SF 10 -JHS

Republic of the Philippines

Department of Education
Learner's Permanent Academic Record for Junior High School (SF10-JHS)
(Formerly Form 137)

LEARNER'S INFORMATION
LAST NAME: RIVERA FIRST NAME: Liezl NAME EXTN. (Jr,I,II): _______ MIDDLE NAM
Learner Reference Number (LRN): 100360100025 Birthdate (mm/dd/yyyy): 06/17/2005 Sex: F

ELIGIBILITY FOR JHS ENROLMENT

x
x
Elementary
x School Completer General Average: 92 Citation: (If Any)
Namex of Elementary School: Montero Elementary School School ID: Address of School:
x
Other Credential Presented
X
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: __________________________ School ID: ________ District: ______________ Division: _______________
Classified as Grade: ___ Section: ___________ School Year: _____ Name of Adviser/Teacher: _____________
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: ________________
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
SF10-JHS)

MIDDLE NAME: Ludevico

Sex: FEMALE

BANAYOYO, ILOCOS SUR

rs (Pls. Specify): ___________

___________________________

________________ Region: ____

_____________ 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: ________________

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: ________________
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: ________________
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)
 Page 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