Editable Card and Form 137

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REPUBLIC OF THE PHILIPPINES FORM 137-SHS

DEPARTMENT OF EDUCATION
SENIOR HIGH SCHOOL STUDENT PERMANENT RECORD
LEARNER'S INFORMATION

LAST NAME: RECUERDO FIRST NAME: JASMYN MIDDLE NAME: ULTIMAR


LRN: 119903100072 Date of Birth (MM/DD/YYYY): 3/22/2005 Sex: MALE Date of SHS Admission (MM/DD/YYYY): 8/22/2022

ELIGIBILITY FOR SHS ENROLMENT

High School Completer* Gen. Ave: ⁄ Junior High School Completer Gen. Ave: 83
Date of Graduation/Completion (MM/DD/YYYY): Name of School: TALAMBAN NATIONAL HIGH SCHOOL School Address: TALAMBAN CEBU CITY
PEPT Passer** Rating: ALS A&E Passer*** Rating: Others (Pls. Specify):
Date of Examination/Assessment (MM/DD/YYYY): Name and Address of Community Learning Center:
*High School Completers are students who graduated from secondary school under the old curriculum ***ALS A&E - Alternative Learning System Accreditation and Equivalency Test for JHS
**PEPT - Philippine Educational Placement Test for JHS
SCHOLASTIC RECORD
SCHOOL: HILONGOS NATIONAL VOCATIONAL SCHOOL SCHOOL ID: 3303374 GRADE LEVEL: 11 SY: 2022 - 2023 SEM: 1ST
TRACK/STRAND: TVL /INDUSTRIAL ARTS (SHIELDED METAL ARC WELDING) SECTION: DENIM

Indicate if Subject is Quarter SEM FINAL ACTION


CORE, APPLIED, or SUBJECTS
1ST 2ND GRADE TAKEN
SPECIALIZED
CORE Oral Communication in Context 86 82 84 PASSED
Core General Mathematics 81 75 78 PASSED
Core Earth and Life Science 80 77 79 PASSED
Core Komunikasyon sa Wika at Kulturang Pilipino 83 83 83 PASSED
Core 21st Century from the Philippines and the World 77 78 78 PASSED
Core Personal Development/Pansariling Kaunlaran 80 85 83 PASSED
Core Physical Education and Health 85 81 83 PASSED
Applied Empowerment Technologies (for the strand) 74 79 77 PASSED
Specialized SMAW NCI 79 82 81 PASSED

General Ave. for the Semester: 81 PASSED


REMARKS:
Prepared by: Certified True and Correct: Date Checked (MM/DD/YYYY):
ELLA T.DOGUILES AURORAN. PARAN, Ed.D.,HT-VI, Head SHS Dept. 2/10/2023
Signature of Adviser over Printed Name Signature of Authorized Person over Printed Name, Designation

REMEDIAL CLASSES Conducted from (MM/DD/YYYY): to (MM/DD/YYYY): SCHOOL: SCHOOL ID:


Indicate if Subject is REMEDIAL
SEM FINAL RECOMPUTED ACTION
CORE, APPLIED, or SUBJECTS CLASS
GRADE FINAL GRADE TAKEN
SPECIALIZED MARK

Name of Teacher/Adviser: Signature:

SCHOOL: TALAMBAN NATIONAL HIGH SCHOOL SCHOOL ID: 303140 GRADE LEVEL: 11 SY: 2022 - 2023 SEM: 2ND
TRACK/STRAND: TVL /INDUSTRIAL ARTS (SHIELDED METAL ARC WELDING) SECTION: TVL A

Indicate if Subject is Quarter SEM FINAL ACTION


CORE, APPLIED, or SUBJECTS
3RD 4TH GRADE TAKEN
SPECIALIZED
Core READING AND WRITING SKILLS 78 88 83 PASSED
Core PAGBASA AT PAGSURI NG IBAT IBANG TEKSTO TUNGO SA PANANALIKSIK 81 90 86 PASSED
Core STATISTICS AND PROBABILITY 77 75 76 PASSED
Core PHYSICAL SCIENCE 80 85 83 PASSED
Core UNDERSTANDING CULTURE , SOCIETY , AND POLITICS 77 81 79 PASSED
Core PHYSICAL EDUCATION AND HEALTH 2 81 85 83 PASSED
Applied ENGLISH FOR ACADEMIC AND PROFESSIONAL PURPOSE 76 77 77 PASSED
Applied PRACTICAL RESEARCH 1 / RESEARCH IN DAILY LIFE 1 76 87 82 PASSED
Specialized SHIELDED METAL ARC WELDING 1 78 93 86 PASSED

