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

Grade Section Name ofAdviser document (B)
Level
Male Female Total Male Female Total
10 ONYX MARION ALLEN ALBALADEJO

Table 2. For Record with Inconsistency/ies or Error

Nature of Error
(Put check)
Gender
(M/F)
# Name of Learner With DCC Observation/Comment or technical assistance provided
Incomplete With Inconsistency/
Supporting error
Documents

1
2
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
(Do not include
with SF-10/F137
Gender PEPT/PVT or ALS-A&E Certicate
# Name of Learner (put check)
(M/F) holders)
(put check)

Received w/in Received beyond 30 From Private From Public

30 days days School School and
SUC/LUC

1
 2

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

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

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

Mrs. Liberty A. Nobleza Eva Deocareza Jonathan Juan ericka Mendoza

Chairperson Co-Chairs Member Member Member

Noted by:
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.
 * % Accuracy
{(A-B)/A}x100%

ssistance provided

ent or technical assisstnce provided

 Division/ Region

Member

d Table 2 only)