REPUBLIC OF THE PHILIPPINES FORM 137-SHS

DEPARTMENT OF EDUCATION

SENIOR HIGH SCHOOL STUDENT PERMANENT RECORD

LEARNER'S INFORMATION
LAST NAME: TABON FIRST NAME: DAISY MIDDLE NAME: MADICLUM
LRN: 405453150600 Date of Birth (MM/DD/YYYY): 06/16/2002 Sex: FEMALE Date of SHS Admission (MM/DD/YYYY): 06/02/2019

ELIGIBILITY FOR SHS ENROLMENT

High School Completer* Gen. Ave: ⁄ Junior High School Completer Gen. Ave: 80
Date of Graduation/Completion (MM/DD/YYYY): Name of School: Davao City Special National High School School Address: Km. 7 Mac Arthur Higway Bangkal, Davao City
PEPT Passer** Rating: ALS A&E Passer*** Rating: Others (Pls. Specify):
Date of Examination/Assessment (MM/DD/YYYY): Name and Address of Community Learning Center:
*High School Completers are students who graduated from secondary school under the old curriculum ***ALS A&E - Alternative Learning System Accreditation and Equivalency Test for JHS
**PEPT - Philippine Educational Placement Test for JHS
SCHOLASTIC RECORD
SCHOOL: DAVAO CITY SPECIAL NATIONAL HIGH SCHOOL SCHOOL ID: 304363 GRADE LEVEL: 11 SY: 2019-2020 SEM: 1ST
TRACK/STRAND: ACADEMIC/GENERAL ACADEMIC STRAND (GAS) SECTION: GENEROSITY
Indicate if Subject is Quarter SEM FINAL ACTION
CORE, APPLIED, or SUBJECTS
1ST 2ND GRADE TAKEN
SPECIALIZED
CORE 1 Oral Communication 88 84 86 PASSED
CORE 2 Komunikasyon at Pananaliksik sa Wika at Kulturang Pilipino 84 87 86 PASSED
CORE 3 Media and Information Literacy 88 86 87 PASSED
CORE 4 General Mathematics 92 82 87 PASSED
CORE 5 Earth and Life Science 88 80 84 PASSED
CORE 6a Physical Education and Health (20 hours) 88 85 87 PASSED
Applied and Specialized
APP1 English for Academic and Professional Purposes 77 79 78 PASSED
APP2 Entreprenuership 83 89 86 PASSED
GAS1 Introduction to World Religions and Belief System 81 80 81 PASSED

General Ave. for the Semester: 85 PASSED

REMARKS: NO ADVANCED UNITS, NO LACKING UNITS, PASSED ALL THE REQUIRED SUBJECTS.
Prepared by: Certified True and Correct: Date Checked (MM/DD/YYYY):

RHONDA ROSEMARIE M. ATENCIO, Actg. Sch. Registrar

Signature of Adviser over Printed Name Signature of Authorized Person over Printed Name, Designation

REMEDIAL CLASSES Conducted from (MM/DD/YYYY): to (MM/DD/YYYY): SCHOOL: SCHOOL ID:

Indicate if Subject is REMEDIAL
SEM FINAL RECOMPUTED ACTION
CORE, APPLIED, or SUBJECTS CLASS
GRADE FINAL GRADE TAKEN
SPECIALIZED MARK

Name of Teacher/Adviser: Signature:

SCHOOL: DAVAO CITY SPECIAL NATIONAL HIGH SCHOOL SCHOOL ID: 304363 GRADE LEVEL: 11 SY: 2019-2020 SEM: 2ND
TRACK/STRAND: ACADEMIC/GENERAL ACADEMIC STRAND (GAS) SECTION: GENEROSITY
Indicate if Subject is Quarter SEM FINAL ACTION
CORE, APPLIED, or SUBJECTS
3RD 4TH GRADE TAKEN
SPECIALIZED
CORE 6b Physical Education and Health (20 hours) 80 80 80 PASSED
CORE 7 Reading and Writing Skills 86 90 88 PASSED
CORE 8 Pagbasa at Pagsusuri ng Iba't Ibang Teksto Tungo sa Pananaliksik 80 85 83 PASSED
CORE 9 21st Century Literature from the Philippines and the World 80 81 81 PASSED
CORE 10 Statistics and Probability 77 79 78 PASSED
CORE 11 Physical Science 80 88 84 PASSED
Applied and Specialized
APP3 Practical Research 1 76 80 78 PASSED
APP4 Empowerment Technologies 89 87 88 PASSED
GAS2 Creative Writing 88 85 87 PASSED

General Ave. for the Semester: 83 PASSED

REMARKS: NO ADVANCED UNITS, NO LACKING UNITS, PASSED ALL THE REQUIRED SUBJECTS, TO BE CLASSIFIED AS GRADE 12.
Prepared by: Certified True and Correct: Date Checked (MM/DD/YYYY):

