Report Code: SFCR (DO # 11, s.
2018)
School Forms Checking Report (SFCR)
Table 1. Learners Record Examined/Reviewed
Number of Examined/Reviewed (A) No. With Incosistency or incomplete Supporting document
Grade (B) * % Accuracy
Level Section Name ofAdviser {(A-B)/A}x100%
Male Female Total Male Female Total
2 CAMIA RUBY D. CALIVA 14 20 34 1 1 2 94% li
Table 2. For Record with Inconsistency/ies or Error =
Nature of Error
(Put check)
Gender
# (M/F) Name of Learner With
Incomplete With Inconsistency/
Supporting error
Documents
1 M NATHAN DJ. GRACILLA / No form 137
2 F SANDRA P. CALZADO / No form 137
3
4
5
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
with SF-10/F137 (Do not include
Gender (put check) PEPT/PVT or ALS-A&E Certicate
# Name of Learner holders)
(M/F)
(put check)
From Public
Received w/in Received beyond 30 From Private
30 days days School School and
SUC/LUC
1 M NAITHAN DJ.GRACILLA / /
2 F SANDRA C. CALZADO / /
3 F ROJANN S. PESIGAN / /
4 F AVIIGAIL D. PARULAN / /
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 M 104753160093 NAITHAN DJ. GRACILLA Bilibiran Elem. Sch.Binangonan Rizal 104753 Rizal
2 F 12260516001 SANDRA C. CALZADO Waso Elem.School,Samar Leyte 122605 Eastern Samar
3
4
Type of Checking Committee: __✓__ School Checking Committee (SCC) _____ Division Checking Committee (DCC)
GLORIA Y. CAO AMABELLE L. FERNANDO ELVERITA G. COLLANTES MARIBEL DC. LACBO RENANTE D. DE JESUS
Chairperson Co-chair Member Member Member
Noted by: ANA MARIA S. PAHATI APRIL-5,2019
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.