General Ave. for the Semester: 82 PASSED

REMARKS:
Prepared by: Certified True and Correct: Date Checked (MM/DD/YYYY):

Signature of Adviser over Printed Name Signature of Authorized Person over Printed Name, Designation

REMEDIAL CLASSES Conducted from (MM/DD/YYYY): to (MM/DD/YYYY): SCHOOL: SCHOOL ID:

Indicate if Subject is REMEDIAL


SEM FINAL RECOMPUTED ACTION
CORE, APPLIED, or SUBJECTS CLASS
GRADE FINAL GRADE TAKEN
SPECIALIZED MARK

Name of Teacher/Adviser: Signature:


REPUBLIC OF THE PHILIPPINES FORM 137-SHS
DEPARTMENT OF EDUCATION
SENIOR HIGH SCHOOL STUDENT PERMANENT RECORD
LEARNER'S INFORMATION

LAST NAME: RECUERDO FIRST NAME: JASMYN MIDDLE NAME: ULTIMAR


LRN: 119904060475 Date of Birth (MM/DD/YYYY): 3/22/2005 Sex: MALE Date of SHS Admission (MM/DD/YYYY): 6/4/2018

ELIGIBILITY FOR SHS ENROLMENT


High School Completer* Gen. Ave: ⁄ Junior High School Completer Gen. Ave: 85
Date of Graduation/Completion (MM/DD/YYYY): Name of School: BUDLA-AN INTEGRATED SCHOOL School Address: BUDLA-AN, CEBU CITY
PEPT Passer** Rating: ALS A&E Passer*** Rating: Others (Pls. Specify):
Date of Examination/Assessment (MM/DD/YYYY): Name and Address of Community Learning Center:
*High School Completers are students who graduated from secondary school under the old curriculum ***ALS A&E - Alternative Learning System Accreditation and Equivalency Test for JHS
**PEPT - Philippine Educational Placement Test for JHS
SCHOLASTIC RECORD
SCHOOL: TALAMBAN NATIONAL HIGH SCHOOL SCHOOL ID: 303140 GRADE LEVEL: 11 SY: 2020-2021 SEM: 1ST
TRACK/STRAND: TVL /INDUSTRIAL ARTS (SHIELDED METAL ARC WELDING) SECTION: SEPHORIA

Indicate if Subject is Quarter SEM FINAL ACTION


CORE, APPLIED, or SUBJECTS
1ST 2ND GRADE TAKEN
SPECIALIZED
Applied Entrepreneurship 84 78 81 PASSED
Applied Empowerment Technologies (for the strand) 81 81 81 PASSED

General Ave. for the Semester: 81 PASSED


REMARKS:
Prepared by: Certified True and Correct: Date Checked (MM/DD/YYYY):
RICHIE P. SANCHEZ SARAH M. RECUERDO, School Registrar
Signature of Adviser over Printed Name Signature of Authorized Person over Printed Name, Designation

REMEDIAL CLASSES Conducted from (MM/DD/YYYY): to (MM/DD/YYYY): SCHOOL: SCHOOL ID:


Indicate if Subject is REMEDIAL
SEM FINAL RECOMPUTED ACTION
CORE, APPLIED, or SUBJECTS CLASS
GRADE FINAL GRADE TAKEN
SPECIALIZED MARK

Name of Teacher/Adviser: Signature:

SCHOOL: TALAMBAN NATIONAL HIGH SCHOOL SCHOOL ID: 303140 GRADE LEVEL: 11 SY: 2020-2021 SEM: 2ND
TRACK/STRAND: TVL /INDUSTRIAL ARTS (SHIELDED METAL ARC WELDING) SECTION: SEPHORIA

