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 NAME: FIRST NAME: NAME EXTN. (Jr,I,II): MIDDLE NAME:

Learner Reference Number (LRN): Birthdate (mm/dd/yyyy): Sex:

x Elementary School Completer General Average: Citation: (If Any)

x Name of Elementary School: School ID: Adress of School:
X
Other/ Credential Presented
X 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 Teacher: Signature:

Quarterly Rating FINAL
LEARNING AREAS REMARKS
1 2 3 4 RATING
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Technology and Livelihood Education (TLE)
MAPEH
Music
Arts
Physical Education
Health
Edukasyon sa Pagpapakatao (EsP)
General Average
Remedial Classes Conducted from (mm/dd/yyyy) ____________________ to (mm/dd/yyyy) __________________
Learning Areas Final Rating Remedial Class Mark Recomputed Final Grade Remarks
NO ENTRY

School: School ID: District: TUBOD Division: SURIGAO DEL NORTE Region: CARAGA
Classified as Grade: Section: School Year:2014-2015 Name of Teacher: Signature:
QUARTER FINAL
LEARNING AREAS REMARKS
1 2 3 4 RATING
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Technology and Livelihood Education (TLE)
MAPEH
Music
Arts
Physical Education
Health
Edukasyon sa Pagpapakatao (EsP)
General Average

Remedial Classes Conducted from (mm/dd/yyyy)

Learning Areas Final Rating Remedial Class Mark Recomputed Final Grade Remarks
 NO ENTRY

CERTIFICATION
I CERTIFY that this is a true record of with LRN : and that he/she is eligible for admission to____________
Name of School: _______________________________________ ID: ___________ Last School Year Attended:

AIZA L. SAJULAN LORNA DIAZ

School Registrar Designate Principal II

__________
Date (Affix School Seal here)
SF 10-JHS Pag 2 of 2

School: School ID: District: Division: Region:

Classified as Grade: Section: School Year: Name of Teacher: Signature:

LEARNING AREAS QUARTER FINAL REMARKS

1 2 3 4 RATING
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Technology and Livelihood Education (TLE)
MAPEH
Music
Arts
Physical Education
Health
Edukasyon sa Pagpapakatao (EsP)

General Average
Remedial Classes Conducted from (mm/dd/yyyy) ____________________ to (mm/dd/yyyy) _______________
Subject Final Rating Remedial Class Mark Recomputed Final Grade Remarks
NO ENTRY

School: School ID: District: Division: Region:

Classified as Grade: Section: School Year: Name of Teacher: Signature:

LEARNING AREAS QUARTER FINAL REMARKS
1 2 3 4 RATING
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Technology and Livelihood Education (TLE)
MAPEH
Music
Arts
Physical Education
Health
Edukasyon sa Pagpapakatao (EsP)
General Average

Remedial Classes Conducted from (mm/dd/yyyy) ____________________ to (mm/dd/yyyy) _______________

Learning Areas Final Rating Remedial Class Mark Recomputed Final Grade Remarks
NO ENTRY

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 NO ENTRY
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)
Technology and Livelihood Education (TLE)
MAPEH

General Average
Remedial Classes Conducted from (mm/dd/yyyy) ____________________ to (mm/dd/yyyy) _______________
Learning Areas Final Rating Remedial Class Mark Recomputed Final Grade Remarks
 NO ENTRY

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____________

AIZA L. SAJULAN LORNA DIAZ

School Registrar Designate Principal II

Date (Affix School Seal here)