SF10-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 EXT. (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 Testing Center:

SCHOLASTIC RECORD
School: School ID: District: Division: CITY OF MALOLOS Region: III
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 81 PROMOTED

Remedial Classes Conducted from (mm/dd/yyyy) to (mm/dd/yyyy) u

Learning Areas Final Rating Remedial Class Mark Recomputed Remarks

Final Grade

School: School ID: District: Division: CITY OF MALOLOS Region: III

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 79 PROMOTED

Remedial Classes Conducted from (mm/dd/yyyy) to (mm/dd/yyyy) u

Learning Areas Final Rating Remedial Class Mark Recomputed Remarks

Final 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 Signature of Principal/School Head over Printed Name (Affix School Seal Here)
SF10-JHS Page 2 of

School: CMIS - STO. ROSARIO School ID: 500636 District: 6 Division: CITY OF MALOLOS Region: III
Classified as Grade: 9 Section: FIDELITY School Year: 2019-2020 Name of Adviser/Teacher: DINA C. DIVINA Signature:
Quarterly Rating FINAL
LEARNING AREAS REMARKS
1 2 3 4 RATING
Filipino 75
English 75
Mathematics 75
Science 75 TRANSFERRED OUT
Araling Panlipunan (AP) 75 SEPT 7, 2019
Edukasyon sa Pagpapakatao (EsP) 75
Technology and Livelihood Education (TLE) 75
MAPEH 75
Music
Arts
Physical Education
Health

General Average
Remedial Classes Conducted from (mm/dd/yyyy) to (mm/dd/yyyy) u

Learning Areas Final Rating Remedial Class Mark Recomputed Remarks

Final Grade

School: MARCELO H. DEL PILAR NATIONAL HIGH SCHOOL School ID: 300751 District: 2 Division: CiITY OF MALOLOS Region: III
Classified as Grade: 9 Section: 9-SPS School Year: 2019-2020 Name of Adviser/Teacher: ALEJANDRO C. PASCUAL Signature:
Quarterly Rating FINAL
LEARNING AREAS REMARKS
1 2 3 4 RATING
Filipino 75 77
English 75 75
Mathematics 75 79
Science 75 76 TRASFERRED - OUT
Araling Panlipunan (AP) 75 84 TO CMIS - CANALATE
Edukasyon sa Pagpapakatao (EsP) 75 86 NOVEMBER, 2019
Technology and Livelihood Education (TLE) 75 85
MAPEH 75 87
Music 75 85
Arts 75 87
Physical Education 75 88
Health 75 86

General Average
Remedial Classes Conducted from (mm/dd/yyyy) to (mm/dd/yyyy) u

Learning Areas Final Rating Remedial Class Mark Recomputed Remarks

Final Grade

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) u

Learning Areas Final Rating Remedial Class Mark Recomputed Remarks

Final 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 Signature of Principal/School Head over Printed Name (Affix School Seal Here)
(May add Certifiation box if needed) SFRT Revised 2017