SF10-ES Republic of the Philippines

Department of Education

Learner's Permanent Academic Record for Elementary School (SF10-ES)

(Formerly Form 137)

LEARNER'S PERSONAL INFORMATION

LAST NAME: FIRST NAME: NAME EXTN. (Jr,I,II) MIDDLE NAME:

Learner Reference Number (LRN): Birthdate (mm/dd/yyyy): Sex: MALE

ELIGIBILITY FOR ELEMENTARY SCHOOL ENROLMENT
Credential Presented for Grade 1: Kinder Progress Report ECCD Checklist Kindergarten Certificate of Completion
Name of School: STA. INES ELEMENTARY SCHOOL School ID: 106003 Address of School: STA. INES BETIS GUAGUA PAMPANGA
Other Credential Presented
PEPT Passer Rating: _________ Date of Examination/Assessment (mm/dd/yyyy): ____________ Others (Pls. Specify): _________________________
Name and Address of Testing Center:____________________________________________________ Remark:____________________________________
SCHOLASTIC RECORD

School: STA. INES ELEMENTARY SCHOOL School ID: 106003 School: STA. INES ELEMENTARY SCHOOL School ID: 106003
District: GUAGUA EAST Division: PAMPANGA Region: III District: _____GUAGUA EAST Division: PAMPANGA Region: III
Classified as Grade: __I___ Section: ____B_____ School Year: 2017-2018 Classified as Grade: _ II Section: ___B___ School Year: 2018 - 2019
Name of Adviser/Teacher: BERNADETTE R. CALMA Signature: Name of Adviser/Teacher: MA. SOLEDAD D. TIMOG Signature:
Quarterly Rating Final Quarterly Rating Final
LEARNING AREAS Remarks Learning Areas Remarks
1 2 3 4 Rating 1 2 3 4 Rating

Mother Tongue Mother Tongue

Filipino Filipino
English English

Mathematics Mathematics
Science Science
Araling Panlipunan Araling Panlipunan
EPP / TLE EPP / TLE
MAPEH MAPEH
Music Music
Arts Arts
Physical Education Physical Education
Health Health
Eduk. sa Pagpapakatao Eduk. sa Pagpapakatao
*Arabic Language *Arabic Language
*Islamic Values Education *Islamic Values Education
General Average General Average
Remedial Classes Conducted from: to Remedial Classes Conducted from: to
Remedial Class Recomputed Remedial Recomputed
Learning Areas Final Rating Remarks Learning Areas Final Rating Remarks
Mark Final Grade Class Mark Final Grade

School: STA. INES ELEMENTARY SCHOOL School ID: 106003 School: STA. INES ELEMENTARY SCHOOL School ID: 106003
District: GUAGUA EAST Division: PAMPANGA Region: III District: _____GUAGUA EAST Division: PAMPANGA Region: III
Classified as Grade: __III_ Section: MATULUNGIN School Year: 2020 - 2021 Classified as Grade: _ IV Section: MAPAMARAANSchool Year: _2021 - 2022___
Name of Adviser/Teacher: MERCELITA E. CABIGTING Signature: Name of Adviser/Teacher: MAURENE O. CORTEZ Signature:

Quarterly Rating Final Quarterly Rating Final

Learning Areas Remarks Learning Areas Remarks
1 2 3 4 Rating 1 2 3 4 Rating

Mother Tongue Mother Tongue

Filipino Filipino
English English

Mathematics Mathematics
Science Science
Araling Panlipunan Araling Panlipunan
EPP / TLE EPP / TLE
MAPEH MAPEH

Music Music
Arts Arts
Physical Education Physical Education
Health Health

Eduk. sa Pagpapakatao Eduk. sa Pagpapakatao

*Arabic Language *Arabic Language
*Islamic Values Education *Islamic Values Education
General Average General Average
Remedial Classes Date Conducted: to Remedial Classes Date Conducted: to
Remedial Class Recomputed Remedial Recomputed
Learning Areas Final Rating Mark Final Grade Remarks Learning Areas Final Rating Class Mark Final Grade Remarks

