SF 10 -JHS

Republic of the Philippines

Department of Education
Learner Permanent Record for Junior High Schoo
(Formerly Form 137)

LEARNER'S INFORMATION
LAST NAME: FIRST NAME: NAME EXTN. (Jr,I,II): _______
Learner Reference Number (LRN): Birthdate (mm/dd/yyyy):

ELIGIBILITY FOR JHS ENROLMENT

. Elementary School Completer General Average:
x
x Name of Elementary School: School ID:
Other. Credential Presented
PEPT Passer Rating: _________ ALS A & E Passer Rating: _____________
Date of Examination/Assessment (mm/dd/yyyy): ____________ Name and Address of Testing Center: _____________________

SCHOLASTIC RECORD
School: School ID: District: Division: Region:
Classified as Grade: 7 Section: School Year: Name of Adviser: Signature: __________
Quarterly Rating
LEARNING AREAS
1 2 3 4
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) ________________
Learning Areas Final Rating Remedial Class Mark Recom

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

Classified as Grade: ____ Section: ___ School Year: _____ Name of Adviser/Teacher: ________________ Signa
QUARTER
LEARNING AREAS
1 2 3 4
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) _________________

Learning Areas Final Rating Remedial Class Mark Recom

CERTIFICATION

I CERTIFY that this is a true record of with LRN and that he/she is eligible for admission to Grade ___.
Name of School: ______________________________ School ID: ________ Last School Year Attended: _________

________________________
Date Name of Principal/School Head over Printed Name
gh School (SF10-JHS)

N
MIDDLE NAME:
Sex:

MENT
Citation: (If Any)
Address of School:

Others (Pls. Specify): ___________

________________________

FINAL
REMARKS
RATING

___________
Recomputed Final Grade Remarks

_____________ Region: ____

___ Signature: __________
FINAL
REMARKS
RATING
___________
Recomputed Final Grade Remarks

(Affix School Seal here)

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

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

LEARNING AREAS QUARTER FINAL R

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 Grade

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

Classified as Grade: ____ Section: ___ School Year: _____ Name of Adviser/Teacher: ________________ S
LEARNING AREAS QUARTER FINAL R
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) ________
Learning Areas Final Rating Remedial Class Mark Recomputed Final
Grade

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

Classified as Grade: ____ Section: ___ School Year: _____ Name of Adviser/Teacher: ________________ S
Quarterly Rating FINAL
LEARNING AREAS R
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 Grade

For Transfer Out /JHS Completer Only

CERTIFICATION

I CERTIFY that this is a true record of _____________________________with LRN ________________ and that he/she is elig
Name of School: ____________________________________ School ID __________________ Last School Year Attended: ___

_____________________
Date Name of Principal/School Head over Printed Name (Affix School Seal he
(May add Certification box if needed)
 Pag 2 of ________
ivision: __________________ Region: ____

_______________ Signature: ________

REMARKS

yyy) _______________
Remarks

ivision: __________________ Region: ____

_______________ Signature: ________

REMARKS

dd/yyyy) _______________
Remarks

ivision: __________________ Region: ____

_______________ Signature: ________

REMARKS
 dd/yyyy) _______________
Remarks

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

ool Year Attended: _________________________

(Affix School Seal here)

SFRT Revised 2017