RHONDA ROSEMARIE M. ATENCIO, Actg. Sch. Registrar

Signature of Adviser over Printed Name Signature of Authorized Person over Printed Name, Designation

REMEDIAL CLASSES Conducted from (MM/DD/YYYY): to (MM/DD/YYYY): SCHOOL: SCHOOL ID:

Indicate if Subject is REMEDIAL
SEM FINAL RECOMPUTED ACTION
CORE, APPLIED, or SUBJECTS CLASS
GRADE FINAL GRADE TAKEN
SPECIALIZED MARK

Name of Teacher/Adviser: Signature:

 Page 2 TABON, DAISY MADICLUM Form 137-SHS
SCHOOL: SCHOOL ID: GRADE LEVEL: SY: SEM:
TRACK/STRAND: SECTION:

Indicate if Subject is CORE, Quarter SEM FINAL ACTION

SUBJECTS
APPLIED, or SPECIALIZED GRADE TAKEN

General Ave. for the Semester:

REMARKS:
Prepared by: Certified True and Correct: Date Checked (MM/DD/YYYY):

Signature of Adviser over Printed Name Signature of Authorized Person over Printed Name, Designation

REMEDIAL CLASSES Conducted from (MM/DD/YYYY): o (MM/DD/YYYY): SCHOOL: SCHOOL ID:

REMEDIAL
Indicate if Subject is CORE, SEM FINAL RECOMPUTED ACTION
SUBJECTS CLASS
APPLIED, or SPECIALIZED GRADE FINAL GRADE TAKEN
MARK

Name of Teacher/Adviser: Signature:

SCHOOL: SCHOOL ID: GRADE LEVEL: SY: SEM:

TRACK/STRAND: SECTION:

Indicate if Subject is CORE, Quarter SEM FINAL ACTION

SUBJECTS
APPLIED, or SPECIALIZED GRADE TAKEN

General Ave. for the Semester:

REMARKS:
Prepared by: Certified True and Correct: Date Checked (MM/DD/YYYY):

Signature of Adviser over Printed Name Signature of Authorized Person over Printed Name, Designation

REMEDIAL CLASSES Conducted from (MM/DD/YYYY): o (MM/DD/YYYY): SCHOOL: SCHOOL ID:

REMEDIAL
Indicate if Subject is CORE, SEM FINAL RECOMPUTED ACTION
SUBJECTS CLASS
APPLIED, or SPECIALIZED GRADE FINAL GRADE TAKEN
MARK

Name of Teacher/Adviser: Signature:

Track/Strand Accomplished: SHS General Average:

Awards/Honors Received: Date of SHS Graduation (MM/DD/YYYY):
Certified by: Place School Seal Here:

EDGAR ALLAN L. BANTIGUE

Signature of School Head over Printed Name Date
NOTE:
This permanent record or a photocopy of this permanent record that bears the seal of the school and the original
signature in ink of the School Head shall be considered valid for all legal purposes. Any erasure or alteration
made on this copy should be validated by the School Head.
If the student transfers to another school, the originating school should produce one (1) certified true copy of this
permanent record for safekeeping. The receiving school shall continue filling up the original form.
Upon graduation, the school from which the student graduated should keep the original form and produce one (1)
certified true copy for the Division Office.

REMARKS: (Please indicate the purpose for which this permanent record will be used)

Date Issued (MM/DD/YYYY):

TABON, DAISY MADICLUM Form 137-SHS
ANNEX: LIST OF SUBJECTS TAKEN
Please check the subjects passed by the student
CORE SUBJECTS
∕ Oral Communication
Reading and Writing
∕ Komunikasyon at Pananaliksik sa Wika at Kulturang Pilipino
∕ Pagbasa at Pagsusuri ng Iba't Ibang Teksto Tungo sa Pananaliksik
∕ 21st Century Literature from the Philippines and the World
Contemporary Philippine Arts from the Regions
∕ Media and Information Literacy
∕ General Mathematics
∕ Statistics and Probability
Earth and Life Science*
Physical Science*
Personal Development/Pansariling Kaunlaran
Understanding Culture, Society and Politics
Introduction to the Philosophy of the Human Person/Pambungad sa Pilosopiya ng Tao
Physical Education and Health (spread out in 4 semesters)
*STEM students will take these instead:
Earth Science
Disaster Readiness and Risk Reduction
Subject substitutions, if any:

APPLIED SUBJECTS
English for Academic and Professional Purposes
∕ Practical Research 1
Practical Research 2
Filipino sa Piling Larang
∕ Empowerment Technologies
Entrepreneurship
Inquiries, Investigations and Immersion

SPECIALIZED SUBJECTS (Please write the list of subjects below)

INTRODUCTION TO WORLD RELIGIONS AND BELIEF SYSTEM
CREATIVE WRITING/ MALIKHAING PAGSUSULAT
TVL- BREAD AND PASTRY PRODUCTION NC II

OTHER SUBJECTS (Please write the list of subjects below)