REPUBLIC OF THE PHILIPPINES FORM 10-SHS

DEPARTMENT OF EDUCATION

SENIOR HIGH SCHOOL STUDENT PERMANENT RECORD

LEARNER'S INFORMATION
LAST NAME: AGPAOA FIRST NAME: CHRIS JOHN MIDDLE NAME: PUDIQUET
LRN: 103128120011 Date of Birth (MM/DD/YYYY): 11/28/2005 Sex: MALE Date of SHS Admission (MM/DD/YYYY): 08/22/2022

ELIGIBILITY FOR SHS ENROLMENT

⁄ High School Completer* Gen. Ave: ⁄ Junior High School Completer Gen. Ave: 84.00
Date of Graduation/Completion (MM/DD/YYYY): Name of School: BURGOS NATIONAL HIGH SCHOOL School Address: CALIGUIAN, BURGOS, ISABELA
PEPT Passer** Rating: ALS A&E Passer*** Rating: Others (Pls. Specify):
Date of Examination/Assessment (MM/DD/YYYY): Name and Address of Community Learning Center:
*High School Completers are students who graduated from secondary school under the old curriculum ***ALS A&E - Alternative Learning System Accreditation and Equivalency Test for JHS
**PEPT - Philippine Educational Placement Test for JHS depedtambayan

SCHOLASTIC RECORD
SCHOOL: BURGOS NATIONAL HIGH SCHOOL SCHOOL ID: 300509 GRADE LEVEL: 11 SY: 2022-2023 SEM: 1ST
TRACK/STRAND: ACADEMIC/ HUMANITIES AND SOCIAL SCIENCES SECTION: HADES
Indicate if Subject is Quarter SEM FINAL ACTION
CORE, APPLIED, or SUBJECTS
1 st 2nd GRADE TAKEN
SPECIALIZED
Core Oral Communication 84 85 85 PASSED
Core Komunikasyon at Pananaliksik sa Wika at Kulturang Pilipino 82 83 83 PASSED
Core General Mathematics 84 85 85 PASSED
Core Physical Education and Health 83 84 84 PASSED
Core Personal Development/Pansariling Kaunlaran 84 85 85 PASSED
Core Understanding Culture, Society and Politics 84 85 85 PASSED
Applied Empowerment Technologies 82 83 83 PASSED
Specialized Philippine Politics and Governance 81 82 82 PASSED
Specialized Diciplines and Ideas in Social Sciences 86 87 87 PASSED

General Ave. for the Semester: 84 PASSED

REMARKS:
Prepared by: Certified True and Correct: Date Checked (MM/DD/YYYY):

JOHN GILBERT B. PALTAO MYLINE J. RESPICIO

Signature of Adviser over Printed Name School Principal Ii

REMEDIAL CLASSES Conducted from (MM/DD/YYYY): to (MM/DD/YYYY): SCHOOL: SCHOOL ID:

Indicate if Subject is REMEDIAL
SEM FINAL RECOMPUTED ACTION
CORE, APPLIED, or SUBJECTS CLASS
GRADE FINAL GRADE TAKEN
SPECIALIZED MARK

Name of Teacher/Adviser: Signature:

SCHOOL: BURGOS NATIONAL HIGH SCHOOL SCHOOL ID: 300509 GRADE LEVEL: 11 SY: 2022-2023 SEM: 2ND
TRACK/STRAND: ACADEMIC/HUMANITIES AND SOCIAL SCIENCES SECTION: HADES
Indicate if Subject is Quarter SEM FINAL ACTION
CORE, APPLIED, or SUBJECTS
3RD 4TH GRADE TAKEN
SPECIALIZED
Core Reading and Writing
Core Pagbasa at Pagsusuri ng Iba't Ibang Teksto Tungo sa Pananaliksik
Core 21st Century Literature from the Philippines and the World
Core Statistics and Probability
Core Introduction to the Philosophy of the Human Person/Pambungad sa Pilosopiya ng Tao
Core Physical Education and Health
Applied English for Academic and Professional Purposes
Applied Practical Research 1
Specialized Introduction to World Religions and Belief Systems
Specialized Disciplines and Ideas in the Applied Social Sciences

General Ave. for the Semester:

REMARKS:
Prepared by: Certified True and Correct: Date Checked (MM/DD/YYYY):

JOHN GILBERT B. PALTAO MYLINE J. RESPICIO

Signature of Adviser over Printed Name School Principal Ii

REMEDIAL CLASSES Conducted from (MM/DD/YYYY): to (MM/DD/YYYY): SCHOOL: SCHOOL ID:

Indicate if Subject is REMEDIAL
SEM FINAL RECOMPUTED ACTION
CORE, APPLIED, or SUBJECTS CLASS
GRADE FINAL GRADE TAKEN
SPECIALIZED MARK

Name of Teacher/Adviser: Signature:

 Page 2 AGPAOA, CHRIS JOHN PUDIQUET FORM -10 SHS
SCHOOL: BURGOS NATIONAL HIGH SCHOOL SCHOOL ID: 300509 GRADE LEVEL: 12 SY: 2021-2022 SEM: 1ST
TRACK/STRAND: ACADEMIC/ HUMANITIES AND SOCIAL SCIENCES SECTION: HADES

