SECONDARY SCHOOL RECORD

TO THE PRINCIPAL:
This form is an official document to be used by the BU Admissions Office for selective admission and research purposes.
1. Please type or print legibly all information called for. Do not abbreviate
2. For the student's name, print last name, first name and middle name in full.
3. Be sure that all grades (i.e., including failing marks) are indicated and that all entries are complete and specific such as number of units or
credits earned for such subject on this page.
4. TAMPERING WILL INVALIDATE THIS APPLICATION FORM.

NAME OF STUDENT APPLICANT:

Last Name First Name Middle Name
Name of High School:
Nationalized High School Vocational - Tech Private Sectarian Private Non-Sectarian NGU Sponsored

Address of High School: _

District/Town City/Province
Track in Senior High School: ACADEMIC TECH-VOCATIONAL ARTS & DESIGN
( ) ABM ( ) HUMSS ( ) GAS Area of Specialization: SPORTS
( ) STEM ( ) PRE-Baccalaureate Maritime
Year of Graduation: No. of Graduates/Expected Graduates:

GRADE 9 GRADE 10 GRADE 11

1st sem., 2nd sem.,
Basic/Core Subjects SY 20 to 20 SY 20 to 20 SY 20 to SY 20 SY 20 to SY 20
Final
Final Grades Remarks Final
Final Grades Remarks Final
Final Grades Remarks Final
Final Grades Remarks
○ FILIPINO Grades Grades Grades Grades
● Komunikasy on at Pananaliksik sa Wika at Kulturang Pilipino
● Pagbasa at Pagsusuri ng Iba't Ibang Teksto Tungo sa
○ ENGLISH
● Oral Communication in Context
● Reading & Writing Skills
● 21st Century Lit. from the Phil. & the World
○ MATHEMATICS
● General Mathematics
● Statistics & Probability
○ SCIENCE
● Earth / Life Science
● Physical Science
○ ARALING PANLIPUNAN
● Understanding Culture, Society & Politics
● Contemporary Phil. Arts from the Regions
● Introduction to the Philosophy of the Human Person
○ EDUKASYON SA PAGPAPAHALAGA
● Personal Development/Pansariling Kaunlaran
○ TECHNOLOGY & LIVELIHOOD EDUCATION
○ MAPEH
● Physical Education and Health
● Disaster Readiness & Risk Reduction
○ ICT / ● Media and Information Literacy
Other Basic/Core Subjects in JHS/SHS

● APPLIED & / SPECIALIZED SUBJECTS

● ADDITIONAL SUBJECTS

GENERAL WEIGHTED AVERAGE

(Please fill in the 4 boxes for year 9 to 11)

○ Subjects offered in Gr. 9 to 10

● Subjects offered in Gr. 11 This student belongs to the: Upper 10% Upper 20% Upper 40% Lower 50% of the graduating class.
PRINCIPAL'S CERTIFICATION
I HEREBY CERTIFY AS TO THE COMPLETENESS AND CORRECTNESS OF THE FOREGOING RECORD AND FURTHER
ATTEST THAT.
(Fill-in applicant's name)

will be graduating in senior high school this school year 20- 20 has graduated in senior high school during the school year.
(check () appropriate box) Form 137-A requested by:

Name of School
Affix school dry seal here, if school has one. Principal's Signature (in ink)
(Facsimile not allowed)
Principal's Name (Print)_
Date