SF 10-JHS

Republic of the Philippines

Department of Education
Learner Permanent Record for Junior High School (SF10-JHS)
(Formerly form 137)

LEARNER'S INFORMATION

LAST NAME: DELA CRUZ, FIRST NAME: FRANCELYN JOY NAME EXTN(Jr,I,II)______MIDDLE NAME: MAGPON
Learner Reference Number (LRN): 110620120172 Birthdate (mm/dd/yyyy): 04/06/07 Sex: FEMALE

ELIGIBILITY FOR JHS ENROLMENT

Elementary School Completer General Average: 86 Citation: (If Any)______________________
6 Name of Elementary School: PUERTO GALERA ACADEMY School ID: 403464 Address of School: POBLACION, PUERTO GALERA OR. MINDORO
Other Credential Presented
PEPT PASSER Rating:________ ALS A&E PASSER Rating:___________ Others (pls. specify): ____________

SCHOLASTIC RECORD
School: PUERTO GALERA ACADEMY School ID: 403464 District: PUERTO GALERA Division: ORIENTAL MINDORO Region: IV-B
Classified as Grade: SEVEN Section: ST. MATTHEW THE EVANGELIST School Year: 2019-2020 Name of Adviser/Teacher: MISS MARY JANE ANILAO Signature: ______
QUARTERLY RATING FINAL
LEARNING AREAS REMARKS
1 2 3 4 RATING
Filipino 86 90 90 90 89 PASSED
English 86 85 85 88 86 PASSED
Mathematics 83 75 80 83 80 PASSED
Science 85 81 85 82 83 PASSED
Araling Panlipunan 88 87 87 88 88 PASSED
Technology and Livelihood Education (TLE) 86 78 78 81 82 PASSED
MAPEH 87 85 90 89 88 PASSED
Music 88 88 88 89
Arts 84 76 88 92
Physical Education 91 89 96 91
Health 86 87 87 90
Edukasyon sa Pagpapakatao with Christian Living Education 88 89 88 93 89 PASSED
ELECTIVE: Info. And Com. Technology (ICT) 88 92 92 92 91 PASSED
Conduct 93 87 87 92 90
MONTHS J J A S O N D J GENERAL AVERAGE:
F M 85 A TOTAL PROMOTED
No. of years in school to date
MONTHS J J A S O N D J F M A TOTAL
Days of School 19 23 19 23 19 20 13 20 20 23 0 199 7

Days Present 19 23 18 22 17 20 13 19 20 23 0 196

Remedial Classes Conducted from (mm/dd/yyyy)_________________________ to (mm/dd/yyyy)______________________

Learning Areas Final Rating Remedial Class Mark Recomputed Final Grade Remarks

CERTIFICATION
I certify that this is a true record of ___________________________________________with LRN___________________ and that he/she is eligible for admission to Grade ____________

Name of School:___________________________________________ School ID:_________________________ Last school Year Attended:__________________

Date Name of Principal/ School Head Over Printed Name

School:_________________________________________________ School ID___________ District_________________Division_____________ Region: ________

Classified as Grade:______________ Section:_______________________ School Year:_____________ Name of Adviser/Teacher____________ Signature: _________
QUARTERLY RATING FINAL
LEARNING AREAS REMARKS
1 2 3 4 RATING
Filipino
English
Mathematics
Science
Araling Panlipunan
Technology and Livelihood Education (TLE)
MAPEH
Music
Arts
Physical Education
Health
Edukasyon sa Pagpapakatao with Christian Living Education
ELECTIVE: Info. And Com. Technology (ICT)
Conduct
GENERAL AVERAGE:
No. of years in school to date
MONTHS J J A S O N D J F M A TOTAL
Days of School
Days Present

Remedial Classes Conducted from (mm/dd/yyyy)_________________________ to (mm/dd/yyyy)______________________

Learning Areas Final Rating Remedial Class Mark Recomputed Final Grade Remarks

CERTIFICATION
I certify that this is a true record of ___________________________________________with LRN___________________ and that he/she is eligible for admission to Grade ____________

Name of School:___________________________________________ School ID:_________________________ Last school Year Attended:__________________

Date Name of Principal/ School Head Over Printed Name

SF 10-JHS
School:_________________________________________________ School ID___________ District_________________Division_____________ Region: ________

Classified as Grade:______________ Section:_______________________ School Year:_____________ Name of Adviser/Teacher____________ Signature: _________

QUARTERLY RATING FINAL
LEARNING AREAS REMARKS
1 2 3 4 RATING
Filipino
English
Mathematics
Science
Araling Panlipunan
Technology and Livelihood Education (TLE)
MAPEH
Music
Arts
Physical Education
Health
Edukasyon sa Pagpapakatao with Christian Living Education
ELECTIVE: Info. And Com. Technology (ICT)
Conduct
GENERAL AVERAGE:
No. of years in school to date
MONTHS J J A S O N D J F M A TOTAL
Days of School
Days Present

