SF10-JHS

Republic of the Philippines

Department of Education
Learner Permanent Record for Junior High School (SF10-JHS)
(Formerly Form 137)

LEARNER'S INFORMATION
LAST NAME: FIRST NAME: NAME EXT. (Jr,I,II): MIDDLE NAME:
Learner Reference Number (LRN): 101094100082 Birthdate (mm/dd/yyyy): Sex:

ELIGIBILITY FOR JHS ENROLMENT

Elementary School Completer General Average: Citation (if Any):
Name of Elementary School: School ID: Address of School:
Other Credential Presented
PEPT Passer Rating: ALS A & E Passer Rating: Others (Pls. Specify):
Date of Examination/Assessment (mm/dd/yyyy): Name and Address of Testing Center:

SCHOLASTIC RECORD
School: School ID: District: Division: Region:
Classified as Grade: Seven Section: School Year: Name of Adviser/Teacher: Signature:
Quarterly Rating FINAL
LEARNING AREAS REMARKS
1 2 3 4 RATING
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)
Technology and Livelihood Education (TLE)
MAPEH
Music
Arts
Physical Education
Health
COMPUTER
CHRISTIAN LIVING
General Average
Remedial Classes Conducted from (mm/dd/yyyy) to (mm/dd/yyyy) u

Learning Areas Final Rating Remedial Class Mark Recomputed Remarks

Final Grade

School: School ID: District: Division: Region:

Classified as Grade: Section: School Year: Name of Adviser/Teacher: Signature:
Quarterly Rating FINAL
LEARNING AREAS REMARKS
1 2 3 4 RATING
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)
Technology and Livelihood Education (TLE)
MAPEH
Music
Arts
Physical Education
Health
COMPUTER
CHRISTIAN LIVING
General Average
Remedial Classes Conducted from (mm/dd/yyyy) to (mm/dd/yyyy) u

Learning Areas Final Rating Remedial Class Mark Recomputed Remarks

Final Grade

CERTIFICATION

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

Date Signature of Principal/School Head over Printed Name (Affix School Seal Here)
SF10-JHS Page 2 of

School: School ID: District: Division: Region:

Classified as Grade: Section: Gonzales School Year: Name of Adviser/Teacher: Signature:
Quarterly Rating FINAL
LEARNING AREAS REMARKS
1 2 3 4 RATING
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) to (mm/dd/yyyy) u

Learning Areas Final Rating Remedial Class Mark Recomputed Remarks

Final Grade

School: School ID: District: Division: Region:

Classified as Grade: Section: School Year: Name of Adviser/Teacher: Signature:
Quarterly Rating FINAL
LEARNING AREAS REMARKS
1 2 3 4 RATING
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) to (mm/dd/yyyy) u

Learning Areas Final Rating Remedial Class Mark Recomputed Remarks

Final Grade

School: School ID: District: Division: Region:

Classified as Grade: Section: School Year: Name of Adviser/Teacher: Signature:
Quarterly Rating FINAL
LEARNING AREAS REMARKS
1 2 3 4 RATING
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) to (mm/dd/yyyy) u

Learning Areas Final Rating Remedial Class Mark Recomputed Remarks

Final Grade

For Transfer Out / JHS Completer Only

CERTIFICATION

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

Date Signature of Principal/School Head over Printed Name (Affix School Seal Here)
(May add Certifiation box if needed) SFRT Revised 2017