DEPED FORM 9 (SHS)

SAINT PAUL ACADEMY, INC.

AUGUSTINIAN RECOLLECT SISTERS
Bantayan, Cebu
) (032) 460-9062 | * spabantayan_cebu@yahoo.com

SE N I O R H I G H SC H O O L S T U D E N T E V A L U A T I O N
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- GRADE 12 1ST SEMESTER, SY 2017-

2017 2018
Name of School Address Name of School Address
FINAL NO. OF FINAL NO. OF
SUBJEC GRAD REMARK HOURS SUBJEC GRAD REMARK HOURS
T E S T E S
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- GRADE 12 2ND SEMESTER, SY 2017-

2017 2018
Name of School Address Name of School Address
FINAL NO. OF FINAL NO. OF
SUBJEC GRAD REMARK HOURS SUBJEC GRAD REMARK HOURS
T E S T E S
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- GRADE 12 SUMMER, SY 2017-
2017 2018
FINA NO. OF FINA NO. OF
SUBJEC L REMARK HOURS SUBJEC L REMARK HOURS
T GRAD S T GRAD S
E E

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