Indicate if Subject is CORE, Quarter SEM FINAL ACTION

SUBJECTS
APPLIED, or SPECIALIZED 1ST 2ND GRADE TAKEN

Core Contemporary Philippine Arts from the Regions

Core Earth and Life Science
Core Physical Education and Health
Applied Practical Research 2
Applied Filipino sa Piling Larangan (Akademik)
Applied Entrepreneurship
Specialized Creative Writing
Specialized Trends, Networks, and Critical Thinking in the 21st Century Culture
Specialized Community Engagement, Solidarity, and Citizenship

General Ave. for the Semester:

REMARKS:
Prepared by: Certified True and Correct: Date Checked (MM/DD/YYYY):

JOHN GILBERT B. PALTAO MYLINE J. RESPICIO

Signature of Adviser over Printed Name PRINCIPAL II

REMEDIAL CLASSES Conducted from (MM/DD/YYYY): to (MM/DD/YYYY): SCHOOL: SCHOOL ID:

REMEDIAL
Indicate if Subject is CORE, SEM FINAL RECOMPUTED ACTION
SUBJECTS CLASS
APPLIED, or SPECIALIZED GRADE FINAL GRADE TAKEN
MARK

Name of Teacher/Adviser: Signature:

SCHOOL: BURGOS NATIONAL HIGH SCHOOL SCHOOL ID: 300509 GRADE LEVEL: 12 SY: 2021-2022 SEM: 2ND
TRACK/STRAND: ACADEMIC/ HUMANITIES AND SOCIAL SCIENCES SECTION: HADES

Indicate if Subject is CORE, Quarter SEM FINAL ACTION

SUBJECTS
APPLIED, or SPECIALIZED 3RD 4TH GRADE TAKEN

Core Media and Information Literacy

Core Physical Science
Core Physical Education and Health
Applied Inquiries, Investigations and Immersion
Specialized Creative Nonfiction
Specialized Work Immersion/ Research/ Carrer Advocacy/ Culminating Activity

General Ave. for the Semester:

REMARKS:
Prepared by: Certified True and Correct: Date Checked (MM/DD/YYYY):

JOHN GILBERT B. PALTAO MYLINE J. RESPICIO

Signature of Adviser over Printed Name PRINCIPAL II

REMEDIAL CLASSES Conducted from (MM/DD/YYYY): to (MM/DD/YYYY): SCHOOL: SCHOOL ID:

REMEDIAL
Indicate if Subject is CORE, SEM FINAL RECOMPUTED ACTION
SUBJECTS CLASS
APPLIED, or SPECIALIZED GRADE FINAL GRADE TAKEN
MARK

Name of Teacher/Adviser: Signature:

Track/Strand Accomplished: ACADEMIC/ HUMANITIES AND SOCIAL SCIENCES SHS General Average:
Awards/Honors Received: Date of SHS Graduation (MM/DD/YYYY):
Certified by: Place School Seal Here:

MYLINE J. RESPICIO
PRINCIPAL II Date
NOTE:
This permanent record or a photocopy of this permanent record that bears the seal of the school and the original
signature in ink of the School Head shall be considered valid for all legal purposes. Any erasure or alteration
made on this copy should be validated by the School Head.
If the student transfers to another school, the originating school should produce one (1) certified true copy of this
permanent record for safekeeping. The receiving school shall continue filling up the original form.
Upon graduation, the school from which the student graduated should keep the original form and produce one (1)
certified true copy for the Division Office.

REMARKS: (Please indicate the purpose for which this permanent record will be used)

Date Issued (MM/DD/YYYY):

AGPAOA, CHRIS JOHN PUDIQUET FORM-10 SHS
ANNEX: LIST OF SUBJECTS TAKEN
Please check the subjects passed by the student
CORE SUBJECTS
∕ Oral Communication
Reading and Writing
Komunikasyon at Pananaliksik sa Wika at Kulturang Filipino
Pagbasa at Pagsusuri ng Iba't Ibang Teksto Tungo sa Pananaliksik
21st Century Literature from the Philippines and the World
Contemporary Philippine Arts from the Regions
Media and Information Literacy
∕ General Mathematics
Statistics and Probability
/ Earth and Life Science
Physical Science
∕ Personal Development/Pansariling Kaunlaran
∕ Understanding Culture, Society and Politics
Introduction to the Philosophy of the Human Person/Pambungad sa Pilosopiya ng Tao
Physical Education and Health (spread out in 4 semesters)
*STEM students will take these instead:
Earth Science
Disaster Readiness and Risk Reduction
Subject substitutions, if any:

APPLIED SUBJECTS
English for Academic and Professional Purposes
Practical Research 1
Practical Research 2
Filipino sa Piling Larangan
∕ Empowerment Technologies
Entrepreneurship
Inquiries, Investigations and Immersion

SPECIALIZED SUBJECTS (Please write the list of subjects below)

Creative Writing
Applied Economics
Philippine Politics and Governance
Creative Nonfiction
Disaster Readiness and Risk Reduction
Food and Beverage Services
Work Immersion/ Research/ Carrer Advocacy/ Culminating Activity
Organization and Management
Creative Nonfiction
OTHER SUBJECTS (Please write the list of subjects below)