SF 10 -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 EXTN. (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: Adress 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:ST. JOSEPH HIGH SCHOOL OF LALIGAN, INC. School ID: 405075 District: ________ Division: Valencia City Region: X
Classified as Grade: 7 Section: ________ School Year: ________ Name of Adviser/Teacher: ______________________ Signature: _________
Quarterly Rating FINAL
LEARNING AREAS REMARKS
1 2 3 4 RATING
Filipino 0
English 0
Mathematics 0
Science 0
Araling Panlipunan (AP) 0
Edukasyon sa Pagpapakatao (EsP) 0
Technology and Livelihood Education (TLE) 0
MAPEH 0
Music 0
Arts 0
Physical Education 0
Health 0

General Average 0.000%

Remedial Classes Conducted from (mm/dd/yyyy) ____________________ to (mm/dd/yyyy) __________________
Recomputed Final
Learning Areas Final Rating Remedial Class Mark Remarks
Grade

School: ST. JOSEPH HGH SCHOOL OF LALIGAN, INC. School ID: 405075 District: ______________ Division: Valencia City Region: X
Classified as Grade: 8 Section: _________ School Year: __________ Name of Adviser/Teacher: ______________________ Signature: __________
QUARTER FINAL
LEARNING AREAS REMARKS
1 2 3 4 RATING
Filipino 0
English 0
Mathematics 0
Science 0
Araling Panlipunan (AP) 0
Edukasyon sa Pagpapakatao (EsP) 0
Technology and Livelihood Education (TLE) 0
MAPEH 0
Music 0
Arts 0
Physical Education 0
Health 0

General Average 0.00%

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

Recomputed Final
Learning Areas Final Rating Remedial Class Mark Remarks
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: ____________________________________ School ID: __________________ Last School Year Attended: _________________________

________________________
Date Name of Principal/School Head over Printed Name (Affix School Seal here)
SF 10-JHS Pag 2 of ________
School: ______________________ School ID: ________ District: ___________________ Division: __________________ Region: ____

Classified as Grade: ____ Section: ___ School Year: _____ Name of Adviser/Teacher: ________________ Signature: ________

LEARNING AREAS QUARTER FINAL REMARKS

1 2 3 4 RATING
Filipino 0
English 0
Mathematics 0
Science 0
Araling Panlipunan (AP) 0
Edukasyon sa Pagpapakatao (EsP) 0
Technology and Livelihood Education (TLE) 0
MAPEH 0
Music 0
Arts 0
Physical Education 0
Health 0

General Average 0.000

Remedial Classes Conducted from (mm/dd/yyyy) ____________________ to (mm/dd/yyyy) _______________
Subject Final Rating Remedial Class Mark Recomputed Final Remarks
Grade

School: ______________________ School ID: ________ District: ___________________ Division: __________________ Region: ____

Classified as Grade: ____ Section: ___ School Year: _____ Name of Adviser/Teacher: ________________ Signature: ________
LEARNING AREAS QUARTER FINAL REMARKS
1 2 3 4 RATING
Filipino 0
English 0
Mathematics 0
Science 0
Araling Panlipunan (AP) 0
Edukasyon sa Pagpapakatao (EsP) 0
Technology and Livelihood Education (TLE) 0
MAPEH 0
Music 0
Arts 0
Physical Education 0
Health 0
0

General Average 0
Remedial Classes Conducted from (mm/dd/yyyy) ____________________ to (mm/dd/yyyy) _______________
Recomputed Final
Learning Areas Final Rating Remedial Class Mark Grade Remarks

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 Final Remarks
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: ____________________________________ School ID __________________ 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