SF10-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: FIRST NAME: NAME EXT. (Jr,I,II): MIDDL
Learner Reference Number (LRN): Birthdate (mm/dd/yyyy):

ELIGIBILITY FOR JHS ENROLMENT

✘ Elementary School Completer General Average: Citation (if Any):
Name of Elementary School: School ID: Address of School:
Other Credential Presented
PEPT Passer Rating: ALS A & E Passer Rating: Others (Pls.
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
1 2 3 4 RATING
Filipino 7
English 7
Mathematics 7
Science 7
Araling Panlipunan (AP) 7
Edukasyon sa Pagpapakatao (EsP) 7
Technology and Livelihood Education (TLE) 7
MAPEH 7
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:
Quarterly Rating FINAL
LEARNING AREAS
1 2 3 4 RATING
Filipino 8
English 8
Mathematics 8
Science 8
Araling Panlipunan (AP) 8
Edukasyon sa Pagpapakatao (EsP) 8
Technology and Livelihood Education (TLE) 8
MAPEH 8
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

CERTIFICATION

I CERTIFY that this is a true record of with LRN and that he/she is eligible
Name of School: School ID: Last School Year Attended:

Date Signature of Principal/School Head over Printed Name (Aff

JHS)

MIDDLE NAME:
Sex:

Others (Pls. Specify):

Region:
Signature:

REMARKS

Remarks

Region:
Signature:

REMARKS
 u

Remarks

e/she is eligible for admission to Grade

(Affix School Seal Here)

SF10-JHS

School: School ID: District: Division:

Classified as Grade: Section: School Year: Name of Adviser/Teacher:
Quarterly Rating FINAL
LEARNING AREAS
1 2 3 4 RATING
Filipino 9
English 9
Mathematics 9
Science 9
Araling Panlipunan (AP) 9
Edukasyon sa Pagpapakatao (EsP) 9
Technology and Livelihood Education (TLE) 9
MAPEH 9
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:
Quarterly Rating FINAL
LEARNING AREAS
1 2 3 4 RATING
Filipino 10
English 10
Mathematics 10
Science 10
Araling Panlipunan (AP) 10
Edukasyon sa Pagpapakatao (EsP) 10
Technology and Livelihood Education (TLE) 10
MAPEH 10
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:
Quarterly Rating FINAL
LEARNING AREAS
RATING
 LEARNING AREAS FINAL
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

For Transfer Out / JHS Completer Only

CERTIFICATION

I CERTIFY that this is a true record of with LRN and that he/she is eligible
Name of School: School ID: Last School Year Attended:

ANNALYN M. MACASINAG
Date Signature of Principal/School Head over Printed Name (Aff
(May add Certifiation box if needed)
 Page 2 of

Region:
Signature:

REMARKS

Remarks

Region:
Signature:

REMARKS

Remarks

Region:
Signature:

REMARKS
 REMARKS

Remarks

e/she is eligible for admission to Grade

(Affix School Seal Here)

SFRT Revised 2017