Professional Documents
Culture Documents
EON CZARRUS H. S.
EON CZARRUS H. S.
Department of Education
Learner's Permanent Academic Record for Elementary School
(SF10-ES)
(Formerly Form 137)
LEARNER'S PERSONAL INFORMATION
LAST NAME: SANTERO FIRST NAME: EON CZARRUS NAME EXTN. (Jr,I,II) MIDDLE NAME: HAGOS
Learner Reference Number (LRN): __ 403476 230004 Birthdate (mm/dd/yyyy): 9/14/2018 Sex: MALE
ELIGIBILITY FOR ELEMENTARY SCHOOL ENROLMENT
Credential Presented for Grade 1: ✘ Kinder Progress Report ✘ ECCD Checklist ✘ Kindergarten Certificate of Completion
Name of School: NORTHERN MINDORO ACADEMY, Inc. School ID: 403476 Address of School: PARANG, POBLACION, SAN TEODORO, ORIENTAL MINDORO
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 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