Indicate if Subject is Quarter SEM FINAL ACTION


CORE, APPLIED, or SUBJECTS
3RD 4TH GRADE TAKEN
SPECIALIZED
Core Pagbasa at Pagsusuri ng Iba't Ibang Teksto Tungo sa Pananaliksik 81 81 81 PASSED
Core Understanding Culture, Society and Politics 83 81 82 PASSED
Core Statistics and Probability 78 77 78 PASSED
Core Physical Education and Health 2 83 84 84 PASSED
Core Reading and Writing Skills 80 82 81 PASSED
Core Physical Science 80 82 81 PASSED
Core Disaster Readiness and Risk Reduction 86 86 86 PASSED
Applied Practical Research 1/ Research in daily Life 1 80 81 81 PASSED
Applied English for Academic and Professional Purpose 79 80 80 PASSED
Specialized Hairdressing (160 Hrs) 80 79 80 PASSED

General Ave. for the Semester: 81 PASSED

REMARKS:
Prepared by: Certified True and Correct: Date Checked (MM/DD/YYYY):

RICHIE P. SANCHEZ SARAH M. RECUERDO, School Registrar


Signature of Adviser over Printed Name Signature of Authorized Person over Printed Name, Designation

REMEDIAL CLASSES Conducted from (MM/DD/YYYY): to (MM/DD/YYYY): SCHOOL: SCHOOL ID:

Indicate if Subject is REMEDIAL


SEM FINAL RECOMPUTED ACTION
CORE, APPLIED, or SUBJECTS CLASS
GRADE FINAL GRADE TAKEN
SPECIALIZED MARK

Name of Teacher/Adviser: Signature:


Page 2 RECUERDO , JASMYN ULTIMAR Form 137-SHS
SCHOOL: HILONGOS NATIONAL VOCATIONAL HIGH SCHOOL SCHOOL ID: 303374 GRADE LEVEL: 11 SY: 2022-2023 SEM: 1ST
TRACK/STRAND: TVL /INDUSTRIAL ARTS (SHIELDED METAL ARC WELDING) SECTION: DENIM

Indicate if Subject is CORE, Quarter SEM FINAL ACTION


APPLIED, or SPECIALIZED 1ST 2ND GRADE TAKEN

General Ave. for the Semester:


REMARKS:
Prepared by: Certified True and Correct: Date Checked (MM/DD/YYYY):

ELLA T.DOGUILES AURORAN. PARAN, Ed.D.,HT-VI, Head SHS Dept.


Signature of Adviser over Printed Name Signature of Authorized Person over Printed Name, Designation

REMEDIAL CLASSES Conducted from (MM/DD/YYYY): to (MM/DD/YYYY): SCHOOL: SCHOOL ID:


REMEDIAL
Indicate if Subject is CORE, SEM FINAL RECOMPUTED ACTION
SUBJECTS CLASS
APPLIED, or SPECIALIZED GRADE FINAL GRADE TAKEN
MARK

Name of Teacher/Adviser: Signature:

SCHOOL: TALAMBAN NATIONAL HIGH SCHOOL SCHOOL ID: 303374 GRADE LEVEL: 11 SY: 2022-2023 SEM: 2ND
TRACK/STRAND: TVL /INDUSTRIAL ARTS (SHIELDED METAL ARC WELDING) SECTION: TVL - A

Indicate if Subject is CORE, Quarter SEM FINAL ACTION


SUBJECTS
APPLIED, or SPECIALIZED 3RD 4TH GRADE TAKEN

General Ave. for the Semester:


REMARKS:
Prepared by: Certified True and Correct: Date Checked (MM/DD/YYYY):

SHARA P. UYBINES SARAH U. RECUERDO, School Registrar


Signature of Adviser over Printed Name Signature of Authorized Person over Printed Name, Designation

REMEDIAL CLASSES Conducted from (MM/DD/YYYY): to (MM/DD/YYYY): SCHOOL: SCHOOL ID:


