Republic of the Philippines

DEPARTMENT OF EDUCATION
National Capital Region
REGIONAL RESEARCH, INNOVATION AND
DEVELOPMENT COMMITTEE
Misamis St. Bago Bantay, Quezon City

Checklist for the BERF Final Report

REVISED TITLE:
Name of Lead Proponent: Mobile No.
School:
Division:
Date of Submission to the SDO:

Instructions:
Put a check ( ) if Complied or Not Complied and N/A if the document is not applicable. Indicators marked in gray
means the document is the minimum requirement based on DO 16 s. 2017.

No. Document C NC N/A Remarks

1 Revised Final Report (3 hard copies) /

2 Soft copy of the Revised Final Report and

Attachments (1 CD)

3 Copy of Notarized Memorandum of Agreement

4 Completed Research Application Form

7 Informed Consent Form

8 Liquidation of Expenses (With Official Receipts)

9 Endorsement Letter from School Head of the

Final Report

10 Endorsement Letter from SDO

11 Validated Lesson Plan (if the AR is a strategy)

12 Validated Research Instrument (survey tool, test,

interview guide, etc.)

13 Validate design of Innovation

14 Validated Instructional Material

15 Parent Information and Informed Consent Form

(with Signature)

16 References in American Psychological

Association (APA) format 6th Edition

C- Complied NC- Not complied N/A- Not Applicable

 Republic of the Philippines
DEPARTMENT OF EDUCATION
National Capital Region
REGIONAL RESEARCH, INNOVATION AND
Lead Researcher DEVELOPMENT COMMITTEE
Misamis St. Bago Bantay, Quezon City
(Signature Over Printed Name)