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: AUSTRIA FIRST NAME: GERALD IVAN NAME EXTN. (Jr,I,II) MIDDLE NAME: CAYABYAB

Learner Reference Number (LRN): __ 500365170017 Birthdate (mm/dd/yyyy): 12/19/2011 Sex: MALE
ELIGIBILITY FOR ELEMENTARY SCHOOL ENROLMENT
Credential Presented for Grade 1: Kinder Progress Report ✘ ECCD Checklist Kindergarten Certificate of Completion
Name of School: MABULITEC INTEGRATED School ID: 500365 Address of School: MABULITEC, MALASIQUI, PANGASINAN
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: MABULITEC INTEGRATED School ID: 500365 School: MABULITEC INTEGRATED School ID: 500365
District: MALASIQUI II Division: PANGASINAN I Region: I District: MALASIQUI II Division: PANGASINAN I Region: 1
Classified as Grade: ONE Section: DE VERA School Year: 2018-2019 Classified as Grade: 2 Section: DE VERA School Year: 2019-2020
Name of Adviser/Teacher: LILY L. DE VERA Signature: Name of Adviser/Teacher: LILY L. DE VERA 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 89 90 90 91 90 PASSED Mother Tongue 88 93 93 93 92 PASSED

Filipino 90 91 91 91 PASSED Filipino 91 91 92 93 92 PASSED

English 81 85 83 PASSED English 90 93 93 94 93 PASSED

Mathematics 90 90 91 91 91 PASSED Mathematics 81 87 89 90 87 PASSED

Science Science
Araling Panlipunan 90 89 90 91 90 PASSED Araling Panlipunan 94 91 91 92 92 PASSED

EPP / TLE EPP / TLE

MAPEH 90 90 92 92 91 PASSED MAPEH 91 92 93 94 93 PASSED

Music 90 90 92 92 Music 85 92 93 93

Arts 90 90 90 92 Arts 96 93 93 93

Physical Education 90 90 92 92 Physical Education 91 93 93 93

Health 91 91 92 92 Health 90 91 92 95

Eduk. sa Pagpapakatao 90 90 92 95 92 PASSED Eduk. sa Pagpapakatao 94 94 95 95 95 PASSED

*Arabic Language *Arabic Language

*Islamic Values Education *Islamic Values Education
General Average 90 PROMOTED General Average 92 PROMOTED
Remedial Classes Conducted from: to Remedial Classes Conducted from: to
Remedial Class Recomputed Remedial Recomputed
Learning Areas Final Rating Remarks Learning Areas Final Rating Remarks
Mark Final Grade Class Mark Final Grade

School: MABULITEC INTEGRATED School ID: 500365 School: ______________________________ School ID:
District: MALASIQUI II Division:PANGASINAN I Region: I District: ______________________ Division: __________ Region:
Classified as GradTHREESection: Masipag School Year: 2020-2021 Classified as Grade: ______ Section: ______ School Year:
Name of Adviser/Teacher: _________
JAIME D. FERRER 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 91 92 93 93 92 PASSED Mother Tongue

Filipino 90 91 92 93 92 PASSED Filipino
English 91 92 93 93 92 PASSED English
Mathematics 91 92 93 93 92 PASSED Mathematics
Science 91 92 93 93 92 PASSED Science
Araling Panlipunan 91 92 93 93 92 PASSED Araling Panlipunan
EPP / TLE EPP / TLE
MAPEH 91 93 94 94 93 PASSED MAPEH
Music 90 93 94 94 Music
Arts 91 93 93 93 Arts
Physical Education 92 95 95 95 Physical Education
Health 91 92 93 93 Health
Eduk. sa Pagpapakatao 91 92 93 93 92 PASSED Eduk. sa Pagpapakatao
*Arabic Language *Arabic Language
*Islamic Values Education *Islamic Values Education
General Average 92 PROMOTED 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

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:

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 Remarks Learning Areas Final Rating Remarks
Mark Final Grade Class Mark Final Grade

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