Vous êtes sur la page 1sur 8

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: ALARCON FIRST NAME: MARK ADRIAN NAME EXTN. (Jr,I,II): _______ MIDDLE NAME: TU
Learner Reference Number (LRN): 111970090002 Birthdate (mm/dd/yyyy): 06/25/2004 Sex: MALE

ELIGIBILITY FOR JHS ENROLMENT


Elementary School Completer General Average: ________ Citation: (If Any)
Name of Elementary School: School ID: Adress of School:
Other Credential Presented
PEPT Passer Rating: _________ ALS A & E Passer Rating: _____________ Others (Pls. Specify):
Date of Examination/Assessment (mm/dd/yyyy): ____________ Name and Address of Testing Center: ______________________

SCHOLASTIC RECORD
School: CALAMBA NHS-ANNEX School ID: 308703 District: EAST 5 Division: CALAMBA CITY Regio
Classified as Grade: 7 Section: LOVE School Year: 2017-2018 Name of Adviser/Teacher: MARIA CARMELA O. MALIGAYA Signa
Quarterly Rating FINAL
LEARNING AREAS REM
1 2 3 4 RATING
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)
Technology and Livelihood Education (TLE)
MAPEH
Music
Arts
Physical Education
Health

General Average
Remedial Classes Conducted from (mm/dd/yyyy) ____________________ to (mm/dd/yyyy) __________________
Recomputed Final
Learning Areas Final Rating Remedial Class Mark Rem
Grade

School: ______________________ School ID: ________ District: ___________________ Division: _______________


Classified as Grade: ____ Section: ___ School Year: _____ Name of Adviser/Teacher: ________________ Signatu
QUARTER FINAL
LEARNING AREAS REM
1 2 3 4 RATING
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)
Technology and Livelihood Education (TLE)
MAPEH
Music
Arts
Physical Education
Health

General Average

Remedial Classes Conducted from (mm/dd/yyyy) ____________________ to (mm/dd/yyyy) __________________


Recomputed Final
Learning Areas Final Rating Remedial Class Mark Rem
Grade

CERTIFICATION

I CERTIFY that this is a true record of _________________________with LRN ______________ and that he/she is eligible for admissi
Name of School: ____________________________________ School ID: __________________ Last School Year Attended: ________

________________________
Date Name of Principal/School Head over Printed Name (Affix School Seal he
JHS)

DDLE NAME: TUAZON


: MALE

rs (Pls. Specify): ___________


___________________________

CITY Region: VI-A


O. MALIGAYA Signature: _______

REMARKS

____________
Remarks

________________ Region: ____


______ Signature: __________

REMARKS

___________
Remarks

gible for admission to Grade ____.


nded: _________________________

ffix School Seal here)


SF 10-JHS
School: ______________________ School ID: ________ District: ___________________ Division: _______________

Classified as Grade: ____ Section: ___ School Year: _____ Name of Adviser/Teacher: ________________ Signatu

LEARNING AREAS QUARTER FINAL REMAR


1 2 3 4 RATING
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)
Technology and Livelihood Education (TLE)
MAPEH
Music
Arts
Physical Education
Health

General Average
Remedial Classes Conducted from (mm/dd/yyyy) ____________________ to (mm/dd/yyyy) _______________
Recomputed Final
Subject Final Rating Remedial Class Mark Remark
Grade

School: ______________________ School ID: ________ District: ___________________ Division: _______________

Classified as Grade: ____ Section: ___ School Year: _____ Name of Adviser/Teacher: ________________ Signatu
LEARNING AREAS QUARTER FINAL REMAR
1 2 3 4 RATING
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)
Technology and Livelihood Education (TLE)
MAPEH
Music
Arts
Physical Education
Health

General Average
Remedial Classes Conducted from (mm/dd/yyyy) ____________________ to (mm/dd/yyyy) ______________
Recomputed Final
Learning Areas Final Rating Remedial Class Mark Remark
Grade
School: ______________________ School ID: ________ District: ___________________ Division: _______________
Classified as Grade: ____ Section: ___ School Year: _____ Name of Adviser/Teacher: ________________ Signatu
Quarterly Rating FINAL
LEARNING AREAS REMAR
1 2 3 4 RATING
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)
Technology and Livelihood Education (TLE)
MAPEH
Music
Arts
Physical Education
Health

General Average
Remedial Classes Conducted from (mm/dd/yyyy) ____________________ to (mm/dd/yyyy) ______________
Recomputed Final
Learning Areas Final Rating Remedial Class Mark Remark
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 a
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)
Pag 2 of ________
__________________ Region: ____

_________ Signature: ________

REMARKS

____________
Remarks

__________________ Region: ____

_________ Signature: ________


REMARKS

y) _______________
Remarks
__________________ Region: ____
_________ Signature: ________

REMARKS

y) _______________
Remarks

he/she is eligible for admission to Grade ____.


Attended: _________________________

School Seal here)


SFRT Revised 2017