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DepEd Form 138 DepEd Form 138

Appendix C, DepEd Order No. 8, S. 2015 Appendix C, DepEd Order No. 8, S. 2015

Republic of the Philippines Republic of the Philippines
Department of Education Department of Education
Region VIII Region VIII
Division of Samar Division of Samar
SAN FERNANDO NATIONAL HIGH SCHOOL SAN FERNANDO NATIONAL HIGH SCHOOL
San Fernando, Basey, Samar San Fernando, Basey, Samar

Name LRN Name LRN
Age Sex Age Sex
Grade Section Grade Section

Enhanced Basic Enhanced Basic
School Year 2016 - 2017 Curriculum Education Curriculum School Year 2016 - 2017 Curriculum Education Curriculum

Dear Parent: Dear Parent:
This report card shows the ability and progress your This report card shows the ability and progress your
child has made in the different learning areas as well as child has made in the different learning areas as well as
his/her core values. his/her core values.
The school welcomes you should you desire to know The school welcomes you should you desire to know
more about you child's progress. more about you child's progress.

Class Adviser Class Adviser
ZALDY A. TABUGOCA ZALDY A. TABUGOCA
Secondary School Principal I Secondary School Principal I

Certificate of Transfer Certificate of Transfer
Admitted to Grad Section Admitted to Grad Section
Eligible for Admission to Gra Eligible for Admission to Gra

Approved: Approved:

ZALDY A. TABUGOCA ZALDY A. TABUGOCA
Secondary School Principal I Class Adviser Secondary School Principal I Class Adviser

Cancellation of Eligibility to Transfer Cancellation of Eligibility to Transfer
Admitted in: Admitted in:
Date Date

School Principal School Principal

REPORT ON ATTENDANCE REPORT ON ATTENDANCE
November

November
December

December
Septembe

Septembe
February

February
October

October
January

January
August

August

Month Month
TOTAL

TOTAL
March

March
April

April
June

June
July

July
r

r

No. of School No. of School
Days Days

No. of Days No. of Days
Present Present

No. of Days No. of Days
Absent Absent

PARENT / GUARDIAN'S SIGNATURE PARENT / GUARDIAN'S SIGNATURE

First Quarter First Quarter

Second Quarter Second Quarter

Third Quarter Third Quarter

economically.79 Passed Fairly Satisfactory 75 . social. Maka.79 Passed Did Not Meet Expectation Below 75 Failed Did Not Meet Expectation Below 75 Failed REPORT ON LEARNER'S OBSERVED VALUES REPORT ON LEARNER'S OBSERVED VALUES Core Quarter Core Quarter Behavior Statements Behavior Statements Values 1 2 3 4 Values 1 2 3 4 Expresses one's Expresses one's spiritual beliefs while spiritual beliefs while respecting the respecting the 1. spiritual beliefs of Diyos others. invironment and 3. Cares for the Cares for the 3. Makatao cultural difference. Maka. Maka. Is sensitive to Is sensitive to individual. Marking Non-numerical Rating Marking Non-numerical Rating AO Always Observed AO Always Observed SO Sometimes Observed SO Sometimes Observed .100 Passed Very Satisfactory 85 . a Filipino citizen. Maka. and wisely. social. Shows adherence to Shows adherence to ethical principles by ethical principles by upholding truth. upholding truth. Demonstrates Demonstrates contributions toward contributions toward solidarity. and community. country.89 Passed Satisfactory 80 .84 Passed Satisfactory 80 . Maka. activities in the school. judiciously. and individual.84 Passed Fairly Satisfactory 75 . Maka. spiritual beliefs of 1.100 Passed Outstanding 90 . Demonstrates bansa appropriate behavior bansa appropriate behavior in carrying out in carrying out activities in the school. Fourth Quarter Fourth Quarter REPORT ON LEARNING PROGRESS AND ACHIEVEMENT REPORT ON LEARNING PROGRESS AND ACHIEVEMENT QUARTER Final QUARTER Final LEARNING AREAS Remarks LEARNING AREAS Remarks 1 2 3 4 Grade 1 2 3 4 Grade Filipino Filipino English English Mathematics Mathematics Science Science Araling Panlipunan ( Araling Panlipunan ( Edukasyon sa Edukasyon sa Pagpapakatao Pagpapakatao (EsP) (EsP) Technology & Technology & Livelihood Livelihood Education (TLE) Education (TLE) MAPEH MAPEH Music Music Arts Arts PE PE Health Health General Average General Average Descriptors Grading Scale Remarks Descriptors Grading Scale Remarks Outstanding 90 . Demonstrates pride in Demonstrates pride in being a Filipino. and economically. invironment and utilizes resources utilizes resources kalikasan kalikasan wisely. judiciously. Makatao cultural difference. and 2. exercises the rights exercises the rights and responsibilities of and responsibilities of 4. a Filipino citizen. and country. Diyos others. community. 2. being a Filipino. Demonstrates 4. solidarity.89 Passed Very Satisfactory 85 .

RO Rarely Observed RO Rarely Observed NO Not Observed NO Not Observed .

Physical Educ. & Livelihood Education (TLE) Music. Form 137-A Republic of the Philippines Copy of this record sent to Principal of Department of Education _____________________________ School on_____________________ Region VIII _____________________________ Division of Samar Principal OSMEÑA NATIONAL HIGH SCHOOL Osmeña. Arts. Physical Educ.& Health (MAPEH) Music Arts Physical Education Health . Samar SECONDARY STUDENT'S PERMANENT RECORD Name: Learner's Reference Number (LRN): Date of Birth: Place of Birth: Parent or Guardian: Occupation: Address of Parent or Guardian: Elementary Course Completed (School): School Year: Total Number of Years in School to Complete Elementary Course: General Average: RECORD OF STANDARD INTELLIGENCE AND ACHIEVEMENT TEST Name and Form of Test Score Received Percentile Rank Name and Form of Test Score Received Percentile Rank CLASSIFIED AS Total Number of Years in School to Date 7 GRADE 7 School OSMEÑA NATIONAL HIGH SCHOOL School Year 2015-2016 CURRICULUM GRADING PERIOD FINAL Credits Action SUBJECT GRADE/YEAR 1 2 3 4 RATING Earned Taken Filipino English Mathematics Science Araling Panlipunan (AP) Edukasyon sa Pagpapakatao (EsP) Tech. & Livelihood Education (TLE) Music. Arts.& Health (MAPEH) Music Arts Physical Education Health General Average JUNE JULY AUG SEP OCT NOV DEC JAN FEB MAR APR TOTAL Days of Schoo Days Present Adviser: Checked by: CLASSIFIED AS Total Number of Years in School to Date GRADE School School Year CURRICULUM GRADING PERIOD FINAL Credits Action SUBJECT GRADE/YEAR 1 2 3 4 RATING Earned Taken Filipino English Mathematics Science Araling Panlipunan (AP) Edukasyon sa Pagpapakatao (EsP) Tech. Marabut.

General Average JUNE JULY AUG SEP OCT NOV DEC JAN FEB MAR APR TOTAL Days of Schoo Days Present Adviser: Checked by: .

Form 137-A Republic of the Philippines Copy of this record sent to Principal of Department of Education _____________________________ School on_____________________ Region VIII _____________________________ Division of Samar Principal OSMEÑA NATIONAL HIGH SCHOOL Osmeña. & Livelihood Education (TLE) Music. Marabut. Physical Educ. Arts.& Health (MAPEH) Music Arts Physical Education Health General Average JUNE JULY AUG SEP OCT NOV DEC JAN FEB MAR APR TOTAL Days of Schoo Days Present Adviser: Checked by: CLASSIFIED AS Total Number of Years in School to Date GRADE School School Year CURRICULUM GRADING PERIOD FINAL Credits Action SUBJECT GRADE/YEAR 1 2 3 4 RATING Earned Taken Filipino English Mathematics Science Araling Panlipunan (AP) Edukasyon sa Pagpapakatao (EsP) Tech. Samar SECONDARY STUDENT'S PERMANENT RECORD Name: Learner's Reference Number (LRN): Date of Birth: Place of Birth: Parent or Guardian: Occupation: Address of Parent or Guardian: Elementary Course Completed (School): School Year: Total Number of Years in School to Complete Elementary Course: General Average: RECORD OF STANDARD INTELLIGENCE AND ACHIEVEMENT TEST Name and Form of Test Score Received Percentile Rank Name and Form of Test Score Received Percentile Rank CLASSIFIED AS Total Number of Years in School to Date 7 GRADE 7 School OSMEÑA NATIONAL HIGH SCHOOL School Year 2015-2016 CURRICULUM GRADING PERIOD FINAL Credits Action SUBJECT GRADE/YEAR 1 2 3 4 RATING Earned Taken Filipino English Mathematics Science Araling Panlipunan (AP) Edukasyon sa Pagpapakatao (EsP) Tech. Arts. & Livelihood Education (TLE) Music. Physical Educ.& Health (MAPEH) Music Arts Physical Education Health .

General Average JUNE JULY AUG SEP OCT NOV DEC JAN FEB MAR APR TOTAL Days of Schoo Days Present Adviser: Checked by: .

Arts.& Health (MAPEH) Music Arts Physical Education Health General Average JUNE JULY AUG SEP OCT NOV DEC JAN FEB MAR APR TOTAL Days of Schoo Days Present Adviser: Checked by: CLASSIFIED AS Total Number of Years in School to Date GRADE School School Year CURRICULUM GRADING PERIODS Final Credits Action SUBJECT GRADE/YEAR 1 2 3 4 Rating Earned Taken Filipino English Mathematics Science Araling Panlipunan (AP) Edukasyon sa Pagpapakatao (EsP) Tech. & Livelihood Education (TLE) Music.CLASSIFIED AS Total Number of Years in School to Date GRADE School School Year CURRICULUM GRADING PERIODS Final Credits Action SUBJECT GRADE/YEAR 1 2 3 4 Rating Earned Taken Filipino English Mathematics Science Araling Panlipunan (AP) Edukasyon sa Pagpapakatao (EsP) Tech. Physical Educ. Arts.& Health (MAPEH) Music Arts Physical Education Health General Average JUNE JULY AUG SEP OCT NOV DEC JAN FEB MAR APR TOTAL Days of Schoo Days Present Adviser: Checked by: SUMMARY OF CREDITS ACHIEVED TOWARD GRADUATION FIRST CURRICULUM YEAR SECOND CURRICULUM YEAR THIRD CURRICULUM YEAR FOURTH CURRICULUM YEAR Year Credits Year Credits Year Credits Year Credits Subject Subject Subject Subject Completed Earned Completed Earned Completed Earned Completed Earned CERTIFICATE OF TRANSFER To Whom It May Concern: . Physical Educ. & Livelihood Education (TLE) Music.

School Head . is on this _________ day of ______________________ eligible for admission to the _______________________year as __________________ student. and has no property responsibility in this school. THIS IS TO CERTIFY that this is a true record of _________________________________________. This student.