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Report Code: SFCR1 Annex 1a

SCHOOL FORMS CHECKING REPORT


DISTRICT
SCHOOL NAME: MATALAM POLYTECHNIC COLLEGE INC. SCHOOL ID: 467549 III
:

Table 1. Learner Records Examined/Reviewed


No. with Inconsistency or Incomplete
Grade No. of Examined/Reviewed*
Section Name of Adviser Date Supporting Documents % Accuracy**
Level
Checked Male Female Total Male Female Total
11 HUMSS (COPERNICUS) JOCELYN G. DESCALZOTA 6-19-23 4 35 39 0 0 0
11 ICT (RUTHERFORD) RAEMA VELLE B. NICOR 6-20-23 11 43 54 0 0 0
11 AS(PLATO) ULYSES C. HUMPAY 6-21-23 53 3 56 0 0 0
11 AS( ARCHIMEDES) BEBELEN D. BUENTIPO 6-23-23 42 4 46 0 0 0
11 SMAW( MAXWELL) ROSS R. CONDES 6-22-23 17 0 17 0 0 0
11 CAREGIVING( MAXWELL) ROSS R. CONDES 6-24-23 1 4 5 0 0 0
School
Total 128 89 217 0 0 0

Table 2. Learner Records with Inconsistency/ies or Errors


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

             
           

           
           
           
*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


Report Code: SFCR1 Annex 1a
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

             

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

Table 4. For Transferred In/Moved In Learners `


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

               

               
               
               

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

EMMA B. NICOR RUBELYN T. TAGAMOLILA RIZA MAE G. BATILLER ZAIREN P. BEBOSO ARLENE M. MAGBANUA
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

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