Remedial Classes Conducted from (mm/dd/yyyy)_________________________ to (mm/dd/yyyy)______________________

Learning Areas Final Rating Remedial Class Mark Recomputed Final Grade Remarks

CERTIFICATION
I certify that this is a true record of ___________________________________________with LRN___________________ and that he/she is eligible for admission to Grade ____________

Name of School:___________________________________________ School ID:_________________________ Last school Year Attended:__________________

Date Name of Principal/ School Head Over Printed Name

School:_________________________________________________ School ID___________ District_________________Division_____________ Region: ________

Classified as Grade:______________ Section:_______________________ School Year:_____________ Name of Adviser/Teacher______________ Signature: _________
QUARTERLY RATING FINAL
LEARNING AREAS 1 2 3 4 RATING
REMARKS

Filipino
English
Mathematics
Science
Araling Panlipunan
Technology and Livelihood Education (TLE)
MAPEH
Music
Arts
Physical Education
Health
Edukasyon sa Pagpapakatao with Christian Living Education
ELECTIVE: Info. And Com. Technology (ICT)
Conduct
GENERAL AVERAGE:
No. of years in school to date
MONTHS J J A S O N D J F M A TOTAL
Days of School
Days Present
Remedial Classes Conducted from (mm/dd/yyyy)_________________________ to (mm/dd/yyyy)______________________
Learning Areas Final Rating Remedial Class Mark Recomputed Final Grade Remarks

For Transfer Out/JHS Completer Only.

CERTIFICATION
I certify that this is a true record of ___________________________________________with LRN___________________ and that he/she is eligible for admission to Grade ____________

Name of School:___________________________________________ School ID:_________________________ Last school Year Attended:__________________

Date Name of Principal/ School Head Over Printed Name (affix School Seal here)
(May add Certification box if needed) SFRT Revised 2017
SF 10-ES
Republic of the Philippines
Department of Education
Learner Permanent Record for Elementary School (SF10-ES)
(Formerly form 137)

LEARNER'S INFORMATION

LAST NAME: _______________________________FIRST NAME____________________________________NAME EXTN(Jr,I,II)___________MIDDLE NAME_________________

Learner Reference Number (LRN): ______________________________________ Birthdate (mm/dd/yyyy)________________________Sex:____________________

ELIGIBILITY FOR ELEMENTARY SCHOOL ENROLMENT

Credential presented for Grade 1 Kinder Progress Report ECCO Checklist Kindergarten Certificate of Completion
Name of School:___________________________________ School ID: Address of School:
Other Credential Presented
PEPT PASSER Rating:________ Date of Examination/Assesment:_________________ Others ( Pls. Specify):________________________
Name and Address of Testing Center____________________________________________ Remarks:
__________________________________

SCHOLASTIC RECORD
School:____________________________________________ School ID:______________________ School:____________________________________________ School ID:______________________
District:____________________ Division:_ ___________________Region:___________________ District:____________________ Division:_ ___________________Region:___________________
Classified as Grade _____________ Section:_________ School Year:_______________________ Classified as Grade _____________ Section:_________ School Year:_______________________
Name of Adviser/Teacher:______________________ Signature:____________________________ Name of Adviser/Teacher:______________________ Signature:____________________________
QUARTERLY RATING Final QUARTERLY RATING Final
LEARNING AREAS Remarks LEARNING AREAS Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Mother Toungue Mother Toungue
Filipino Filipino
English English
Mathematics Mathematics
Science Science
Araling Panlipunan Araling Panlipunan
EPP/TLE EPP/TLE
MAPEH MAPEH
Music Music
Arts Arts
Physical Education Physical Education
Health Health
Eduk. Sa Pagpapakatao Eduk. Sa Pagpapakatao

General Average General Average

Months J J A S O N D J F M A TOTAL Months J J A S O N D J F M A TOTAL

Days of School Days of School
Days Present Days Present

Remedial Classes Conducted from:______________to:_______________ Remedial Classes Conducted from:______________to:_______________

Final Remedial Class Recomputed Remarks Final Remedial Class Recomputed Remarks
LEARNING AREAS LEARNING AREAS
Rating Mark Final Grade Rating Mark Final Grade

School:____________________________________________ School ID:______________________ School:____________________________________________ School ID:______________________

