Page 2 ### Form 137-SHS

SCHOOL: POLYTECHNIC COLLEGE OF BOTOLAN SCHOOL ID: 600258 GRADE LEVEL: 12 SY: 2019-2020 SEM: 1ST
TRACK/STRAND: ACADEMICK TRACK - HUMANITIES AND SOCIAL SCIENCES SECTION: A

Indicate if Subject is CORE, Quarter SEM FINAL ACTION

SUBJECTS
APPLIED, or SPECIALIZED 1ST 2ND GRADE TAKEN

Core Media and Information Literacy 90 90 90 PASSED

Core Contemporary Philippine Arts from the Regions 90 91 91 PASSED
Core Physical Science* 86 82 84 PASSED
Core Understanding Culture, Society and Politics 80 80 80 PASSED
Core Physical Education and Health 96 97 97 PASSED
Applied Practical Research 1 85 83 84 PASSED
Specialized Creative Writing/Malikhaing Pagsusulat 85 84 85 PASSED
Specialized Discipline and Ideas in the Applied Social Science 85 88 87 PASSED

General Ave. for the Semester: 58 FAILED

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

SHELLA MAR D. BARCIAL, LPT MARIA BLESILDA D. ASIS, 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:

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 3RD 4TH GRADE TAKEN

Core Physical Education and Health 98 98 98 PASSED

Applied Entrepreneurship 93 93 93 PASSED
Applied Inquiries, Investigations and Immersion 80 97 89 PASSED
Specialized Creative Non-fiction: The Literary Essay 86 86 86 PASSED
Specialized Trends, Networks and Critical Thinking in the 21st Century Culture 86 89 88 PASSED
Specialized Community Engagement, Solidarity and Citizenship 86 87 87 PASSED
Specialized Work Immersion/Culminating Activity 85 87 86 PASSED

General Ave. for the Semester: 52 FAILED

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

SHELLA MAR D. BARCIAL, LPT MARIA BLESILDA D. ASIS, 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:

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:

MYRNA S. PANGAN
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):