REMEDIAL
Indicate if Subject is CORE, SEM FINAL RECOMPUTED ACTION
SUBJECTS CLASS
APPLIED, or SPECIALIZED GRADE FINAL GRADE TAKEN
MARK

Name of Teacher/Adviser: Signature:


Page 3 RECUERDO , JASMYN ULTIMAR Form 137-SHS
SCHOOL: TALAMBAN NATIONAL HIGH SCHOOL SCHOOL ID: 303140 GRADE LEVEL: 11 SY: 2022-2023 SEM: 1ST
TRACK/STRAND: TVL /INDUSTRIAL ARTS (SHIELDED METAL ARC WELDING) SECTION: DENIM

Indicate if Subject is CORE, Quarter SEM FINAL ACTION


SUBJECTS
APPLIED, or SPECIALIZED 1ST 2ND GRADE TAKEN

General Ave. for the Semester:


REMARKS:
Prepared by: Certified True and Correct: Date Checked (MM/DD/YYYY):

ELLA T.DOGUILES AURORAN. PARAN, Ed.D.,HT-VI, Head SHS Dept.


Signature of Adviser over Printed Name Signature of Authorized Person over Printed Name, Designation

REMEDIAL CLASSES Conducted from (MM/DD/YYYY): to (MM/DD/YYYY): SCHOOL: SCHOOL ID:


REMEDIAL
Indicate if Subject is CORE, SEM FINAL RECOMPUTED ACTION
SUBJECTS CLASS
APPLIED, or SPECIALIZED GRADE FINAL GRADE TAKEN
MARK

Name of Teacher/Adviser: Signature:

SCHOOL: TALAMBAN NATIONAL HIGH SCHOOL SCHOOL ID: 303140 GRADE LEVEL: 11 SY: 2022-2023 SEM: 2ND
TRACK/STRAND: TVL /INDUSTRIAL ARTS (SHIELDED METAL ARC WELDING) SECTION: DENIM

Indicate if Subject is CORE, Quarter SEM FINAL ACTION


SUBJECTS
APPLIED, or SPECIALIZED 3RD 4TH GRADE TAKEN

General Ave. for the Semester:


REMARKS:
Prepared by: Certified True and Correct: Date Checked (MM/DD/YYYY):

SHARA P. UYBINES SARAH U. RECUERDO, School Registrar


Signature of Adviser over Printed Name Signature of Authorized Person over Printed Name, Designation

REMEDIAL CLASSES Conducted from (MM/DD/YYYY): to (MM/DD/YYYY): SCHOOL: SCHOOL ID:


REMEDIAL
Indicate if Subject is CORE, SEM FINAL RECOMPUTED ACTION
SUBJECTS CLASS
APPLIED, or SPECIALIZED GRADE FINAL GRADE TAKEN
MARK

Name of Teacher/Adviser: Signature:

Track/Strand Accomplished: TVL /INDUSTRIAL ARTS (SHIELDED METAL ARC WELDING) SHS General Average:
Awards/Honors Received: Date of SHS Graduation (MM/DD/YYYY):
Certified by: Place School Seal Here:

ENGR. LOLITO N. TOLERO / / /


Signature of School Head over Printed Name Date
NOTE:
This permanent record or a photocopy of this permanent record that bears the seal of the school and the original
signature in ink of the School Head shall be considered valid for all legal purposes. Any erasure or alteration
made on this copy should be validated by the School Head.
If the student transfers to another school, the originating school should produce one (1) certified true copy of this
permanent record for safekeeping. The receiving school shall continue filling up the original form.
Upon graduation, the school from which the student graduated should keep the original form and produce one (1)
certified true copy for the Division Office.
REMARKS: (Please indicate the purpose for which this permanent record will be used)

Date Issued (MM/DD/YYYY):


,
Department of Education
Region VII, Central Visayas
Schools Division Office of Cebu City
TALAMBAN NATIONAL HIGH SCHOOL
SCHOOL EVALUATION FORM
Name of Student
:Home Address RECUERDO , JASMYN ULTIMAR Adviser: SHARA P. UYBINES Strand/Track: TVL /INDUSTRIAL ARTS (SHIELDED METAL ARC WELDING)
: TALAMBAN CEBU CITY Average: 83 School Year 2022- 2023
Name of JHS-Completed: TALAMBAN NATIONAL HIGH SCHOOL Birthday: 4/6/2004 LRN: 119903100072

