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School Form 10 ES Learners Permanent Record
School Form 10 ES Learners Permanent Record
Department of Education
LAST NAME: IGNACIO FIRST NAME: JOHN MATTHEW NAME EXTN. (Jr,I,II) MIDDLE NAME: ESCASRAN
Learner Reference Number (LRN): 136835170161 Birthdate (mm/dd/yyyy): ### 7/24/20912 Sex: MALE
ELIGIBILITY FOR ELEMENTARY SCHOOL ENROLMENT
Credential Presented for Grade 1: Kinder Progress Report ECCD Checklist Kindergarten Certificate of Completion
Name of School: IMELDA ELEMENTARY SCHOOL School ID: 136834 Address of School: LONGOS, MALABON CITY
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
SFRT 2017
SF10-ES Page 2 of ________
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:
Date Signature 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 addmision to Grade .
School Name: School ID Division: Last School Year Attended:
Date Signature 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 addmision to Grade .
School Name: School ID Division: Last School Year Attended:
Date Signature of Principal/School Head over Printed Name (Affix School Seal here)
May add Certification Box if needed SFRT Revised 2017