Form 137-E

JAPHET LEARNING SCHOOL

Carandang St., Rosario, Batangas

PRE-ELEMENTARY PUPIL’S PERMANENT RECORD

NAME:____________________________________________________Sex:________________
DATE OF BIRTH: _________________________
PLACE OF BIRTH: ____________________________________________
ADDRESS: __________________________________________________
FATHER’S NAME: ____________________________________________
MOTHER’S NAME:___________________________________________

PRE-ELEMENTARY EDUCATION

SCHOOL SCHOOL ATTENDED LEVEL DAYS DAYS OF FINAL PROMOTED

YEAR PRESENT SCHOOL GRADE OR
RETAINED
2020-2021 Japhet Learning School Nursery-II

CERTIFICATE OF TRANSFER
This is to certify that this is a true record of the Pre-Elementary School
Permanent record of _______________________________________.
This __________day of _____________, ____________and has no money
and property responsibilities in this school.

________________________
NOEMILYN P. MENDOZA
Principal
____________________
Date