Republic of the Philippines

Department of Education
REGION XI-DAVAO
SCHOOLS DIVISION OF DAVAO DE ORO
LAAK NORTH DISTRICT
CONSOLIDATED DISTRICT SCHOOL FORM CHECKING REPORT

DISTRICT LAAK
NAME:______________________________ _______________________ MERILYN
DCP: _______________________________ DIVISION: DAVAO DE ORO
Table 1. Learner Records
NORTH Examined/ Reviewed M.
No. with Inconsistency or
Date No. of Examined/Reviewed*
School Name School ID Name of School Head Incomplete Supporting Documents % Accuracy**
Completed
Male Female Total Male Female Total

District Total

Table 2. Learners Records with Inconsistency/ies or Errors

No. of Records per Nature of Errors
With
With District Checking Committee
Incomplete
School Name School ID Name of School Head Inconsistency / Total Observation/Comment or Technical Assistance
Supporting Provided
Error
Documents

*Do not include temporarily Enrolled Learners as Defined in DepEd Order No 3, s. 2028.
**% Accuracy refers to the percentage of correct / consistent records over total records or reviewed.
Table 3. For Transferred In/Moved In
Transferred of SF10 (Formerly Form 137) District Checking Committee
With SF 10 Without SF10*** Observation/Comment or Technical Assistance
Name of School (For Temporarily Enrolled) Provided
School Name School ID
Head 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 SF10 (formerly Form 137)
School Name School ID LRN Name of Learner Name of Originating School School ID Division / Region

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

_________________________ _________________________ _______________________ ________________________ _____________________

Chair Vice Chair Member Member Member

Conforme:
MERILYN
______________________________ _________________________
M. Vice Chair (DCP) Date Completed (District Level)