Grade Final Remarks


Applied Track Subjects Final Remarks Year Taken
Areas Core Learning Areas and Subjects Grade Level
Level Grade (Academic, TVL, Sports, Arts & Design Tracks) Grade
11 Oral Communication in Context 84 PASSED 2021 - 2022 11 English for Academic and Professional Purpose 77 PASSED 2022-2023
11 Reading and Writing Skills 83 PASSED 2022- 2023 11 Practical Research 1/ Research in daily Life 1 82 PASSED 2022-2023
Language
11 Komunikasyon sa Wika at Kulturang Pilipino 83 PASSED 2021 - 2022 12 Practical Research 2/ Research in Daily Life 2
11 Pagbasa at Pagsusuri ng Iba't Ibang Teksto Tungo sa Pananali 86 PASSED 2022 - 2023 12 Filipino sa Piling Larangan
11 21st Century Literature from the Philippines and the World 77 PASSED 2021 - 2022 11 Empowerment Technologies (for the strand) 77 PASSED 2021-2022
Humanities
12 Contemporary Philippine Arts from the Regions 11 Entrepreneurship
Communication 12 Media and Information Literacy 12 Inquiries, Investigation, and Immersion
11 General Mathematics 78 PASSED 2021 - 2022
Mathematics
11 Statistics and Probability 76 PASSED 2022 - 2023 Grade Level Specialized Subjects
11 Earth & Life Science 79 PASSED 2021 - 2022 11 Computer Systems Servicing (CSS) 1
Science
11 Physical Science 83 PASSED 2022 - 2023 11 Computer Systems Servicing (CSS) 2
12 Personal Development/Pansariling Kaunlaran 12 Computer Systems Servicing (CSS) 3
Social Science
11 Understanding Culture, Society and Politics 79 PASSED 2022 - 2023 12 Computer Systems Servicing (CSS) 4
Philosophy 11 Introduction to the Philosophy of the Human Person PASSED 2021 - 2022 12 Work Immersion
11 Physical Education and Health 1 83 PASSED 2022-2023 11 SHIELDED METAL ARC WELDING 1 81 PASSED 2022-2023
11 Physical Education and Health 2 83 PASSED 2022-2023
PE & Health
12 Physical Education and Health 3
12 Physical Education and Health 4
Science

No. of Years in School :


Total Days of School : 203
Total Days Present : 196
Total Immersion Hours :
I hereby certify that the foregoing record of RECUERDO , JASMYN ULTIMAR is a CANDIDATE FOR GRADUATION as of July 07, 2023 has been verified by me, and that original record substantiating that same are kept on file in this school.

Prepared By: Noted By: Recommending Approval: APPROVED:


SHARA P. UYBINES ALICE C. BORDADORA ENGR. LOLITO N. TOLERO HELEN Y. STOCONING
Adviser SHS Assisting Principal School Principal PSDS - ND 8
REPORT ON ATTENDANCE
Republic of the Philippines

TOTAL
MAR

MAY
AUG

NOV
OCT

DEC

APR
DEPARTMENT OF EDUCATION

JAN

FEB

JUN

JUL
SEP
Region VII, Central Visayas
No. of DIVISION OF CEBU CITY
school 7 22 21 20 11 20 14 22 18 22 21 5 203
days DISTRICT: North District 8
No. of
days 0 SCHOOL: TALAMBAN NATIONAL HIGH SCHOOL
present
No. of
days 0
absent SENIOR HIGH SCHOOL REPORT CARD
Track/Strand: TVL - ICT - COMPUTER SYSTEMS SERVICING

NAME:RECUERDO , JASMYN ULTIMAR


PARENT/GUARDIAN'S SIGNATURE LRN: 119903100072
Age: 18 Sex: MALE
Grade: 11 Section: TVL -A
1st Quarter School Year: 2022-2023
Dear Parents:
2nd Quarter This report card shows the ability and progess your child has made in the different learning
areas as well as his/her core values.
The school welcomes you should you desire to know more about your child's progress.

