SF 10 -JHS

Republic of the Philippines

Department of Education
Learner Permanent Record for Junior High School (SF10-JHS)
(Formerly Form 137)

LEARNER'S INFORMATION
LAST NAMEDEJUMO FIRST NAME:
DAWN ANGELLYN MIDDLE CALLEJO
Learner Reference Number (LRN112498110079 Birthdate (mm/dd/yy 04/30/2006 Sex: __ FEMALE

ELIGIBILITY FOR JHS ENROLMENT

Elementary School Completer General Average: 90 Citation: (If Any)
Name of Elementary School: Del Gallego Central School School ID: 112577 Adress of School:Pob. Zone I, Del Gallego, Cam. Sur
Other Credential Presented
PEPT Passer Rating: _________ ALS A & E Passer Rating: _____________ Others (Pls. Specify): ___________
Date of Examination/Assessment (mm/dd/yyyy): ____________ Name and Address of Testing Center: ____________________________________

SCHOLASTIC RECORD
School: ______________________ School ID: ________ District: ___________________ Division: __________________ Region: ____
Classified as Grade: ____ Section: ___ School Year: _____ Name of Adviser/Teacher: ________________ Signature: __________
Quarterly Rating FINAL
LEARNING AREAS REMARKS
1 2 3 4 RATING
Filipino 94
English 89
Mathematics 94
Science 87
Araling Panlipunan (AP) 87
Edukasyon sa Pagpapakatao (EsP) 90
Technology and Livelihood Education (TLE) 88
MAPEH 90
Music 91
Arts 90
Physical Education 89
Health 90

General Average
Remedial Classes Conducted from (mm/dd/yyyy) ____________________ to (mm/dd/yyyy) __________________
Learning Areas Final Rating Remedial Class Mark Recomputed Final Remarks
Grade

School: ______________________ School ID: ________ District: ___________________ Division: __________________ Region: ____
Classified as Grade: ____ Section: ___ School Year: _____ Name of Adviser/Teacher: ________________ Signature: __________
QUARTER FINAL
LEARNING AREAS REMARKS
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 Remarks

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 (Affix School Seal here)
SF 10-JHS Pag 2 of ________
School: ______________________ School ID: ________ District: ___________________ Division: __________________ Region: ____

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

LEARNING AREAS QUARTER FINAL REMARKS

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 Remarks

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

Classified as Grade: ____ Section: ___ School Year: _____ Name of Adviser/Teacher: ________________ Signature: ________
LEARNING AREAS QUARTER FINAL REMARKS
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 Remarks
Grade

School: ______________________ School ID: ________ District: ___________________ Division: __________________ Region: ____
Classified as Grade: ____ Section: ___ School Year: _____ Name of Adviser/Teacher: ________________ Signature: ________
Quarterly Rating FINAL
LEARNING AREAS REMARKS
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 Remarks
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 admission to Grade ____.
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) SFRT Revised 2017