SF 10 -JHS

Republic of the Philippines

Department of Education
Learner Permanent Record for Junior High Scho
(Formerly Form 137)
LEARNER'S INFORMATION
LAST NAME: FIRST NAME:
Learners Reference Number: Birthdate (mm/dd/yyyy):
ELIGIBILITY FOR JHS ENROLMENT
Elementary School Completer General Average:
Name of Elementary School: School ID:
Other Credential Presented
PEPT Passer Rating: ALS A & E Passer Rating:
Date of Examination/Assessment (mm/dd/yyyy): Name and Address of Testing Center:
SCHOLASTIC RECORD
School: School ID:
Classified as Grade: Section: School Year: Name of Adviser/Teache
Quarterly Rating
LEARNING AREAS
1 2 3
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) :

Learning Areas Final Rating Remedial Class Mark

School: School ID:

Classified as Grade: Section: School Year: Name of Adviser/Teache
Quarterly Rating
LEARNING AREAS
 LEARNING AREAS
1 2 3
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) :

Learning Areas Final Rating Remedial Class Mark

CERTIFICATION
I CERTIFY that this is a true record of with LRN
Name of School: School ID:

Date Name of Principal/School Head over Printed Name

e Philippines
f Education
Junior High School (SF10-JHS)
orm 137)
FORMATION
NAME EXTN.(Jr, I, II): MIDDLE NAME:
Sex:
HS ENROLMENT
Citation: (If Any)
Address of School:

Others (Pls. Specify): ___________

Testing Center:
C RECORD
District: Castilla Region:
ame of Adviser/Teacher: Signature:
Rating FINAL
REMARKS
4 RATING
0 0 FAILED
0 0 FAILED
0 0 FAILED
0 0 FAILED
0 0 FAILED
0 0 FAILED
0 0 FAILED
0 0 FAILED

verage 0 RETAINED

to (mm/dd/yyyy)
dial Class Mark Recomputed Final Grade Remarks

District: Region:
ame of Adviser/Teacher: Signature:
Rating FINAL
REMARKS
 REMARKS
4 RATING
0 0 FAILED
0 0 FAILED
0 0 FAILED
0 0 FAILED
0 0 FAILED
0 0 FAILED
0 0 FAILED
0 0 FAILED

verage 0 REATAINED

to (mm/dd/yyyy)
dial Class Mark Recomputed Final Grade Remarks

ATION
and that he/she is eligible for admission to Grade
Last School Year Attended:

Printed Name (Affix School Seal here)

 SF 10-JHS
School: School ID: District:
Classified as Grade: Section: School Year: Name of Adviser/Teacher:
Quarterly Rating FINAL
LEARNING AREAS
1 2 3 4 RATING
Filipino 0 0.00
English 0 0.00
Mathematics 0 0.00
Science 0 0.00
Araling Panlipunan (AP) 0 0.00
Edukasyon sa Pagpapakatao (EsP) 0 0.00
Technology and Livelihood Education (TLE) 0 0.00
MAPEH 0 0.00
Music
Arts
Physical Education
Health

General Average 0.00

Remedial Classes Conducted from (mm/dd/yyyy) : to (mm/dd/yyyy)

Learning Areas Final Rating Remedial Class Mark Recomputed Final Grade

School: School ID: District:

Classified as Grade: Section: School Year: Name of Adviser/Teacher:
Quarterly Rating FINAL
LEARNING AREAS
1 2 3 4 RATING
Filipino 0 0.00
English 0 0.00
Mathematics 0 0.00
Science 0 0.00
Araling Panlipunan (AP) 0 0.00
Edukasyon sa Pagpapakatao (EsP) 0 0.00
Technology and Livelihood Education (TLE) 0 0.00
MAPEH 0 0.00
Music
Arts
Physical Education
Health

General Average 0.00

Remedial Classes Conducted from (mm/dd/yyyy) : to (mm/dd/yyyy)

Learning Areas Final Rating Remedial Class Mark Recomputed Final Grade

CERTIFICATION
I CERTIFY that this is a true record of with LRN and that he/she is eligible for a
Name of School: School ID: Last School Year Attended:

Date Name of Principal/School Head over Printed Name

(May add Certification box if needed)
 Pag 2 of ________
Region:
Signature:
REMARKS
FAILED
FAILED
FAILED
FAILED
FAILED
FAILED
FAILED
FAILED

RETAINED

(mm/dd/yyyy)
puted Final Grade Remarks

Region:
Signature:
REMARKS
 FAILED
FAILED
FAILED
FAILED
FAILED
FAILED
FAILED
FAILED

RETAINED

(mm/dd/yyyy)
puted Final Grade Remarks

that he/she is eligible for admission to Grade

hool Year Attended:

(Affix School Seal here)

SFRT Revised 2017