Report Code: SFCR1 Annex 1a

SCHOOL FORMS CHECKING REPORT

SCHOOL NAME: H. J. ATIENZA ELEMENTARY SCHOOL SCHOOL ID: 136478 DISTRICT: V MALATE
Table 1. Learner Records Examined / Reviewed
No. with Inconsistency or Incomplete
No. of Examined / Reviewed
Grade Level Section Name of Adviser Date Checked Supporting Documents %Accuracy
Total Male Female Total
KINDER ATIS AMOSCO, MARY JANE C. July 16, 2021 8 9 17 1 0 1 94% ###
KINDER BUKO AMOSCO, MARY JANE C. July 16, 2021 11 10 21 0 0 0 100% ###
KINDER AVOCADO BATTUNG, CLEMENCY JOY G. July 16, 2021 10 13 23 1 2 3 87% ###
KINDER PINYA BATTUNG, CLEMENCY JOY G. July 16, 2021 14 10 24 0 0 0 100% ###
KINDER GUYABANO BORJA, ANA CARISSA I. July 16, 2021 11 14 25 0 0 0 100% ###
KINDER MANGGA BORJA, ANA CARISSA I. July 16, 2021 9 14 23 0 1 1 96% ###
KINDER CHICO RAMA, JOY B. July 16, 2021 11 8 19 1 0 1 95% ###
KINDER MELON RAMA, JOY B. July 16, 2021 9 10 19 0 0 0 100% ###
KINDER SANTOL PRADO, RUTCHEL S July 16, 2021 12 10 22 0 1 1 95% ###
KINDER LANSONES PRADO, RUTCHEL S July 16, 2021 11 11 22 0 0 0 100% ###
KINDER LANGKA ORIO,MICHELLE D. July 16, 2021 11 9 20 0 4 4 80% ###
KINDER BAYABAS ORIO,MICHELLE D. July 16, 2021 12 12 24 2 3 5 79% ###
KINDER SAMPALOK MIJARES, MELIBETH D. July 16, 2021 15 9 24 0 3 3 88% ###
KINDER KAMIAS MIJARES, MELIBETH D. July 16, 2021 10 11 21 1 0 1 95% ###
KINDER MANGOSTEEN GONZALES, VIVIAN C. July 16, 2021 10 11 21 2 1 3 86% ###
KINDER DUHAT GONZALES, VIVIAN C. July 16, 2021 11 9 20 0 1 1 95% ###
KINDER RAMBUTAN CALANGAN, MODELENE P. July 16, 2021 12 9 21 0 0 0 100% ###
KINDER PAKWAN CALANGAN, MODELENE P. July 16, 2021 12 10 22 0 0 0 100% ###
KINDER DURIAN RUSSEL, RINA M. July 16, 2021 11 8 19 0 0 0 100% ###
KINDER PAPAYA RUSSEL, RINA M. July 16, 2021 13 6 19 1 0 1 95% ###

School Total 223 203 426 9 16 25 94% ###

Table 2. Learner Records with Inconsistency/ies or Errors

No. of Records per Nature of Error
Grade Level Section Name of Adviser DCC Observation / Comment or Technical Assistance Provided
With Incomplete Supporting Documents With Inconsistency/Error Total