District:____________________ Division:_ ___________________Region:___________________ District:____________________ Division:_ ___________________Region:___________________
Classified as Grade _____________ Section:_________ School Year:_______________________ Classified as Grade _____________ Section:_________ School Year:_______________________
Name of Adviser/Teacher:______________________ Signature:____________________________ Name of Adviser/Teacher:______________________ Signature:____________________________
QUARTERLY RATING Final QUARTERLY RATING Final
LEARNING AREAS Remarks LEARNING AREAS Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Mother Toungue Mother Toungue
Filipino Filipino
English English
Mathematics Mathematics
Science Science
Araling Panlipunan Araling Panlipunan
EPP/TLE EPP/TLE
MAPEH MAPEH
Music Music
Arts Arts
Physical Education Physical Education
Health Health
Eduk. Sa Pagpapakatao Eduk. Sa Pagpapakatao

General Average General Average

Months J J A S O N D J F M A TOTAL Months J J A S O N D J F M A TOTAL

Days of School Days of School
Days Present Days Present

Remedial Classes Conducted from:______________to:_______________ Remedial Classes Conducted from:______________to:_______________

Final Remedial Class Recomputed Remarks Final Remedial Class Recomputed Remarks
LEARNING AREAS LEARNING AREAS
Rating Mark Final Grade Rating Mark Final Grade
SF 10-ES
School:____________________________________________ School ID:______________________ School:____________________________________________ School ID:______________________
District:____________________ Division:_ ___________________Region:___________________ District:____________________ Division:_ ___________________Region:___________________
Classified as Grade _____________ Section:_________ School Year:_______________________ Classified as Grade _____________ Section:_________ School Year:_______________________
Name of Adviser/Teacher:______________________ Signature:____________________________ Name of Adviser/Teacher:______________________ Signature:____________________________
QUARTERLY RATING Final QUARTERLY RATING Final
LEARNING AREAS Remarks LEARNING AREAS Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Mother Toungue Mother Toungue
Filipino Filipino
English English
Mathematics Mathematics
Science Science
Araling Panlipunan Araling Panlipunan
EPP/TLE EPP/TLE
MAPEH MAPEH
Music Music
Arts Arts
Physical Education Physical Education
Health Health
Eduk. Sa Pagpapakatao Eduk. Sa Pagpapakatao

General Average General Average

Months J J A S O N D J F M A TOTAL Months J J A S O N D J F M A TOTAL

Days of School Days of School
Days Present Days Present

Remedial Classes Conducted from:______________to:_______________ Remedial Classes Conducted from:______________to:_______________

Final Remedial Class Recomputed Remarks Final Remedial Class Recomputed Remarks
LEARNING AREAS LEARNING AREAS
Rating Mark Final Grade Rating Mark Final Grade

School:____________________________________________ School ID:______________________ School:____________________________________________ School ID:______________________

District:____________________ Division:_ ___________________Region:___________________ District:____________________ Division:_ ___________________Region:___________________
Classified as Grade _____________ Section:_________ School Year:_______________________ Classified as Grade _____________ Section:_________ School Year:_______________________
Name of Adviser/Teacher:______________________ Signature:____________________________ Name of Adviser/Teacher:______________________ Signature:____________________________
QUARTERLY RATING Final QUARTERLY RATING Final
LEARNING AREAS Remarks LEARNING AREAS Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Mother Toungue Mother Toungue
Filipino Filipino
English English
Mathematics Mathematics
Science Science
Araling Panlipunan Araling Panlipunan
EPP/TLE EPP/TLE
MAPEH MAPEH
Music Music
Arts Arts
Physical Education Physical Education
Health Health
Eduk. Sa Pagpapakatao Eduk. Sa Pagpapakatao

General Average General Average

Months J J A S O N D J F M A TOTAL Months J J A S O N D J F M A TOTAL

Days of School Days of School
Days Present Days Present

Remedial Classes Conducted from:______________to:_______________ Remedial Classes Conducted from:______________to:_______________

Final Remedial Class Recomputed Remarks Final Remedial Class Recomputed Remarks
LEARNING AREAS LEARNING AREAS
Rating Mark Final Grade Rating Mark Final Grade

For Transfer Out/JHS Completer Only.

CERTIFICATION
I certify that this is a true record of _____________________________________________with LRN__________________________ and that he/she is eligible for admission to Grade _____________
Name of School:___________________________________________ School ID:__________________________________ Last school Year Attended:____________________________________

Date Name of Principal/ School Head Over Printed Name (affix School Seal here)

CERTIFICATION
I certify that this is a true record of ________________________________________________with LRN_______________________ and that he/she is eligible for admission to Grade ____________
Name of School:___________________________________________ School ID:_________________________ Last school Year Attended:__________________

Date Name of Principal/ School Head Over Printed Name

(affix School Seal here)

CERTIFICATION
I certify that this is a true record of ________________________________________________with LRN_______________________ and that he/she is eligible for admission to Grade ____________
Name of School:___________________________________________ School ID:_________________________ Last school Year Attended:__________________

Date Name of Principal/ School Head Over Printed Name

(affix School Seal here)
(May add Certification box if needed) SFRT Revised 2017
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