a

SCHOOL FORMS CHECKING REPORT

S.Y: 2022-2023
SCHOOL NAME: LACUPAYAN ELEMENTARY SCHOOL SCHOOL I.D: 125455 DISTRICT: TIGBAO
Table 1. Learner Records Examined/ Reviewed
No. of inconsistency or incomplete
No. of Examined/Reviewed*
Grade Level Section Name of Adviser Date Checked supporting documents % Accuracy**
Male Female Total Male Female Total
Sped (Non-Graded)
Kindergarten

One
Two
Three Jade BEVERLY P. MAHILAC
Four
Five
Six
School Total

Table 2. Learner Records with Inconsistency/ies or Errors

No. of Records per Nature of Errors*

Grade Level Section Name of Adviser With DCC Observation/comment or Technical Assistance
With Incomplete Supporting Provided
Inconsistency Total
Documents /Error

Sped (Non-Graded)
Kindergarten

One
Two
Three Jade BEVERY P. MAHILAC
Four
Five
Six
*Do not Include Temporarily Enrolled Learners as defined n DepEd Order no. 3, s. 2018.
**% Accuracy refers to the percentage of correct/consistent records over total records examined or reviewed.
Repost Code: SFRC 1 Annex 1a
Table 3. For Transferred In/ Moved In
Transfer of SF 10 ( Formerly 137 )

With SF 10 Without SF 10 For Temporarily

Enrolled DCC Observation/comment or Technical
Grade Level Section Name of Adviser
Assistance Provided
Received
Received within From Private From Public
beyond 30
30 days School School/SUC/LUC
days
SPED ( NON-GRADED)
KINDER
I
II
III Jade BEVERLY P. MAHILAC
IV
V
VI

*** Do not Include PEPT/PVT or ALS A&E Certificate holders.

Table 4. For Transferred In/Move In Learners without SF 10 ( Formerly 137 )
Grade Level Section Name of Adviser LRN Name of Learner Name of Originating School School I.D Division/Region
SPED ( NON-GRADED)
KINDER
I
II Jade BEVERLY P. MAHILAC
III
IV
V
VI
Type of Checking Committee: __√_ School Checking Committee (SCC) ___ Division Checking Committee (DCC)

Prepared by:

JANETTE E. JAMISOLA SHARI MAE S. SAPALO EDEN P. VILLAGONZALO KRIS JOY V. DALURA
Chairman Vice-Chairman Member Member

All fields below are soley for the use of Division Checking Committee-
Conforme: FELIX H. RODA
Date Completed (Division Level)
School Head/ SCC Chairman