REPUBLIC OF THE PHILIPPINES FORM 137-SHS

DEPARTMENT OF EDUCATION

SENIOR HIGH SCHOOL STUDENT PERMANENT RECORD

LEARNER'S INFORMATION
LAST NAME: AMBROSIO FIRST NAME: FRIA MAE MIDDLE NAME: DELA CRUZ
LRN: 113550080005 Date of Birth (MM/DD/YYYY): 02/11/2003 Sex: FEMALE Date of SHS Admission (MM/DD/YYYY):

ELIGIBILITY FOR SHS ENROLMENT

High School Completer* Gen. Ave: ⁄ Junior High School Completer Gen. Ave:
Date of Graduation/Completion (MM/DD/YYYY): Name of School: MALBUG NATIONAL HIGH SCHOOL School Address: MALBUG, CAWAYAN, MASBATE
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: Malbug National High School SCHOOL ID: 309924 GRADE LEVEL: 11 SY: 2019-2020 SEM: 1ST
TRACK/STRAND: General Academic Strand SECTION: MOLAVE
Indicate if Subject is Quarter SEM FINAL ACTION
CORE, APPLIED, or SUBJECTS
1ST 2ND GRADE TAKEN
SPECIALIZED
Core Oral Communication 90 95 93 PASSED
Core Komunikasyon at Pananaliksik sa Wika at Kulturang Pilipino 91 95 93 PASSED
Core Disaster Readiness and Risk Reduction 87 95 91 PASSED
Core General Mathematics 87 92 90 PASSED
Core Earth and Life Science* 81 89 85 PASSED
Core Understanding Culture, Society and Politics 92 89 91 PASSED
Core Physical Education and Health 90 94 92 PASSED
Applied English for Academic and Professional Purposes 85 83 84 PASSED
Specialized Organization and Management 86 86 86 PASSED

General Ave. for the Semester: 89 PASSED

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

NIDA E. FRANCISCO NANCY A. BALDIA- PRINCIPAL- I

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: Malbug National High School SCHOOL ID: 309924 GRADE LEVEL: 11 SY: 2019-2020 SEM: 2ND
TRACK/STRAND: General Academic Strand SECTION: MOLAVE
Indicate if Subject is Quarter SEM FINAL ACTION
CORE, APPLIED, or SUBJECTS
3RD 4TH GRADE TAKEN
SPECIALIZED
Core Reading and Writing 91 91 91 PASSED
Core Pagbasa at Pagsusuri ng Iba't Ibang Teksto Tungo sa Pananaliksik 95 95 95 PASSED
Core Statistics and Probability 91 91 91 PASSED
Core Physical Science* 88 85 87 PASSED
Core Media and Information Literacy 88 94 91 PASSED
Core Physical Education and Health 94 94 94 PASSED
Applied Practical Research 1 87 90 89 PASSED
Applied Filipino sa Piling Larang 95 95 95 PASSED
Specialized Applied Economics 88 91 90 PASSED

General Ave. for the Semester: 91 PASSED

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

NIDA E. FRANCISCO NANCY A. BALDIA- PRINCIPAL- I

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 AMBROSIO, FRIA MAE DELA CRUZ Form 137-SHS
SCHOOL: Malbug National High School SCHOOL ID: 309924 GRADE LEVEL: 11 SY: 2019-2020 SEM: 1ST
TRACK/STRAND: General Academic Strand SECTION:

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):

GRACE S. ACOJEDO NANCY A. BALDIA- PRINCIPAL- I

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: Malbug National High School SCHOOL ID: 309924 GRADE LEVEL: SY: SEM:
TRACK/STRAND: General Academic Strand SECTION: LEO

Indicate if Subject is CORE, Quarter SEM FINAL ACTION

SUBJECTS
APPLIED, or SPECIALIZED GRADE TAKEN

General Ave. for the Semester:

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

NANCY A. BALDIA- PRINCIPAL- I

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: ACADEMIC/GAS SHS General Average:

Awards/Honors Received: Date of SHS Graduation (MM/DD/YYYY):
Certified by: Place School Seal Here:

NANCY A. BALDIA- PRINCIPAL- I

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):

AMBROSIO, FRIA MAE DELA CRUZ 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)
*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)

∕ Organization and Management
∕ Applied Economics
Elective 1
∕ Disaster Readiness and Risk Reduction
Creative Writing
Elective 2
Philippine Politics and Governance
Work Immersion
Creative Non Fiction

OTHER SUBJECTS (Please write the list of subjects below)

Introduction to World Religion and Belief System