Report Code: SFCR
School Forms Checking Report (SFCR)
NAME OF SCHOOL Lourdes Elementary SCHOOL ID 118560 DISTRICT
Table 1. Learners Record Examined/Reviewed
With Incosistency/no or lack of
Grade Number of Examined/reviewed
Section Name ofAdviser document
Level
Male Female Total Male Female
Kinder Cassiel Antonia G. Regner 11 12 23 0 0
Kinder Sariel Antonia G. Regner 10 12 22 0 0
I Nathaniel Angelina M. Atendido 12 9 21 1 0
I Jophiel Joan B. Arawiran 14 10 24 0 0
II Gabriel Aurelia C. Estoque 23 23 46 0 0
III Raphael Marciana C. Guiritan 27 17 44 1 0
IV Ariel Generosa G. Usaraga 13 7 20 0 0
IV Jophiel Lanie O. Bompat 16 8 24 1 0
V Michael Ma. Magdalena G. Lorete 11 15 26 1 0
V Zadkiel Christine P. Quiosay 11 14 25 2 1
VI Uriel Karlyl C. Ruiz 13 9 22 1 0
VI Sealtiel Sarah A. Terec 11 10 21 0 0
Table 2. For Record with Inconsistency/ies or Error
Nature of Inconsistency/Error Review team Observation/Comment
assistance provided
Total Number of
Number of Lack or Number Learner's
Grade Level Section Name ofAdviser Record Not Matched
Learner's Records
No Supporting in Other Document/
with
document Inconsistency/No
Report
lack of document
Kinder Cassiel Antonia G. Regner 0 0 0
Kinder Sariel Antonia G. Regner 0 0 0
I Nathaniel Angelina M. Atendido 1 0 1
I Jophiel Joan B. Arawiran 0 0 0
II Gabriel Aurelia C. Estoque 0 0 0
III Raphael Marciana C. Guiritan 1 0 1
IV Ariel Generosa G. Usaraga 0 0 0
IV Jophiel Lanie O. Bompat 1 0 1
V Michael Ma. Magdalena G. Lorete 1 0 1
V Zadkiel Christine P. Quiosay 3 0 3
VI Uriel Karlyl C. Ruiz 1 0 1
VI Sealtiel Sarah A. Terec 0 0 0
Table 3. For Transferred In
Transfer of Form 137 (DOWithout
54, s. 2016)
Form 137 (Do not Review team Observation/
include PEPT/PVT or technical assisstnce p
With Form 137
ALS-A&E Certicate
holders)
Grade
Section Name ofAdviser Received From
Level
beyond 30 From Private Public
days upon School School and
Received within 30 transferred SUC/LUC
Days upon
transferred
Kinder Cassiel Antonia G. Regner 0 0 0 0
Kinder Sariel Antonia G. Regner 0 0 0 0
I Nathaniel Angelina M. Atendido 0 0 0 0
I Jophiel Joan B. Arawiran 0 0 0 0
II Gabriel Aurelia C. Estoque 0 0 0 0
III Raphael Marciana C. Guiritan 0 0 1 0
IV Sto.Niño Matilde A. Aragon 0 0 0 0
IV Ariel Generosa G. Usaraga 0 0 0 0
IV Jophiel Lanie O. Bompat 0 0 0 0
V Michael Ma. Magdalena G. Lorete 0 0 0 0
V Zadkiel Christine P. Quiosay 0 0 0 0
VI Uriel Karlyl C. Ruiz 0 0 0 0
VI Sealtiel Sarah A. Terec 0 0 0 0
Table 4. For Transferred In Learners without Form 137
Grade Name of Originating
Section Name of Adviser LRN Name of Learner
Level School
Kinder Cassiel Antonia G. Regner 0 0 0
Kinder Sariel Antonia G. Regner 0 0 0
I Nathaniel Angelina M. Atendido 0 0 0
I Jophiel Joan B. Arawiran 0 0 0
II Gabriel Aurelia C. Estoque 0 0 0
III Raphael Marciana C. Guiritan 446619170095 Michael Brandon Mijares HNU
IV Ariel Generosa G. Usaraga 0 0 0
IV Jophiel Lanie O. Bompat 0 0 0
V Michael Ma. Magdalena G. Lorete 0 0 0
V Zadkiel Christine P. Quiosay 0 0 0
VI Uriel Karlyl C. Ruiz 0 0 0
VI Sealtiel Sarah A. Terec 0 0 0
Type of Checking Committee: √____ School Checking Committee (SCC) _____ Division Checking Committee (DCC)
GLECER C. BONGO KARLYL C. RUIZ ANGELINA M. ATENDIDO
Chairperson Co-Chair Member
Noted by: GLECER C. BONGO July 16, 2021
School Head Date of Checking of Forms
* Accuracy level refers to the percentage of correct/consistent records over total records examined or reviewed.
Panglao
y/no or lack of *%
ent Accuracy
Total Level
0 100%
0 100%
1 95%
0 100%
0 100%
1 98%
0 100%
1 96%
1 96%
3 88%
1 95%
0 100%
School Total 97%
rvation/Comment or technical
tance provided
eam Observation/Comment or
hnical assisstnce provided
School ID Division/
Region
0 0
0 0
0 0
0 0
0 0
404273 Bohol/VII
0 0
0 0
0 0
0 0
0 0
0 0
DCC)
Member
