Republic of the Philippines

Department of Education
Region III – Central Luzon
SCHOOLS DIVISION OF CITY OF BALANGA

SCHOOL FORMS CHECKING REPORT

DISTRICT
SCHOOL NAME: M. DELOS REYES MEMORIAL ELEMENTARY SCHOOL SCHOOL ID: 104561 1
:

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**
Male Female Total Male Female Total
 MA. CELESTE R. July 7, 2023
 KINDER  ATIS NICODEMUS  11  8  19  0  0  0  100%
 MA. CELESTE R. July 7, 2023
   BAYABAS NICODEMUS  12  7  19  0  0  0  100%
CAIMITO JEANETTE H. PAYSON July 7, 2023 10 9 19
DALANDAN JEANETTE H. PAYSON July 7, 2023 9 10 19

1 FAITH SHELLA B. BROSAS July 5, 2023 12 14 26

LOVE  SHEENA N. LEANO July 5, 2023  13  12  25        
   CHARITY  SHEILA M. CORPUZ July 5, 2023  12 12   24  0  0  0  100%
                   
2 ANTHURIUM CRISTINA T. FANGON July 10, 2023 15 14 29 1 0 1 93.33%
CAMIA MARIAN FE. SALDI July 11, 2023 14 15 29 0 0 0 100%
ROSE ANGELA M. ESPIRITU July 10, 2023 30

3 ACACIA ARRIANE S. JIMENEZ July 6, 2023 23 12 35

NARRA LILIBETH C. FRANCISCO July 6, 2023 15 20 35

Address: DFS Phase III, Talisay, Balanga

City
Email Address: balanga.city@deped.gov.ph
Telephone No: (047) 612-0013
 ANNA MARIE R. July 6, 2023
4 RIZAL LABRADOR 16 18 34
July 10, 2023 4
Baptismal
Certificate
BONIFACIO JENNIFER N. PAJARES 21 14 35 only
MABINI ANJEANETTE S. ABEJAR July 6, 2023 20 13 33

5 AQUINO LILIBETH B. FRANCO July 7, 2023 19 25 44

MARCOS EBNER S. NILAY July 10, 2023 22 20 42

6 JUPITER MICHELLE C. DELA PAZ July 5, 2023 17 27 44

TOTAL

Table 2. Learner Records with Inconsistency/ies or Errors

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

2 ANTHURIUM CRISTINA T. FANGON / 0 1

           

Address: DFS Phase III, Talisay, Balanga

City
Email Address: balanga.city@deped.gov.ph
Telephone No: (047) 612-0013
           

           

           

           
*Do not include Temporarily Enrolled Learners as defined in Deped Order No. 3, s. 2018.
**%Accuracy refers to the percentage of correct/consistent records over total records examined or reviewed.

Table 3. For Transferred In/Moved In

Transfer of SF10 (formerly Form 137)
SCC/DCC Observation/Comment or
Without SF10***
Grade With SF10 Technical Assistance Provided
Section Name of Adviser (For Temporarily Enrolled)
Level
Received w/in Received beyond From Private From Public  
30 days 30 days School School/SUC/LUC

2 ANTHURIUM CRISTINA T. FANGON GARCIA, DEAN /

LANDER T.
3 Acacia ARRIANE S. JIMENEZ HERRERA, /
FRANCIS M.
PALAYPAY, /
DANNAH S.
VALENTOS, /
JASMIN A.

 4  BONIFACIO  JENNIFER N. PAJARES    GONZALES,    /

Address: DFS Phase III, Talisay, Balanga

City
Email Address: balanga.city@deped.gov.ph
Telephone No: (047) 612-0013
 RUTH ABIGAEL A.
JAIME, LEIZELE
REIGN B. /
RUADO, KEAN
JAMES T. /
PINDOS, DYNETH
5 AQUINO LILIBETH B. FRANCO ADELIE Q /

BERNALDEZ ,
2 CAMIA MARIAN FE T. SALDI LAYSON KIER
VALENTOS,
SHEERWIN M.
IZON, DAMIEL
ELIZ P.

***Do not include PEPT/PVT or ALS-A&E Certificate holders.

Table 4. For Transferred In/Moved In Learners Without SF 10 (formerly Form 137) or Temporarily Enrolled
Grade
Section Name of Adviser LRN Name of Learner Name of Originating School School ID Division/ Region
Level
                   

 10456220003 GATMAITAN, ANDREW JAMES PUERTO RIVAS ELEMENTARY

 2  ANTHURIUM  CRISTINA T. FANGON  104562
8 M.  SCHOOL   BALANGA CITY

               
               
               

Address: DFS Phase III, Talisay, Balanga

City
Email Address: balanga.city@deped.gov.ph
Telephone No: (047) 612-0013
 Type of Checking Committee: ____ School Checking Committee (SCC) _____ Division Checking Committee (DCC)
Prepared by:

Chair Vice Chairs Member Member Member

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

School Head/SCC Chair Date Completed by DCC

Address: DFS Phase III, Talisay, Balanga

City
Email Address: balanga.city@deped.gov.ph
Telephone No: (047) 612-0013