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: _______ LOPEZ FIRST NAME: ____________________
BENEDICT NAME EXTN. (Jr,I,II): _______ MIDDLE NAME: ___________________
PADUA
Learner Reference Number (LRN): ______________
136492100175 Birthdate (mm/dd/yyyy): _____________________
04/19/2006 Sex: __ MALE

ELIGIBILITY FOR JHS ENROLMENT

√ Elementary School Completer General Average: 83 Citation: (If Any)
Name of Elementary School: OSIAS M. ESTEBAN School ID: Adress of School: PUROK 2 ANGAT BULACAN
Other Credential Presented ELEMENTARY SCHOOL
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: ______________________
ST. THOMAS DEVELOPMENT School ID: ________
418704 District: ___________________
IV Division: __________________
BULACAN Region: ____
III
ACADEMY OF BULACAN INC. ST.
Classified as Grade: ____ Section: PAUL 2019-2020Name of Adviser/Teacher: ________________
___ School Year: _____ MS. ELLE CRUZ Signature: __________
7
Quarterly Rating FINAL
LEARNING AREAS REMARKS
1 2 3 4 RATING
Filipino 84 85 83 81 83 PASSED
English 77 79 80 85 80 PASSED
Mathematics 80 80 81 83 81 PASSED
Science 79 80 83 85 82 PASSED
Araling Panlipunan (AP) 81 79 79 80 80 PASSED
Edukasyon sa Pagpapakatao (EsP) 80 81 82 82 81 PASSED
Technology and Livelihood Education (TLE) 79 83 79 80 80 PASSED
MAPEH 81 81 81 82 81 PASSED
Music 84 83 83 84 84
Arts 83 83 83 85 84
Physical Education 80 82 83 85 83
Health 81 82 82 83 82

General Average 81 PASSED

Remedial Classes Conducted from (mm/dd/yyyy) ____________________ to (mm/dd/yyyy) __________________
Learning Areas Final Rating Remedial Class Mark Recomputed Final 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 (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) _______________
Recomputed Final
Subject Final Rating Remedial Class Mark Grade 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) _______________
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: ________
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
Grade

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