KINDER ATIS AMOSCO, MARY JANE C. 0 1 1

KINDER BUKO AMOSCO, MARY JANE C. 0 0 0
KINDER AVOCADO BATTUNG, CLEMENCY JOY G. 0 3 3
KINDER PINYA BATTUNG, CLEMENCY JOY G. 0 0 0
KINDER GUYABANO BORJA, ANA CARISSA I. 0 0 0
KINDER MANGGA BORJA, ANA CARISSA I. 1 0 1
KINDER CHICO RAMA, JOY B. 1 0 1
KINDER MELON RAMA, JOY B. 0 0 0
KINDER SANTOL PRADO, RUTCHEL S 1 0 1
 KINDER LANSONES PRADO, RUTCHEL S 0 0 0
KINDER LANGKA ORIO,MICHELLE D. 3 0 3
KINDER BAYABAS ORIO,MICHELLE D. 4 2 6
KINDER SAMPALOK MIJARES, MELIBETH D. 2 1 3
KINDER KAMIAS MIJARES, MELIBETH D. 1 0 1
KINDER MANGOSTEEN GONZALES, VIVIAN C. 0 3 3
KINDER DUHAT GONZALES, VIVIAN C. 1 0 1
KINDER RAMBUTAN CALANGAN, MODELENE P. 0 0 0
KINDER PAKWAN CALANGAN, MODELENE P. 0 0 0
KINDER DURIAN RUSSEL, RINA M. 0 0 0
KINDER PAPAYA RUSSEL, RINA M. 0 1 1
14 11 25
Table 3. For Transferred In / Moved In
Transfer of SF 10 (Formerly Form 137)
With SF 10 Without SF10 (For Temporarily Enrolled) DCC Observation / Comment or Technical
Grade Level Section Name of Adviser
Assistance Provided
Received w/in 30 days Received beyond 30 From Private School From Public School/SUC/LUC
days
KINDER ATIS AMOSCO, MARY JANE C.
KINDER BUKO AMOSCO, MARY JANE C.
KINDER AVOCADO BATTUNG, CLEMENCY JOY G.
KINDER PINYA BATTUNG, CLEMENCY JOY G.
KINDER GUYABANO BORJA, ANA CARISSA I.
KINDER MANGGA BORJA, ANA CARISSA I.
KINDER CHICO RAMA, JOY B.
KINDER MELON RAMA, JOY B.
KINDER SANTOL PRADO, RUTCHEL S
KINDER LANSONES PRADO, RUTCHEL S
KINDER LANGKA ORIO,MICHELLE D.
KINDER BAYABAS ORIO,MICHELLE D.
KINDER SAMPALOK MIJARES, MELIBETH D.
KINDER KAMIAS MIJARES, MELIBETH D.
KINDER MANOSTEEN GONZALES, VIVIAN C.
KINDER DUHAT GONZALES, VIVIAN C.
KINDER RAMBUTAN CALANGAN, MODELENE P.
KINDER PAKWAN CALANGAN, MODELENE P.
KINDER DURIAN RUSSEL, RINA M.
KINDER PAPAYA RUSSEL, RINA M.

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

Grade Level Section Name of Adviser LRN Name of Learner Name of originating school School ID Division / Region
KINDER ATIS AMOSCO, MARY JANE C.
KINDER BUKO AMOSCO, MARY JANE C.
KINDER AVOCADO BATTUNG, CLEMENCY JOY G.
KINDER PINYA BATTUNG, CLEMENCY JOY G.
KINDER GUYABANO BORJA, ANA CARISSA I.
KINDER MANGGA BORJA, ANA CARISSA I.
KINDER CHICO RAMA, JOY B.
 KINDER MELON RAMA, JOY B.
KINDER SANTOL PRADO, RUTCHEL S
KINDER LANSONES PRADO, RUTCHEL S
KINDER LANGKA ORIO,MICHELLE D.
KINDER BAYABAS ORIO,MICHELLE D.
KINDER SAMPALOK MIJARES, MELIBETH D.
KINDER KAMIAS MIJARES, MELIBETH D.
KINDER MANOSTEEN GONZALES, VIVIAN C.
KINDER DUHAT GONZALES, VIVIAN C.
KINDER RAMBUTAN CALANGAN, MODELENE P.
KINDER PAKWAN CALANGAN, MODELENE P.
KINDER DURIAN RUSSEL, RINA M.
KINDER PAPAYA RUSSEL, RINA M.

Type of Checking Committee: _____ School Checking Committee (SCC) _____ Division Checking Committee (DCC)
Prepared by:

MARICEL B. MACANDA MARY GRACE SURIAGA RUTCHEL PRADO MICHELLE D. ORIO

MT-I CO-CHAIR Member Member

Conforme: GRACIANO A. BUDOY JR.

School Head/SSC Chair Date Completed (Division Level)
* Accuracy level refers to the percentage of correct/consistent records over total records examined or reviewed.