Republic of the Philippines

Department of Education
Region
Division

(School)
School ID:

ELEMENTARY SCHOOL STUDENT'S PERMANENT RECORD

NAME OF LEARNER:
(Lastname) (First Name) (Middle Name)
LRN: Sex: Date of Birth: (M/D/Y)
Birthplace Province Town Barangay:
Name of Father: Name of Mother (Maiden):
Name of Guardian: Relationship:
Total number of years to complete Kindergarten School Yr: Remarks
Kindergarten: Course Completed (School)
School SY:
SUMMER
Grade & Section: Final
Remarks
Grade Level Subject 1 2 3 4 Grade
School Year
Inclusive Dates
School

Learning Area

Final Grade
Remedial Class Mark
General Average Recomputed Final Grade
Adviser's Name & Signature
ATTENDANCE Jun Jul Aug Sep Oct Aug Sept Oct Nov Dec Jan Feb Mar Apr Total Learning Area
Number of School Days:
No. Days Present: Final Grade
No. Days Absent: Remedial Class Mark
Did Not Meet Expectations in Years in School Recomputed Final Grade
School SY:
SUMMER
Grade & Section: Final
Remarks
Grade Level Subject 1 2 3 4 Grade
Passed School Year
Inclusive Dates
School

Learning Area

Final Grade
Remedial Class Mark
General Average Recomputed Final Grade
Adviser's Name & Signature
ATTENDANCE Jun Jul Aug Sep Oct Aug Sept Oct Nov Dec Jan Feb Mar Apr Total Learning Area
Number of School Days:
No. Days Present: Final Grade
No. Days Absent: Remedial Class Mark
Did Not Meet Expectations in Years in School Recomputed Final Grade
School SY:
SUMMER
Grade & Section: Final
Remarks
Grade Level Subject 1 2 3 4 Grade
School Year
Inclusive Dates
School

Learning Area

Final Grade
Remedial Class Mark
General Average Recomputed Final Grade
Adviser's Name & Signature
ATTENDANCE Jun Jul Aug Sep Oct Aug Sept Oct Nov Dec Jan Feb Mar Apr Total Learning Area
Number of School Days:
No. Days Present: Final Grade
No. Days Absent: Remedial Class Mark
Did Not Meet Expectations in Years in School Recomputed Final Grade
School SY:
SUMMER
Grade & Section: Final
Remarks
Grade Level Subject 1 2 3 4 Grade
 School Year
Inclusive Dates
School

Learning Area

Final Grade
Remedial Class Mark
General Average Recomputed Final Grade
Adviser's Name & Signature
ATTENDANCE Jun Jul Aug Sep Oct Aug Sept Oct Nov Dec Jan Feb Mar Apr Total Learning Area
Number of School Days:
No. Days Present: Final Grade
No. Days Absent: Remedial Class Mark
Did Not Meet Expectations in Years in School Recomputed Final Grade

NAME OF LEARNER:
(Lastname) (First Name) (Middle Name)
LRN: Grade Section:

School SY:
SUMMER
Grade & Section: Final
Remarks
Grade Level Subject 1 2 3 4 Grade
School Year
Inclusive Dates
School

Learning Area

Final Grade
Remedial Class Mark
General Average Recomputed Final Grade
Adviser's Name & Signature
ATTENDANCE Jun Jul Aug Sep Oct Aug Sept Oct Nov Dec Jan Feb Mar Apr Total Learning Area
Number of School Days:
No. Days Present: Final Grade
No. Days Absent: Remedial Class Mark
Did Not Meet Expectations in Years in School Recomputed Final Grade
School SY:
SUMMER
Grade & Section: Final
Remarks
Grade Level Subject 1 2 3 4 Grade
School Year
Inclusive Dates
School

Learning Area

Final Grade
Remedial Class Mark
General Average Recomputed Final Grade
Adviser's Name & Signature
ATTENDANCE Jun Jul Aug Sep Oct Aug Sept Oct Nov Dec Jan Feb Mar Apr Total Learning Area
Number of School Days:
No. Days Present: Final Grade
No. Days Absent: Remedial Class Mark
Did Not Meet Expectations in Years in School Recomputed Final Grade

SUMMARY OF CREDITS ACHIEVED TOWARDS GRADUATION

School Yr. Grade: School Yr. Grade: School Yr. Grade:
Yr/ Level Subject Yr.comp. Yr/ Level Subject Yr.comp. Yr/ Level Subject Yr.Comp

School Yr. Grade: School Yr. Grade: School Yr. Grade:

Yr/ Level Subject Yr.comp. Yr/ Level Subject Yr.comp. Yr/ Level Subject Yr.Comp
REMARKS on the STUDENT'S CHARACTER and HABITS
Grade 7
Grade 8
Grade 9
Grade 10

Principal

T R A N S F E R

I CERTIFY that this is a true record of ______________________________________________________________________________________

on this ______________day of ________________________________________________, 20________ this student is eligible for admission to
Grade __________________ as (regular, irregular) students and he/she has no property accountability in this school.

