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)
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) _______________
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)
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) _______________
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 (Affi x School Seal here)
(May add Certification box if needed) SFRT Revised 2017
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: __________________________________
FIRST NAME: ______________________NAME EXTN. (Jr,I,II): ____________
MIDDLE NAME: _____________________
Learner Reference Number (LRN): _________________________
Birthdate (mm/dd/yyyy): _____/_____/_______
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: ___________________________ 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) __________________
Recomputed Final
Learning Areas Final Rating Remedial Class Mark Remarks
Grade

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)
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) __________________
Recomputed Final
Learning Areas Final Rating Remedial Class Mark Remarks
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 Name of Principal/School Head over Printed Name (Affi x School Seal here)