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Learner's Permanent Academic Record For Elementary School (SF10-ES)
Learner's Permanent Academic Record For Elementary School (SF10-ES)
Learner's Permanent Academic Record For Elementary School (SF10-ES)
Department of Education
Learner's Permanent Academic Record for Elementary School
(SF10-ES)
(Formerly Form 137)
LEARNER'S PERSONAL INFORMATION
LAST NAME: PERU FIRST NAME: SYDNEY MARIE NAME EXTN. (Jr,I,II) MIDDLE NAME: -
Learner Reference Number (LRN): 118270160018 Birthdate (mm/dd/yyyy): 09/18/2010 Sex: FEMALE
ELIGIBILITY FOR ELEMENTARY SCHOOL ENROLMENT
Credential Presented for Grade 1: ✘ Kinder Progress Report ✘ ECCD Checklist Kindergarten Certificate of Completion
Name of School: School ID: Address of School:
Other Credential Presented
PEPT Passer Rating: _________ Date of Examination/Assessment (mm/dd/yyyy): ____________ Others (Pls. Specify): _________________________
Name and Address of Testing Center:____________________________________________________ Remark:____________________________________
SCHOLASTIC RECORD
School: CADAP-AGAN ES School ID: 118270 School: CADAP-AGAN ES School ID: 118270
District: DIMIAO Division: BOHOL Region: VII District: DIMIAO Division: BOHOL Region: VII
Classified as Grade: THREE Section: __________ School Year: 2017- 2018 Classified as Grade: THREE Section: __________ School Year: 2018-2019
Name of Adviser/Teacher: MA. MICHELLE IDULSA Signature: Name of Adviser/Teacher: MA. MICHELLE IDULSA Signature:
Quarterly Rating Final Quarterly Rating Final
LEARNING AREAS Remarks Learning Areas Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Science Science
Learning Areas Final Rating Remedial Class Recomputed Remarks Learning Areas Final Rating Remedial Recomputed Remarks
Mark Final Grade Class Mark Final Grade
SFRT 2017
SF10-ES Page 2 of ________
SCHOLASTIC RECORD
School: ______________________________________ School ID: School: ______________________________ School ID:
District: ______________________ Division: ________________ Region: District: ______________________ Division: _________ Region:
Classified as Grade: ______ Section: __________ School Year: Classified as Grade: ______ Section: _____ School Year:
Name of Adviser/Teacher: ______________________ Signature: Name of Adviser/Teacher: _______________ Signature:
____________________________________
Date Name of Principal/School Head over Printed Name (Affix School Seal here)
CERTIFICATION
I CERTIFY that this is a true record of ___________________________________ with LRN ___________________ and that he/she is eligible for admission to Grade ________.
School Name: __________________________________ School ID ________________ Division: ___________ Last School Year Attended: _________________________
____________________________________
Date Name of Principal/School Head over Printed Name (Affix School Seal here)
CERTIFICATION
I CERTIFY that this is a true record of ___________________________________ with LRN ___________________ and that he/she is eligible for admission to Grade ________.
School Name: __________________________________ School ID ________________ Division: ___________ Last School Year Attended: _________________________
____________________________________
Date Name of Principal/School Head over Printed Name (Affix School Seal here)
May add Certification Box if needed SFRT Revised 2017