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SF 10 -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: ___ABLE____________ FIRST NAME: __JHON REY_______________ NAME EXTN. (JR, I, II)____ MIDDLE NAME: __AYAP_____________
Learner Reference Number (LRN): 129641130130 Birthdate: SEPTEMBER 20, 2007 Sex: MALE

ELIGIBILITY FOR JHS ENROLMENT

Elementary School Completer General Average: 80.00% Citation: (if Any)


Name of Elementary School: GSIS HEIGHTS Elem. School School ID: 129641 Address of School: Matina, Davao City
Other Credential Presented
PEPT Passer Rating: ALS & E Passer Rating: Others: (Pls. Specify)
Date of Examination/Assessment: Name & Address of Testing Center:

SCHOLASTIC RECORD
School: GSIS Heights NHS School I.D.: 305667 District: Matina Division: Davao City Region: XI
Classified as Grade: 7 Section: Gardenia School Year: 2019-2020 Adviser: Mary Anne C. Gullayan Signature:
Grade Quarterly Rating FINAL
LEARNING AREAS REMARKS
Level 1 2 3 4 RATING
Filipino 7 77 78 77 82 79 Passed
English 7 81 80 83 83 82 Passed
Mathematics 7 77 75 76 78 77 Passed
Science 7 81 77 80 82 80 Passed
Araling Panlipunan (AP) 7 82 80 82 83 82 Passed
Edukasyon sa Pagpapakatao (EsP) 7 79 81 84 81 81 Passed
Tech. and Livelihood Education (TLE) 7 80 80 79 82 80 Passed
MAPEH 7 77 78 81 83 80 Passed
Music 7 77 78 80 83 80 Passed
Arts 7 76 79 81 82 80 Passed
Physical Education 7 77 77 84 82 80 Passed
Health 7 78 77 78 83 79 Passed
General Average 80%

Remedial Classes Conducted from: to


Learning Areas Final Rating Remedial Class Mark Recomputed Final Grade Remarks

School: Gsis Heights NHS School I.D.: 305667 District: Matina Division: Davao City Region: XI
Classified as Grade: 8 Section: Blueberry School Year: 2020-2021 Adviser: Ariel Vincent Paul Nacion Signature:

Grade Quarterly Rating FINAL


LEARNING AREAS REMARKS
Level 1 2 3 4 RATING
Filipino 8 80 80 85 80 81 PASSED
English 8 87 84 84 84 85 PASSED
Mathematics 8 80 82 83 82 82 PASSED
Science 8 84 84 83 81 83 PASSED
Araling Panlipunan (AP) 8 82 83 82 84 83 PASSED
Edukasyon sa Pagpapakatao (EsP) 8 84 82 84 82 83 PASSED
Tech. and Livelihood Education (TLE) 8 88 84 84 84 85 PASSED
MAPEH 8 85 84 85 84 85 PASSED
Music 8 84 84 85 85 85 PASSED
Arts 8 86 83 84 80 83 PASSED
Physical Education 8 85 84 85 84 85 PASSED
Health 8 83 83 84 87 84 PASSED
LEARNING MODALITY MP MP MP MP
General Average 83%

Remedial Classes Conducted from: to


Learning Areas Final Rating Remedial Class Mark Recomputed Final Grade Remarks

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 Name of Principal/School Head Over Printed Name School Seal
SF 10 -JHS

NAME:
School: School I.D.: District: Division: Region:
Classified as Grade: Section: School Year: Adviser: Signature:

Grade Quarterly Rating FINAL


LEARNING AREAS REMARKS
Level 1 2 3 4 RATING
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)
Tech. and Livelihood Education (TLE)
MAPEH
Music
Arts
Physical Education
Health

General Average

Remedial Classes Conducted from: to


Learning Areas Final Rating Remedial Class Mark Recomputed Final Grade Remarks

School: School I.D.: District: Division: Region:


Classified as Grade: Section: School Year: Adviser: Signature:

Grade Quarterly Rating FINAL


LEARNING AREAS REMARKS
Level 1 2 3 4 RATING
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)
Tech. and Livelihood Education (TLE)
MAPEH
Music
Arts
Physical Education
Health

General Average

Remedial Classes Conducted from: to


Learning Areas Final Rating Remedial Class Mark Recomputed Final Grade REMARKS

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 Name of Principal/School Head Over Printed Name School Seal
SF 10 -JHS

NAME:

School: School I.D.: District: Division: Region:


Classified as Grade: Section: School Year: Adviser: Signature:

Grade Quarterly Rating FINAL


LEARNING AREAS REMARKS
Level 1 2 3 4 RATING
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)
Tech. and Livelihood Education (TLE)
MAPEH
Music
Arts
Physical Education
Health

General Average

Remedial Classes Conducted from: to


Learning Areas Final Rating Remedial Class Mark Recomputed Final Grade Remarks

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 Name of Principal/School Head Over Printed Name School Seal

School: School I.D.: District: Division: Region:


Classified as Grade: Section: School Year: Adviser: Signature:

Grade Quarterly Rating FINAL


LEARNING AREAS REMARKS
Level 1 2 3 4 RATING
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)
Tech. and Livelihood Education (TLE)
MAPEH
Music
Arts
Physical Education
Health

General Average

Remedial Classes Conducted from: to


Learning Areas Final Rating Remedial Class Mark Recomputed Final Grade Remarks

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 Name of Principal/School Head Over Printed Name School Seal

(May add Certification box if needed) SFRT Revised 2017

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