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: ABAD FIRST NAME: EDMAR GABRIELE NAME EXT. (Jr,I,II): MIDDL
Learner Reference Number 106742110001 Birthdate (mm/dd/yyyy): 05/14/2006 Sex:

ELIGIBILITY FOR JHS ENROLMENT

Elementary School Completer General Average: 85 Citation (if Any):
Name of Elementa MAPALACSIAO ELEM. SCHOOL School ID: 106742 Address of School: MAP
Other Credential Presented
PEPT PaRating: ALS A & E Passer Rating: Others (Pls.
Date of Examination/Assessment (m Name and Address of Testing Center:

SCHOLASTIC RECORD
School: TARLAC NATIONAL HS School ID: 300996 District: Division TARLAC P
Classified as Grad 7 Secti CATTLEYA School Year: 2018-2019 Name of Adviser/Teacher: ANITA C. YUMUL Signatu
Quarterly Rating FINAL
LEARNING AREAS
1 2 3 4 RATING
Filipino 7 76 75 75
English 7 79 74
Mathematics 7 75 79 81
Science 7 79 77 76
Araling Panlipunan (AP) 7 80 79 78
Edukasyon sa Pagpapakatao (EsP) 7 75 77 75
Technology and Livelihood Education (TLE) 7 82 85 86
MAPEH 7 82 81 80
Music 84 81 77
Arts 80 84 79
Physical Education 84 82 84
Health 79 75 79

General Average
Remedial Classes Conducted from (mm/dd/yyyy) to (mm/dd/yyyy)
Recomputed
Learning Areas Final Rating Remedial Class Mark Final Grade
School: TARLAC NATIONAL HS School ID: 300996 District: Division TARLAC P
Classified as Grad 8 SectioAMUGIS School Year: 2018-2019 Name of Adviser/Teacher: JENNALYN D. RABELISTA Signatu
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 re with LRN and that he/she is eligib
Name of School: School ID: Last School Year Attended

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

-JHS)

MIDDLE NAME: VILLAPAÑA

Sex: MALE

MAPALACSIAO, TARLAC CITY

Others (Pls. Specify):

TARLAC PROVINCE Region: III

Signatur

REMARKS

Remarks
 TARLAC PROVINCE Region: III
Signatur

REMARKS

Remarks

he/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
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:
Quarterly Rating FINAL
LEARNING AREAS
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:
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:

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