SF 10 -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: ________________________ 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: Adress 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: STA.CRUZ NAT'L HIGH SCHOOL School ID: 301033 District: STA.CRUZ Division: ZAMBALES Region: III
Classified as Grade: 7 Section: NEPTUNE School Year: 2017-2018 Nam e of Adviser/Teacher : FLORNCHAI S. MOVILLA Signature : ______
Quarterly Rating FINAL
LEARNING AREAS REMARKS
1 2 3 4 RATING
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Technology and Livelihood Education (TLE)
MAPEH
Music
Arts
Physical Education
Health
Edukasyon sa Pagpapakatao (EsP)
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: __________
QUARTER FINAL
LEARNING AREAS REMARKS
1 2 3 4 RATING
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Technology and Livelihood Education (TLE)
MAPEH
Music
Arts
Physical Education
Health
Edukasyon sa Pagpapakatao (EsP)
General Average
Remedial Classes Conducted from (mm/dd/yyyy) ____________________ to (mm/dd/yyyy) __________________
Learning Areas Final Rating Remedial Class Mark Recomputed Final Grade Remarks
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)
SF 10-JHS Pag 2 of ________
School: ______________________ School ID: ________ District: ___________________ Division: __________________ Region: ____
Classified as Grade: ____ Section: ___ School Year: _____ Name of Adviser/Teacher: ________________ Signature: ________
LEARNING AREAS QUARTER FINAL 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) _______________
Subject Final Rating Remedial Class Mark Recomputed Final Remarks
School: ______________________ School ID: ________ District: ___________________ Division: __________________ Region: ____
Classified as Grade: ____ Section: ___ School Year: _____ Name of Adviser/Teacher: ________________ Signature: ________
LEARNING AREAS QUARTER FINAL REMARKS
1 2 3 4 RATING
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Technology and Livelihood Education (TLE)
MAPEH
Music
Arts
Physical Education
Health
Edukasyon sa Pagpapakatao (EsP)
General Average
Remedial Classes Conducted from (mm/dd/yyyy) ____________________ to (mm/dd/yyyy) _______________
Learning Areas Final Rating Remedial Class Mark Recomputed Final 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)
Technology and Livelihood Education (TLE)
MAPEH
Music
Arts
Physical Education
Health
Edukasyon sa Pagpapakatao (EsP)
General Average
Remedial Classes Conducted from (mm/dd/yyyy) ____________________ to (mm/dd/yyyy) _______________
Learning Areas Final Rating Remedial Class Mark Recomputed Final 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
