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Republic of the Philippines
Department of Education
REGION VI – WESTERN VISAYAS
SCHOOLS DIVISION OF ILOILO
SCHOOL DISTRICT OF SAN MIGUEL
STA. TERESA ELEMENTARY SCHOOL
CHECKING OF FORMS
GRADE____________________
SY 2022-2023
Teacher: ___________________________________
LRN No. Name of Pupils Live Birth Form 137 (SF 10) Form 138(SF 9) SF 1 SF 5
Address: Brgy. Sta. Teresa, San Miguel, Iloilo

School ID: 116756
Websites: Facebook Page: Sta. Teresa Elem School I E-mail: 116756@deped.gov.ph

School ID: 116756
Report Code: SFCR1 Republic of the Philippines Annex 1a
SCHOOL FORMS CHECKING REPORT
SCHOOL NAME: __________________________________________________ SCHOOL ID: _____________________________________ DISTRICT: _____________________________________

Table 1. Learner Records Examined/Reviewed
No. with Inconsistency or
Grade No. of Examined/Reviewed* Incomplete Supporting
Section Name of Adviser Date Checked % Accuracy**
Level Documents
Male Female Total Male Female Total
School Total
Table 2. Learner Records with Inconsistency/ies or Errors

No. of Records per Nature of Error*
Grade DCC Observation/Comment or Technical
Section Name of Adviser With Incomplete With
Level Total Assistance Provided
Supporting Documents Inconsistency/Error
*Do not include Temporarily Enrolled Learners as defined in Deped Order No. 3, s. 2018.
**%Accuracy refers to the percentage of correct/consistent records over total records examined or reviewed.
School ID: 116756
Report Code: SFCR1 Annex 1a
Table 3. For Transferred In/Moved In

Transfer of SF 10 (formerly Form 137)
Grade Without SF 10***
With SF 10 DCC Observation/Comment or Technical
Section Name of Adviser (For Temporarily Enrolled)
Level Assistance Provided
Received w/in Received beyond From Private From Public
30 days 30 days School School/SUC/LUC
Table 4. For Transferred In/Moved In Learners Without SF 10 ( formerly Form 137)

Grade
Section Name of Adviser LRN Name of Learner Originating School School ID Division/Region
Level
Type of Checking Committee: ____ School; Checking Committee (SCC) ____ Division Checking Committee (DCC)
Prepared by:
______________________ ______________________ ______________________ ______________________ ______________________

Chair Vice Chair Member Member Member
-----------------------------------------------------------------------------------All fields below are solely for the use of Division Checking Committee (DCC) -------------------------------------------------------------------------
Conforme:
___________________________________________ _______________________________________
School Head/SCC Chair Date Completed (Division Level
School ID: 116756
Report Code: SFCR2 Annex 1b
CONSOLIDATED DISTRICT SCHOOL FORMS CHECKING REPORT
DISTRICT NAME: __________________________________________________ PSDS: _____________________________________ DIVISION: _____________________________________

Table 1. Learner Records Examined/Reviewed
No. with Inconsistency or
No. of Examined/Reviewed*
School Name School ID Name of School Head Date Completed Incomplete Supporting Documents % Accuracy**
Male Female Total Male Female Total
District Total
Table 2. Learner Records with Inconsistency/ies or Errors

No. of Records per Nature of Error*
DCC Observation/Comment or Technical
School Name School ID Name of School Head With Incomplete With
Total Assistance Provided
Supporting Documents Inconsistency/Error
*Do not include Temporarily Enrolled Learners as defined in Deped Order No. 3, s. 2018.
**%Accuracy refers to the percentage of correct/consistent records over total records examined or reviewed.

School ID: 116756
Report Code: SFCR2 Annex 1b
Table 3. For Transferred In/Moved In

Transfer of SF 10 (formerly Form 137)
Without SF 10***
With SF 10 DCC Observation/Comment or
School Name School ID Name of School Head (For Temporarily Enrolled)
Technical Assistance Provided
Received w/in Received beyond From Private From Public
30 days 30 days School School/SUC/LUC
Table 4. For Transferred In/Moved In Learners Without SF 10 ( formerly Form 137)

School Name School ID LRN Name of Learner Originating School School ID Division/Region
-----------------------------------------------------------------------------------All fields below are solely for the use of Division Checking Committee (DCC) -------------------------------------------------------------------------
Prepared by:
______________________ ______________________ ______________________ ______________________ ______________________

Chair Vice Chair Member Member Member
Verified by:
___________________________________________ _______________________________________

School ID: 116756
Vice Chair (PSDS) Date Completed (District Level)

School ID: 116756

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Republic of the Philippines

Address: Brgy. Sta. Teresa, San Miguel, Iloilo

Address: Brgy. Sta. Teresa, San Miguel, Iloilo

SCHOOL FORMS CHECKING REPORT

SCHOOL NAME: ________________________________ SCHOOL ID: _ DISTRICT: ___________________

Table 2. Learner Records with Inconsistency/ies or Errors

Table 3. For Transferred In/Moved In

Table 4. For Transferred In/Moved In Learners Without SF 10 ( formerly Form 137)

__

CONSOLIDATED DISTRICT SCHOOL FORMS CHECKING REPORT

DISTRICT NAME: ________________________________ PSDS: _ DIVISION: ___________________

Table 2. Learner Records with Inconsistency/ies or Errors

Address: Brgy. Sta. Teresa, San Miguel, Iloilo

Table 3. For Transferred In/Moved In

Table 4. For Transferred In/Moved In Learners Without SF 10 ( formerly Form 137)

__

Address: Brgy. Sta. Teresa, San Miguel, Iloilo

Vice Chair (PSDS) Date Completed (District Level)

Address: Brgy. Sta. Teresa, San Miguel, Iloilo

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