SF 10 -JHS

Republic of the Philippines

Department of Education
Ministry of Basic, Higher and Technical Education
LUBUKAN NATIONAL HIGH SCHOOL SANGBAY SMALL ANNEX
Sangbay Small Hji. Muhtamad Basilan

Learner's Permanent Academic Record for Junior High School (SF10-JHS)

(Formerly Form 137)
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: Address 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 TestingCenter:____________________________________

SCHOLASTIC RECORD
School: LUBUKAN NATIONAL HIGH SCHOOL SANGBAY SMALL ANNEX School ID: 304942 District: ______ Division: BASILAN Region: BARMM
Classified as Grade: Section: A School Year: Name of Adviser/Teacher: Signature: ______
Quarterly Rating
LEARNING AREAS FINAL RATING REMARKS
1 2 3 4
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 Grade Remarks

School: LUBUKAN NATIONAL HIGH SCHOOL SANGBAY SMALL ANNEX School ID: 304942 District: Division: BASILAN Region: BARMM
Classified as Grade: Section: School Year: Name of Adviser/Teacher: Signature: _______
Quarterly Rating
LEARNING AREAS FINAL RATING REMARKS
1 2 3 4
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 Grade Remarks
SF 10-JHS Pag 2 of ________
School: LUBUKAN NATIONAL HIGH SCHOOL SANGBAY SMALL ANNEX School ID: 304942 District: Division: BASILAN Region: BARMM
Classified as Grade: Section: School Year: Name of Adviser: Signature: _____
LEARNING AREAS Quarterly Rating FINAL RATING REMARKS
1 2 3 4
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) _______________
Subject Final Rating Remedial Class Mark Recomputed Final Grade Remarks

School: LUBUKAN NATIONAL HIGH SCHOOL School ID: 304941 District: __________ Division: BASILAN Region: BARMM
Classified as Grade: _____ Section: __________ School Year: __________ Name of Adviser/Teacher: _________ Signature: _____
LEARNING AREAS Quarterly Rating FINAL RATING REMARKS
1 2 3 4
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 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 Grade Remarks

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