Report Code: SFRC1

SCHOOL FORMS CHECKING REPORT

SCHOOL NAME: DON AURELIO EVANGELISTA MEMORIAL ELEMENTARY SCHOOL SCHOOL ID: 101139 DISTRICT: AGNO
Table 1: Learner Records Examined/Reviewed
No. with inconsistency or incomplete
Grade Date No. of Examined/Reviewed % of Accuracy
Section Name of Adviser Supporting Documents
Level Checked
Male Female Total Male Female Total

School Total

Table 2: Learner Records with Inconsistency/ies or Errors

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

 Do not include Temporarily enrolled Learners as defined in Deped Order No.3 s. 2018
 % of accuracy refers to the percentage of correct/consistent records over total records examination
Table 3: For Transferred In/Moved In
Transfer of SF 10 (Formerly Form 137) DCC
Without SF 10*** Observation/Comment or
With SF 10 ( for Temporarily Enrolled) Technical Assistance
Grade Level Section Name of Adviser Provided
Received Received From Private From Public
w/in 30 days beyond 30 School School/SUC/LUC
days

***Do not include PEPT/PVT or ALS A& E certificate holders

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

Name of
Grade Level section Name of Adviser LRN Name of Learner School ID Division/Region
Originating School

Type of Checking Committee: ____ School Checking Committee (SCC) ____ Division Checking Committee (DCC)

Prepared by:

WINTON P. SAGUN MA. TERESA B. MARTIN EMMA N. QUODALA

Chairperson Vice Chairperson Vice Chairperson Member Member Member

------------------------------------------- All fields below are solely for the use of the Division Checking Committee (DCC )---------------------------------------------------------------------
Conforme:

WINTON P. SAGUN
School Head /SCC Chair Date Completed (Division Level)