Professional Documents
Culture Documents
Department of Education
Learner's Permanent Academic Record for Elementary School
(SF10-ES)
(Formerly Form 137)
LEARNER'S PERSONAL INFORMATION
LAST NAME: KASAN FIRST NAME: DATU FARIZ NAME EXTN. (Jr,I,II) MIDDLE NAME: ABDULLAH
131266150111
Learner Reference Number (LRN): ______________ Birthdate (mm/dd/yyyy): 07/04/2009 Sex: MALE
ELIGIBILITY FOR ELEMENTARY SCHOOL ENROLMENT
Credential Presented for Grade 1: Kinder Progress Report ECCD Checklist Kindergarten Certificate of Completion
Name of School: Vilo Central Elementary School School ID: 131266 Address of School: Don Abelardo St., Vilo Subdivision Pob. 4 Cotabato City
School: ______________________________________ School ID: School: DON E. SERO ELEMENTARY SCHOOL School ID: 131264
District: ______________________ Division: ________________ Region: District: ___VIII____________Division:COTABATO CITY Region: BARMM
Classified as Grade: ______ Section: __________ School Year: Classified as Grade: FOUR Section: RESADA l Year: 2022-2023
Name of Adviser/Teacher: ______________________ Signature: Name of Adviser/Teacher: P.R. PAUL P. RESADA Signature:
____________________________________
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