SF10-ES Republic of the Philippines

Department of Education

Learner Permanent Record for Elementary School (SF10-ES)

(Formerly Form 137)

LEARNER'S PERSONAL INFORMATION

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

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

ELIGIBILITY FOR ELEMENTARY SCHOOL ENROLMENT

Credential Presented for Grade 1: Kinder Progress Report ECCD Checklist Kindergarten Certificate of Completion

Name of School: School ID: Address of School:

Other Credential Presented

PEPT Passer Rating: Date of Examination/Assessment (mm/dd/yyyy): Others (Pls. Specify):
Name and Address of Testing Center: Remark:
SCHOLASTIC RECORD

School: School ID: School: ________________________________________School ID:

District Division: Region: District: ________________________ Division: Region:
Classified as Grade: Section: School Year: Classified as Grade: Section: School Year:
Name of Adviser/Teacher: Signature: Name of Adviser/Teacher: Signature:
Quarterly Rating Final Quarterly Rating Final
LEARNING AREAS Remarks Learning Areas Remarks
1 2 3 4 Rating 1 2 3 4 Rating

Mother Tongue Mother Tongue

Filipino Filipino
English English

Mathematics Mathematics

Science Science

Araling Panlipunan Araling Panlipunan

EPP / TLE EPP / TLE

MAPEH MAPEH
Music Music

Arts Arts

Physical Education Physical Education

Health Health

Eduk. sa Pagpapakatao Eduk. sa Pagpapakatao

*Arabic Language *Arabic Language

*Islamic Values Education *Islamic Values Education

General Average General Average

Remedial Classes Conducted from: to Remedial Classes Conducted from: to
Remedial Class Recomputed Remedial Class Recomputed
Learning Areas Final Rating Remarks Learning Areas Final Rating Remarks
Mark Final Grade Mark Final Grade

School: School ID: School: _______________________ School ID:

District Division: Region: District: ____________________ Division: Region:
Classified as Grade: Section: School Year: Classified as Grade: Section: School Year:
Name of Adviser/Teacher: Signature: Name of Adviser/Teacher: Signature:

Quarterly Rating Final Quarterly Rating Final

Learning Areas Remarks Learning Areas Remarks
1 2 3 4 Rating 1 2 3 4 Rating

Mother Tongue Mother Tongue

Filipino Filipino
English English

Mathematics Mathematics

Science Science

Araling Panlipunan Araling Panlipunan

EPP / TLE EPP / TLE

MAPEH MAPEH
Music Music

Arts Arts

Physical Education Physical Education

Health Health

Eduk. sa Pagpapakatao Eduk. sa Pagpapakatao

*Arabic Language *Arabic Language

*Islamic Values Education *Islamic Values Education
General Average General Average
Remedial Classes Date Conducted: to Remedial Classes Date Conducted: to
Remedial Class Recomputed Remedial Class Recomputed
Learning Areas Final Rating Remarks Learning Areas Final Rating Remarks
Mark Final Grade Mark Final Grade

SFRT 2017
SF10-ES Page 2 of 2
SCHOLASTIC RECORD
School: School ID: School: School ID:
District Division: Region: District: Division: Region:
Classified as Grade: Section: School Year: Classified as Grade: Section: School Year:
Name of Adviser/Teacher: Signature: Name of Adviser/Teacher: Signature:

Quarterly Rating Final Quarterly Rating Final

LEARNING AREAS Remarks Learning Areas Remarks
1 2 3 4 Rating 1 2 3 4 Rating

Mother Tongue Mother Tongue

Filipino Filipino
English English
Mathematics Mathematics
Science Science
Araling Panlipunan Araling Panlipunan
EPP / TLE EPP / TLE
MAPEH MAPEH
Music Music
Arts Arts
Physical Education Physical Education
Health Health
Eduk. sa Pagpapakatao Eduk. sa Pagpapakatao
*Arabic Language *Arabic Language
*Islamic Values Education *Islamic Values Education
General Average General Average
Remedial Classes Date Conducted: to Remedial Classes Date Conducted: to
Remedial Class Recomputed Remedial Recomputed
Learning Areas Final Rating Remarks Learning Areas Final Rating Remarks
Mark Final Grade Class Mark Final Grade

School: School ID: School: School ID:

District Division: Region: District: Division: Region:
Classified as Grade: Section: School Year: Classified as Grade: Section: School Year:
Name of Adviser/Teacher: Signature: Name of Adviser/Teacher: Signature:

Quarterly Rating Final Quarterly Rating Final

Learning Areas Remarks Learning Areas Remarks
1 2 3 4 Rating 1 2 3 4 Rating

Mother Tongue Mother Tongue

Filipino Filipino
English English
Mathematics Mathematics
Science Science
Araling Panlipunan Araling Panlipunan
EPP / TLE EPP / TLE
MAPEH MAPEH
Music Music
Arts Arts
Physical Education Physical Education
Health Health
Eduk. sa Pagpapakatao Eduk. sa Pagpapakatao
*Arabic Language *Arabic Language
*Islamic Values Education *Islamic Values Education
General Average General Average
Remedial Classes Date Conducted: to Remedial Classes Date Conducted: to
Remedial Class Recomputed Remedial Recomputed
Learning Areas Final Rating Mark Final Grade Remarks Learning Areas Final Rating Class Mark Final Grade Remarks

For Transfer Out /Elementary School Completer Only

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

Date Name of Principal/School Head over Printed Name (Affix School Seal here)

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

_________________

Date Name of Principal/School Head over Printed Name (Affix School Seal here)

CERTIFICATION
I CERTIFY that this is a true record of with LRN and that he/she is eligible for admission to Grade
School Name: School ID: Division: 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