You are on page 1of 3
aa ect of te Pines ~ Oecarment of cation DepED Learner Permanent Record for Junior High Schoo! (SF10-JHS) LEARNERS INFORMATION Laer Rte asic peers 7 choo Se ast nase PTS ast Nomber tay TISHIS|LEMEY weve iene) MA drtpemamnmeemncnmanet Bementary Schoo! Computer toedanng hv fev Capus OF seroot wo (3H 15 same ramen Rating Corners i. sence Name ad Adres of Testing Center © SCHOLASTIC RECORD aa “Grasar ASOATE PROVO Reis VP sosc0% ‘NAL axTING x SUENASLERTE NTEORATEO SCROOL Sa DOT OE lana cf Aare omen RENATO ot Groe:vt_Sacon: COPPER Serve Yew 20172018 Hae LEARNING AREAS Conducted rom (ren/edy Final Rating Remedial Cass Mark [Schoot [ciassified as Grade:_@_ Section “School: dagase District: Ba L Yearaae-H7 Name of Advised Teacher: “QUARTER 2 [3 30. ‘Division: —facale Region: inal. 3 alen Signatur FINAL RATING 20 5. {LEARNING AREAS 1 a 5, CERTIFICATION and hathe/e lage foradmsion to Grade Vas Sto Yea Attended i choo Sea here) rag — CERTIFICATION hi CERTIFY that this isa true record of. CHL ORE and that ne/sre i elaible for admission toGrade [0 rare ot Seon: Caf nt cho veer andes 2 9080" Bug 22, date Dae ae ro anv aT ‘Biay add carifcation box needed) | See ayy “Ta maampned atratis)| REMARKS /AMOTATION ak Republic of the Phiippines ICE OF THE civ HEGISTRAN, OFNERAL 1 CERTIFICATE OF LIVE BIRTH MSS eran Leas | nna? Se try NO. “Mv - WO Den roeee 4 3. DATE OF BIRTH tev) nonin) trend fo | - j DO_~we 03 eres | c sann__t ek 4 ronan? (iyliamiepanh Prenton) eustnn + ”) is , t Bmuu: wanane aware omy.) fio a | © b. IF MULTIPLE BIRTH, CHILD WAS LI 1 Fat 2 Saco | 8 9 oars, Spey _ ‘etd inde) EXEST __ (rat, seoona, tnitd,e10) *. t ; a : dope | 0 [9a Tottramperot Naot hitaren rT H | canton ee eee fF. Rae at the timo elthiebirth: 13. NAME 14, CITIZENSHIP Ueno. 16, OCCUPATION ~ EERE wopoekp : + .. 18. DATE AND PLACE OF MARRIAGE OF PARENTS (ft manied, scomplbh ~heinniadgronit Admission ofPaienity atthe back) O90 er iene cave 1 i Ga. ATTENDANT 1 Prysician ¥ Sc ore

You might also like