SF10-ES Republic of the Philippines

Department of Education

Learner Permanent Record for Elementary School (SF10-E

(Formerly Form 137)

LEARNER'S PERSONAL INFORMATION

LAST NAME: ALIPIO FIRST NAME: REY NAME EXTN. (Jr,I,II) JR.

Learner Reference Number (LRN): 106271160001 Birthdate (mm/dd/yyyy): 1/24/2010

ELIGIBILITY FOR ELEMENTARY SCHOOL ENROLMENT
Credential Presented for Grade 1: ✘ Kinder Progress Report ECCD Checklist
Name of School: SAN PEDRO E/S School ID: 106271 Address of School:SAN PEDRO SAS. PAM
Other Credential Presented
PEPT Passer Rating: _________ Date of Examination/Assessment (mm/dd/yyyy): ____________
Name and Address of Testing Center:____________________________________________________ Remark:___________
SCHOLASTIC RECORD

School: SAN PEDRO E/S School ID: 106271 School: __________________________

District: SASMUAN Division: PAMPANGA Region: III District: ______________________ Divis
Classified as Grade: ONE Section: 2 School Year: 2017-2018 Classified as Grade: ______ Section: ___
Name of Adviser/Teacher: GINA V. MANANSALA Signature: Name of Adviser/Teacher: ___________
Quarterly Rating Final
LEARNING AREAS Remarks Learning Areas
1 2 3 4 Rating

Mother Tongue 78 79 78 80 79 PASSED Mother Tongue

Filipino 78 79 78 80 79 PASSED Filipino

English 76 77 77 PASSED English
Mathematics 77 78 78 79 78 PASSED Mathematics

Science Science
Araling Panlipunan 78 79 78 79 79 PASSED Araling Panlipunan

EPP / TLE EPP / TLE

MAPEH 79 80 80 81 80 PASSED MAPEH
Music 79 80 80 81 80 PASSED Music

Arts 79 80 80 81 80 PASSED Arts

Physical Education 79 80 80 81 80 PASSED Physical Education

Health 79 80 80 81 80 PASSED Health

Eduk. sa Pagpapakatao 80 80 80 81 80 PASSED Eduk. sa Pagpapakatao
*Arabic Language *Arabic Language

*Islamic Values Education *Islamic Values Education

General Average 78 79 78 80 79 PROMOTED General Average
 Remedial Classes Conducted from: to Remedial Classes
Remedial Class Recomputed
Learning Areas Final Rating Remarks Learning Areas
Mark Final Grade

School: ______________________________________ School ID: School: __________________________

District: ______________________ Division: ________________ Region: District: ______________________ Divis
Classified as Grade: ______ Section: __________ School Year: Classified as Grade: ______ Section: ___
Name of Adviser/Teacher: ______________________ Signature: Name of Adviser/Teacher: ___________

Quarterly Rating Final

Learning Areas Remarks Learning Areas
1 2 3 4 Rating

Mother Tongue Mother Tongue

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

*Arabic Language *Arabic Language
*Islamic Values Education *Islamic Values Education
General Average General Average

Remedial Classes Date Conducted: to Remedial Classes

Remedial Class Recomputed
Learning Areas Final Rating Remarks Learning Areas
Mark Final Grade
l (SF10-ES)

MIDDLE NAME: LAXA

0 Sex: M
MENT
Kindergarten Certificate of Completion
RO SAS. PAMP. .

Others (Pls. Specify): _________________________

___________________________________

_________________ School ID:

______ Division: _____________ Region:
Section: __________ School Year:
_________________ Signature:
Quarterly Rating Final
as Remarks
1 2 3 4 Rating

n
 Conducted from: to
Remedial Recomputed
Final Rating Remarks
Class Mark Final Grade

_________________ School ID:

______ Division: _____________ Region:
Section: __________ School Year:
_________________ Signature:

Quarterly Rating Final

as Remarks
1 2 3 4 Rating

Date Conducted: to
Remedial Recomputed
Final Rating Remarks
Class Mark Final Grade

SFRT 2017
SF10-ES
SCHOLASTIC RECORD
School: _____________________________________ School ID: School: _______________
District: ______________________ Division: ________________Region: District: _______________
Classified as Grade: ______ Section: __________ School Year: Classified as Grade: _____
Name of Adviser/Teacher: ______________________Signature: Name of Adviser/Teacher:

Quarterly Rating Final

LEARNING AREAS Remarks Learning Area
1 2 3 4 Rating

Mother Tongue Mother Tongue

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
*Arabic Language *Arabic Language
*Islamic Values Education *Islamic Values Educati
General Average General Average
Remedial Classes Date Conducted: to Remedial Classes
Remedial Class Recomputed
Learning Areas Final Rating Remarks Learning Areas
Mark Final Grade

School: _____________________________________ School ID: School: _______________

District: ______________________ Division: ________________Region: District: _______________
Classified as Grade: ______ Section: __________ School Year: Classified as Grade: _____
Name of Adviser/Teacher: ______________________Signature: Name of Adviser/Teacher:

Quarterly Rating Final

Learning Areas Remarks Learning Area
1 2 3 4 Rating

Mother Tongue Mother Tongue

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
*Arabic Language *Arabic Language
*Islamic Values Education *Islamic Values Educati
General Average General Average
Remedial Classes Date Conducted: to Remedial Classes
Remedial Class Recomputed
Learning Areas Final Rating Remarks Learning Areas
Mark Final Grade

For Transfer Out /Elementary School Completer Only

CERTIFICATION
I CERTIFY that this is a true record of ___________________________________ with LRN ___________________ and tha
School Name: __________________________________ School ID ________________ Division: ___________ Last Schoo

____________________________________
Date Name of Principal/School Head over Printed Name

CERTIFICATION
I CERTIFY that this is a true record of ___________________________________ with LRN ___________________ and tha
School Name: __________________________________ School ID ________________ Division: ___________ Last Schoo

____________________________________
Date Name of Principal/School Head over Printed Name

CERTIFICATION
I CERTIFY that this is a true record of ___________________________________ with LRN ___________________ and tha
School Name: __________________________________ School ID ________________ Division: ___________ Last Schoo

____________________________________
 Date Name of Principal/School Head over Printed Name
May add Certification Box if needed
 Page 2 of ________

________________________ School ID:

_________________ Division: ________ Region:
Grade: ______ Section: ____ School Year:
er/Teacher: ______________ Signature:

Quarterly Rating Final

arning Areas Remarks
1 2 3 4 Rating

punan

ucation

papakatao
guage
ues Education
age
ses Date Conducted: to
Remedial Recomputed
g Areas Final Rating Remarks
Class Mark Final Grade

________________________ School ID:

_________________ Division: ________ Region:
Grade: ______ Section: ____ School Year:
er/Teacher: ______________ Signature:

Quarterly Rating Final

arning Areas Remarks
1 2 3 4 Rating

e
punan

ucation

papakatao
guage
ues Education
age
ses Date Conducted: to
Remedial Recomputed
g Areas Final Rating Remarks
Class Mark Final Grade

____ and that he/she is eligible for admission to Grade ________.

_ Last School Year Attended: _________________________

(Affix School Seal here)

____ and that he/she is eligible for admission to Grade ________.

_ Last School Year Attended: _________________________

(Affix School Seal here)

____ and that he/she is eligible for admission to Grade ________.

_ Last School Year Attended: _________________________
(Affix School Seal here)
SFRT Revised 2017