REPUBLIC OF THE PHILIPPINES FORM 10 - SHS

DEPARTMENT OF EDUCATION

SENIOR HIGH SCHOOL STUDENT PERMANENT RECORD

LEARNER'S INFORMATION
LAST NAME: CUTAR FIRST NAME: JAKE JR. MIDDLE NAME: QUIMSON
LRN: 128026090011 Date of Birth (MM/DD/YYYY): 10/16/2003 Sex: Male Date of SHS Admission (MM/DD/YYYY): 8/3/2020

ELIGIBILITY FOR SHS ENROLMENT

High School Completer* Gen. Ave: ⁄ Junior High School Completer Gen. Ave:
Date of Graduation/Completion (MM/DD/YYYY): Name of School: Jacinto D. Malimas Sr. NHS School Address: Odiongan, Gingoog City

PEPT Passer** Rating: ALS A&E Passer** Rating: Others (Pls. Specify)
Date of Examination/Assessment (MM/DD/YYYY): Name and Address of Community Learning Center:
*High School Completers are students who graduated from secondary school under the old curriculum ***ALS A&E - Alternative Learning System Accreditation and Equivalency Test for JHS
**PEPT - Philippine Educational Placement Test for JHS
SCHOLASTIC RECORD
SCHOOL: JACINTO D. MALIMAS SR. NATIONAL HIGH SCHOOL SEM: 1ST
SCHOOL ID: 304136 GRADE LEVEL: 11 SY: 2020-2021
TRACK/STRAND: TVL - AGRI-FISHERY AND ARTS SECTION: PERSISTENCE
 Indicate if Subject is Quarter SEM FINAL ACTION
CORE, APPLIED, or SUBJECTS
1ST 2ND GRADE TAKEN
SPECIALIZED
Core 21st Century Literature from the Philippines and the World 89 90 90 Passed
Core General Mathematics 80 80 80 Passed
Core Komunikasyon at Pananaliksik sa Wika at Kulturang Pilipino 83 91 87 Passed
Core Oral Communication 85 86 86 Passed
Core Media and Information Literacy 89 90 90 Passed
Core Earth and Life Science* 85 93 89 Passed
Core Physical Education and Health 90 91 91 Passed
Applied English for Academic and Professional Purposes 82 83 83 Passed
Specialized TVL - AFA 85 88 87 Passed

General Ave. for the Semester: 87 Passed

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

JEFFREY LOIS S. MAESTRADO DR. SHERI LOVE M. AGUIMAN, RGC, Principal

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:

Indicate if Subject is REMEDIAL
SEM FINAL RECOMPUTED ACTION
CORE, APPLIED, or SUBJECTS CLASS
GRADE FINAL GRADE TAKEN
SPECIALIZED MARK

Name of Teacher/Adviser: JEFFREY LOIS S. MAESTRADO Signature:

SCHOOL: JACINTO D. MALIMAS SR. NATIONAL HIGH SCHOOL SCHOOL ID: 304136 GRADE LEVEL: XI SY: 2020-2021 SEM: 2ND
TRACK/STRAND: TVL - AGRI-FISHERY AND ARTS SECTION: PERSISTENCE

Indicate if Subject is Quarter SEM FINAL ACTION

CORE, APPLIED, or SUBJECTS
3RD 4TH GRADE TAKEN
SPECIALIZED
Core Statistics and Probability
Core Introduction to the Philosophy of the Human Person/Pambungad sa Pilosopiya ng Tao
Core Reading and Writing
Core Physical Science*
Core Pagbasa at Pagsusuri ng Iba't Ibang Teksto Tungo sa Pananaliksik
Core Physical Education and Health
Applied Empowerment Technologies
Applied Practical Research 1
Specialized TVL - AFA

General Ave. for the Semester:

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

JEFFREY LOIS S. MAESTRADO DR. SHERI LOVE M. AGUIMAN, RGC, Principal

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:
Indicate if Subject is REMEDIAL
SEM FINAL RECOMPUTED ACTION
CORE, APPLIED, or SUBJECTS CLASS
GRADE FINAL GRADE TAKEN
SPECIALIZED MARK

Name of Teacher/Adviser: Signature: