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: FIRST NAME: NAME EXT. (Jr,I,II): MIDDLE NAME:
Learner Reference Number (LRN): Birthdate (mm/dd/yyyy): Sex:

ELIGIBILITY FOR JHS ENROLMENT

Elementary School Completer General Average: Citation (if Any):
Name of Elementary School: School ID: Address of School:
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: MAHAPLAG NHS- UPPER School ID: 303399 District: MAHAPLAG Division: LEYTE Region: VIII
Classified as Grade: 7 Section: School Year: Name of Adviser/Teacher: Signature:
Quarterly Rating FINAL
LEARNING AREAS REMARKS
1 2 3 4 RATING
Filipino PASSED
English PASSED
Mathematics PASSED
Science PASSED
Araling Panlipunan (AP) PASSED
Edukasyon sa Pagpapakatao (EsP) PASSED
Technology and Livelihood Education (TLE) PASSED
MAPEH PASSED
Music
Arts
Physical Education
Health

General Average PROMOTED

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

Learning Areas Final Rating Remedial Class Mark Recomputed Remarks

Final Grade

School: MAHAPLAG School ID: 303399 District: MAHAPLAG Division: LEYTE Region: VIII
Classified as Grade: 8 Section: School Year: Name of Adviser/Teacher: Signature:
Quarterly Rating FINAL
LEARNING AREAS REMARKS
1 2 3 4 RATING
Filipino PASSED
English PASSED
Mathematics PASSED
Science PASSED
Araling Panlipunan (AP) PASSED
Edukasyon sa Pagpapakatao (EsP) PASSED
Technology and Livelihood Education (TLE) PASSED
MAPEH PASSED
Music
Arts
Physical Education
Health
 General Average PROMOTED

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

Learning Areas Final Rating Remedial Class Mark Recomputed Remarks

Final Grade

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: MAHAPLAG NHS- UPPER School ID: 303399 Last School Year Attended:

MA. YVONNE C. SALAS, PhD

Date Signature of Principal/School Head over Printed Name (Affix School Seal Here)
SF10-JHS Page 2 of

School: MNHS- UPPER School ID: 303399 District: MAHAPLAG Division: LEYTE Region: VIII
Classified as Grade: 9 Section: School Year: Name of Adviser/Teacher: Signature:
Quarterly Rating FINAL
LEARNING AREAS REMARKS
1 2 3 4 RATING
Filipino PASSED
English PASSED
Mathematics PASSED
Science PASSED
Araling Panlipunan (AP) PASSED
Edukasyon sa Pagpapakatao (EsP) PASSED
Technology and Livelihood Education (TLE) PASSED
MAPEH PASSED
Music
Arts
Physical Education
Health

General Average PROMOTED

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

Learning Areas Final Rating Remedial Class Mark Recomputed Remarks

Final Grade

School: MNHS- UPPER School ID: 303399 District: MAHAPLAG Division: LEYTE Region: VIII
Classified as Grade: 10 Section: School Year: Name of Adviser/Teacher: Signature:
Quarterly Rating FINAL
LEARNING AREAS REMARKS
1 2 3 4 RATING
Filipino PASSED
English PASSED
Mathematics PASSED
Science PASSED
Araling Panlipunan (AP) PASSED
Edukasyon sa Pagpapakatao (EsP) PASSED
Technology and Livelihood Education (TLE) PASSED
MAPEH PASSED
Music
Arts
Physical Education
Health

General Average PROMOTED

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

Learning Areas Final Rating Remedial Class Mark Recomputed Remarks

Final 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 Remarks

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 for admission to Grade
Name of School: MAHAPLAG NHS- UPPER School ID: 303399 Last School Year Attended:

MA. YVONNE C. SALAS,PhD.

Date Signature of Principal/School Head over Printed Name (Affix School Seal Here)
(May add Certifiation box if needed) SFRT Revised 2017