Report Code: SFCR (DO # 11, s.

2018)
School Forms Checking Report (SFCR)
Table 1. Learners Record Examined/Reviewed

Number of Examined/Reviewed (A) No. With Incosistency or incomplete Supporting * % Accuracy

Grade document (B)
Section Name ofAdviser
Level
Male Female Total Male Female Total {(A-B)/A}x100%

8 CAMIA JULIVENCE F. ALAMAY 0

Table 2. For Record with Inconsistency/ies or Error

Nature of Error
(Put check)
Gender
(M/F)
# Name of Learner With DCC Observation/Comment or technical assistance provided
Incomplete With Inconsistency/
Supporting error
Documents

1
2
3
4
5
6

Table 3. For Transferred In/Moved In

Transfer of SF10/Form 137 (DO 54, s. 2016)
DCC Observation/Comment or technical assisstnce provided
Without SF10/Form 137
(Do not include
with SF-10/F137 PEPT/PVT or ALS-A&E Certicate
Gender (put check)
# (M/F) Name of Learner holders)
(put check)
From Public
Received w/in Received beyond 30 From Private
30 days days School School and
SUC/LUC

1 F GARCIA, GIANNE CARLA R. / /

 2

Table 4. For Transferred In/Moved In Learners without Form 137

# Gender (M/F) LRN Name of Learner Name of Originating School School ID Division/ Region

1
2
3
4
Type of Checking Committee: __✓__ School Checking Committee (SCC) _____ Division Checking Committee (DCC)

GIOVANI GENE U. ULANIMO

GEORGE C. URUBIO NICOLAS O. UDANI LEONIDA T. UBARRE Ed, D. SHERYL V. TALBO

Chairperson Co-Chairs Member Member Member

Noted by: GEORGE C. URUBIO

School Head Date of Checking of Forms

* Accuracy level refers to the total no. consistent or with complete supporting documents over total records examined or reviewed x 100%. (Computation covers Table 1 and Table 2 only)
1. For Table 1 and Table 2, do not include learners who transferred from private school with pending transfer of form 137 or SF10
2. Table 2 is a breakdown in the data of column 7, 8, 9 of table 1.
3. For Table 3, include all issues of transfers including those learners with pending transfer of form 137 from private school.
It is the breakdown of table 3 in SFCR to be accomplished by the School Head.
4. For Table 4, list of all learners with pending transfer of SF10 (form 137) both from public and private schools with reference to table 3.
5. Add additional rows if needed in table 3 and 4.