Republic of the Philippines

Department of Education

Learners Permanent Record for Junior High School ( S

Personal Information
LAST NAME FIRST NAME NAME EXTN
Birthdate
Learner Reference Number ( LRN)
(mm/dd/yy)
Parent/ Guardian Address
ELIGIBILITY FOR JHS ENROLMENT
Elementary School Completer General Average: ________ Citation: (If Any)
Name of Elementary School: School ID: Adress of School:
Other Credential Presented
PEPT Passer Rating: _________ ALS A & E Passer Rating: _____________ Others
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
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

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

Classified as Grade: ____ Section: ___ School Year: _____ Name of Adviser/Teacher: _____________
QUARTER 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) _________

Recomputed Final
Learning Areas Final Rating Remedial Class Mark Grade

CERTIFICATION

I CERTIFY that this is a true record of _________________________with LRN ______________ and that he/she is eligib
Name of School: ____________________________________ School ID: __________________ Last School Year Attend

________________________
Date Name of Principal/School Head over Printed Name
ppines
ation

r High School ( SF10-ES)

tion
MIDDLE NAME
Sex

ROLMENT

Adress of School:

____ Others (Pls. Specify): ___________

g Center: ____________________________________

RD
____ Division: __________________ Region: ____
acher: ________________ Signature: __________

REMARKS

m/dd/yyyy) __________________
Remarks

____ Division: __________________ Region: ____

cher: ________________ Signature: __________

REMARKS
m/dd/yyyy) __________________
Remarks

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

Last School Year Attended: _________________________

(Affix School Seal here)

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

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

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: ________________ Signatu
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: ________________ Signatu
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)
 Pag 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