DEPED FORM 9 (SHS)

SAINT PAUL ACADEMY, INC.

A U G U S T IN I AN R E C OL
L E C T S IS T E R S
Bantayan,
Cebu
) (032) 460-9062 | *
spabantayan_cebu@yahoo.com

SENIOR HIGH SCHOOL STUDENT EVALUATION FORM

NAME :
LEARNER’S REFERENCE NO. :
DATE OF BIRTH :
PLACE OF BIRTH :
FATHER’S NAME :
OCCUPATION :
MOTHER’S NAME :
OCCUPATION :
ADDRESS OF PARENTS :
JHS COURSE COMPLETED :
S.Y. COMPLETED :
AVERAGE :

GRADE 11 1ST SEMESTER, SY 2016-2017

GRADE 12 1ST SEMESTER, SY 2017-2018
Name of School Address
Name of School Address
FINAL NO. OF
FINAL NO. OF
SUBJECT REMARKS
SUBJECT REMARKS
GRADE HOURS
GRADE HOURS
CORE SUBJECTS
CORE SUBJECTS

APPLIED SUBJECTS
APPLIED SUBJECTS

SPECIALIZED SUBJECTS
SPECIALIZED SUBJECTS

SCHOOL SUBJECTS
SCHOOL SUBJECTS

Total School Days Total Days Present

Total School Days Total Days Present
GRADE 11 2ND SEMESTER, SY 2016-2017
GRADE 12 2ND SEMESTER, SY 2017-2018
Name of School Address
Name of School Address
FINAL NO. OF
FINAL NO. OF
SUBJECT REMARKS
SUBJECT REMARKS
GRADE HOURS
GRADE HOURS
CORE SUBJECTS
CORE SUBJECTS

APPLIED SUBJECTS
APPLIED SUBJECTS

SPECIALIZED SUBJECTS
SPECIALIZED SUBJECTS

SCHOOL SUBJECTS
SCHOOL SUBJECTS

Total School Days Total Days Present

Total School Days Total Days Present

GRADE 11 SUMMER, SY 2016-2017

GRADE 12 SUMMER, SY 2017-2018

FINAL NO. OF
FINAL NO. OF
SUBJECT REMARKS
SUBJECT REMARKS
GRADE HOURS
GRADE HOURS

Total School Days Total Days Present

Total School Days Total Days Present

I hereby certify that this is a true record of LAST NAME, FIRST NAME MI as
per requirement of the Department of Education.
She/He is eligible for graduation from Senior High School as of
Semester, S.Y. .

Checked against the Original:

Verified by:

REGISTRAR
DIVISION COORDINATOR, PRIVATE SCHOOLS