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15 INIEGO PRINCESS ANGEL HERONSchool Form 10 SF10 Learner's Permanent
15 INIEGO PRINCESS ANGEL HERONSchool Form 10 SF10 Learner's Permanent
Department of Education
LAST NAME: INIEGO FIRST NAME: PRINCESS ANGEL NAME EXTN. (Jr,I,II) MIDDLE NAME: HERON
Learner Reference Number (LRN): _103137160001_ Birthdate (mm/dd/yyyy): 4/16/2011 Sex: FEMALE
ELIGIBILITY FOR ELEMENTARY SCHOOL ENROLMENT
Credential Presented for Grade 1: Kinder Progress Report ECCD Checklist Kindergarten Certificate of Completion
Name of School: SAN MIGUEL ELEMENTARY School ID: 103137 Address of School: SAN MIGUEL, BURGOS, ISABELA
Other Credential Presented
PEPT Passer Rating: _________ Date of Examination/Assessment (mm/dd/yyyy): ____________ Others (Pls. Specify): _________________________
Name and Address of Testing Center:____________________________________________________ Remark:____________________________________
SCHOLASTIC RECORD
School: _____ __SAN MIGUEL ELEMENTARY______ School ID: 103137 School: ______________________________ School ID:
District: ____ __BURGOS__________Division: __ ISABELA_____Region: 2 District: ______________________ Division: _________ Region:
Classified as Grade: _ _____1______ Section:CAMIA School Year: 2017-2018 Classified as Grade: ______ Section: _____ School Year:
Name of Adviser/Teacher:_CARMEN M. BUTAC_ Signature: Name of Adviser/Teacher: _______________ Signature:
Quarterly Rating Final Quarterly Rating Final
LEARNING AREAS Remarks Learning Areas Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Science Science
Araling Panlipunan 84 85 85 86 85 PASSED Araling Panlipunan 82 83 84 85 84 PASSED
School: _____ SAN MIGUEL ELEMENTARY School ID: 103137 School: ______________________________ School ID:
District: ____ BURGOS Division: ISABELA Region: 2 District: ______________________ Division: _________ Region:
Classified as Grade: _ 3 SAMPAGUITA School Year: 2019-2020 Classified as Grade: ______ Section: _____ School Year:
Name of Adviser/Teacher: ROVIEDA D. BUTAC Signature: Name of Adviser/Teacher: _______________ Signature:
____________________________________
Date Name of Principal/School Head over Printed Name (Affix School Seal here)
CERTIFICATION
I CERTIFY that this is a true record of ___________________________________ with LRN ___________________ and that he/she is eligible for admission to Grade ________.
School Name: __________________________________ School ID ________________ Division: ___________ Last School Year Attended: _________________________
____________________________________
Date Name of Principal/School Head over Printed Name (Affix School Seal here)
CERTIFICATION
I CERTIFY that this is a true record of ___________________________________ with LRN ___________________ and that he/she is eligible for admission to Grade ________.
School Name: __________________________________ School ID ________________ Division: ___________ 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