Principal
 Republic of the Philippines
Department of Education
Region
Division

(School)
School ID:

JUNIOR HIGH SCHOOL STUDENT'S PERMANENT RECORD

NAME OF LEARNER:
(Lastname) (First Name) (Middle Name)
LRN: Sex: Date of Birth: (M/D/Y)
Birthplace Province Town Barangay:
Name of Father: Name of Mother (Maiden):
Name of Guardian: Relationship:
Total number of years to complete Elementary School School Yr: Gen.Ave.
Elementary School: Course Completed (School)
School SY:
SUMMER
Grade & Section: Final
Remarks
Grade Level Subject 1 2 3 4 Grade
School Year
Inclusive Dates

School

Learning Area

Final Grade
Remedial Class Mark
General Average Recomputed Final Grade
Adviser's Name & Signature
ATTENDANCE Jun Jul Aug Sep Oct Aug Sept Oct Nov Dec Jan Feb Mar Apr Total Learning Area
Number of School Days:
No. Days Present: Final Grade
No. Days Absent: Remedial Class Mark
Did Not Meet Expectations in Years in School Recomputed Final Grade
School SY:
SUMMER
Grade & Section: Final
Remarks
Grade Level Subject 1 2 3 4 Grade
90 90 90 90 90 Passed School Year
Inclusive Dates

School

Learning Area

Final Grade
Remedial Class Mark
General Average Recomputed Final Grade
Adviser's Name & Signature
ATTENDANCE Jun Jul Aug Sep Oct Aug Sept Oct Nov Dec Jan Feb Mar Apr Total Learning Area
Number of School Days:
No. Days Present: Final Grade
No. Days Absent: Remedial Class Mark
Did Not Meet Expectations in Years in School Recomputed Final Grade
School SY:
SUMMER
Grade & Section: Final
Remarks
Grade Level Subject 1 2 3 4 Grade
School Year
Inclusive Dates
 School

Learning Area

Final Grade
Remedial Class Mark
General Average Recomputed Final Grade
Adviser's Name & Signature
ATTENDANCE Jun Jul Aug Sep Oct Aug Sept Oct Nov Dec Jan Feb Mar Apr Total Learning Area
Number of School Days:
No. Days Present: Final Grade
No. Days Absent: Remedial Class Mark
Did Not Meet Expectations in Years in School Recomputed Final Grade

NAME OF LEARNER:
(Lastname) (First Name) (Middle Name)
LRN: Grade Section:

School SY:
SUMMER
Grade & Section: Final
Remarks
Grade Level Subject 1 2 3 4 Grade
School Year
Inclusive Dates

School

Learning Area

Final Grade
Remedial Class Mark
General Average Recomputed Final Grade
Adviser's Name & Signature
ATTENDANCE Jun Jul Aug Sep Oct Aug Sept Oct Nov Dec Jan Feb Mar Apr Total Learning Area
Number of School Days:
No. Days Present: Final Grade
No. Days Absent: Remedial Class Mark
Did Not Meet Expectations in Years in School Recomputed Final Grade

SUMMARY OF CREDITS ACHIEVED TOWARDS GRADUATION

School Yr. Grade: School Yr. Grade: School Yr. Grade Sch. Yr. Grade
1st Grading 2nd Grading 3rd Grading 4th Grading
Year/ Yr. Year/ Yr. Year/ Yr. Year/
Subject Comp Level Subjects Comp Level Subjects Com Subjects Yr. Comp
Level . . p
Level
REMARKS on the STUDENT'S CHARACTER and HABITS
Grade 7
Grade 8
Grade 9
Grade 10

Principal

T R A N S F E R

I CERTIFY that this is a true record of ____________________________________________________________________________________________

on this ______________day of ________________________________________________, 20________ this student is eligible for admission to
Grade __________________ as (regular, irregular) students and he/she has no property accountability in this school.

Principal
 Example
1 Filename in saving form 137 f137a_LRN_lastname_firstname f137a_123456789102_cruz_john
2