SFRT 2017
SF10-ES Page 2 of ________
SCHOLASTIC RECORD
School: STA. INES ELEMENTARY SCHOOL School ID: 106003 School: STA. INES ELEMENTARY SCHOOL School ID:
District: GUAGUA EAST Division: PAMPANGA Region: III District: GUAGUA EAST Division: PAMPANGA Region: III
Classified as Grade: __V___ Section: MALIKHAIN School Year: 2021 - 2022 Classified as Grade: __VI__ Section: TOPAZ School Year: 2022 - 2023
Name of Adviser/Teacher: CLAIRE E. RITIS Signature: Name of Adviser/Teacher: CATHERINA C. CAYANAN Signature:

Quarterly Rating Final Quarterly Rating Final

LEARNING AREAS Remarks Learning Areas Remarks
1 2 3 4 Rating 1 2 3 4 Rating

Mother Tongue Mother Tongue

Filipino Filipino
English English
Mathematics Mathematics
Science Science
Araling Panlipunan Araling Panlipunan
EPP / TLE EPP / TLE
MAPEH MAPEH
Music Music
Arts Arts
Physical Education Physical Education
Health Health
Eduk. sa Pagpapakatao Eduk. sa Pagpapakatao
*Arabic Language *Arabic Language
*Islamic Values Education *Islamic Values Education
General Average General Average
Remedial Classes Date Conducted: to Remedial Classes Date Conducted: to
Remedial Class Recomputed Remedial Recomputed
Learning Areas Final Rating Remarks Learning Areas Final Rating Remarks
Mark Final Grade Class Mark Final Grade

School: ______________________________________ School ID: School: ______________________________ School ID:

District: ______________________ Division: Region: District: ______________________ Division: Region:
Classified as Grade: ______ Section: __________ School Year: Classified as Grade: ______ Section: _______ School Year:
Name of Adviser/Teacher: ______________________ Signature: Name of Adviser/Teacher: _______________ Signature:

Quarterly Rating Final Quarterly Rating Final

Learning Areas Remarks Learning Areas Remarks
1 2 3 4 Rating 1 2 3 4 Rating

Mother Tongue Mother Tongue

Filipino Filipino
English English
Mathematics Mathematics
Science Science
Araling Panlipunan Araling Panlipunan
EPP / TLE EPP / TLE
MAPEH MAPEH
Music Music
Arts Arts
Physical Education Physical Education
Health Health
Eduk. sa Pagpapakatao Eduk. sa Pagpapakatao
*Arabic Language *Arabic Language
*Islamic Values Education *Islamic Values Education
General Average General Average
Remedial Classes Date Conducted: to Remedial Classes Date Conducted: to
Remedial Class Recomputed Remedial Recomputed
Learning Areas Final Rating Remarks Learning Areas Final Rating Remarks
Mark Final Grade Class Mark Final Grade

For Transfer Out /Elementary School Completer Only

CERTIFICATION
I CERTIFY that this is a true record of ___________________________________ with LRN ___________________ and that he/she is eligible for admission to Grade ________.
School Name: __________________________________ School ID ________________ Division: ___________ Last School Year Attended: _________________________

____________________________________
Date Name of Principal/School Head over Printed Name (Affix School Seal here)

CERTIFICATION
I CERTIFY that this is a true record of ___________________________________ with LRN ___________________ and that he/she is eligible for admission to Grade ________.
School Name: __________________________________ School ID ________________ Division: ___________ Last School Year Attended: _________________________

____________________________________
Date Name of Principal/School Head over Printed Name (Affix School Seal here)

CERTIFICATION
I CERTIFY that this is a true record of ___________________________________ with LRN ___________________ and that he/she is eligible for admission to Grade ________.
School Name: __________________________________ School ID ________________ Division: ___________ Last School Year Attended: _________________________

____________________________________
Date Name of Principal/School Head over Printed Name (Affix School Seal here)
May add Certification Box if needed SFRT Revised 2017