3rd Quarter

4th Quarter SHARA P. UYBINES LOLITO N. TOLERO


Teacher Principal

CERTIFICATE OF TRANSFER
Admitted to Grade: Section:
Eligibility for Admission to Grade: 12

Approved:
LOLITO N. TOLERO SHARA P. UYBINES
Principal Teacher

Cancellation of Eligibility to Transfer


Trunkline: (032) 254-0893/414-7300/414-7301 Admitted in ___________________________
Fax: c/o SDS off, (032) 255-1516
E-mail: [email protected] Date: _________________
Webpage: www.depedcebucity.com
Principal
REPORT ON LEARNING PROGRESS AND ACHIEVEMENT REPORT ON LEARNER’S OBSERVED VALUES
Quarter
CORE VALUES BEHAVIORAL
First Semester 1 2 3 4
Subjects Quarter 1. MAKA-DIYOS Expresses one's spiritual beliefs
Semester
while respecting the spiritual
Core Subjects 1 2 Final Grade belief of others

1.
Shows adherence to ethical
2. principles by upholding truth
3.
4. 2. MAKATAO Is sensitive to individual, social,
and cultural differences
5.
6.
Demonstrates contributions
7. toward solidarity
8

Applied and Specialized Subjects 3. MAKA- Cares for the environment and
1. KALIKASAN utilizes resources wisely,
judiciously, and economically
2.
3. 4. MAKABANSA Demonstrates pride in being a
Filipino; exercises the rights and
4. responsibilities of a Filipino
citizen
5.

General Average for the Semester Demonstrates appropriate


behavior in carrying out activities
in the school, community, and
country
Second Semester
Subjects Quarter Semester
Core Subjects 1 2 Final Grade Marking Non-numerical Rating
AO Always Observed
SO Sometimes Observed
RO Rarely Observed
NO Not Observed

DESCRIPTORS GRADING SCALE REMARKS

Outstanding 90-100 Passed


Very Satisfactory 85-89 Passed
Satisfactory 80-84 Passed
Fairly Satisfactory 75-79 Passed
4
Did Not Meet Below 75 Failed
Expectations
5
General Average for the Semester
RECUERDO , JASMYN ULTIMAR Form 137-SHS
ANNEX: LIST OF SUBJECTS TAKEN
Please check the subjects passed by the student
CORE SUBJECTS
/ Oral Communication
/ Reading and Writing
/ Komunikasyon at Pananaliksik sa Wika at Kulturang Pilipino
/ Pagbasa at Pagsusuri ng Iba't Ibang Teksto Tungo sa Pananaliksik
/ 21st Century Literature from the Philippines and the World
Contemporary Philippine Arts from the Regions
Media and Information Literacy
/ General Mathematics
/ Statistics and Probability
/ Earth and Life Science*
/ Physical Science*
Personal Development/Pansariling Kaunlaran
/ Understanding Culture, Society and Politics
/ Introduction to the Philosophy of the Human Person/Pambungad sa Pilosopiya ng Tao
/ Physical Education and Health (spread out in 4 semesters) NOTE:
*STEM students will take these instead:
Earth Science
Disaster Readiness and Risk Reduction
Subject substitutions, if any:

APPLIED SUBJECTS
/ English for Academic and Professional Purposes
/ Practical Research 1
Practical Research 2
Filipino sa Piling Larang
/ Empowerment Technologies
/ Entrepreneurship
Inquiries, Investigations and Immersion

SPECIALIZED SUBJECTS (Please write the list of subjects below)


Applied Economics
Business Ethics and Social Responsibility
Fundamentals of Accountancy, Business, and Management 1
Fundamentals of Accountancy, Business, and Management 2
Business Mathematics
Business Finance
Organization and Management
Principles of Marketing
Business Enterprise Simulation/Work Immersion

OTHER SUBJECTS (Please write the list of subjects below)


/ SHIELDED METAL ARC WELDING 1
BREAD AND PASTRY PRODUCTION II
HOPE 1 PASSED
HOPE 2 PASSED
HOPE 3
HOPE 4

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