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School Form 10 Es Allen
School Form 10 Es Allen
Department of Education
LAST NAME: DAGOOC FIRST NAME: APPLE MAE NAME EXTN. (Jr,I,II) MIDDLE NAME: BERDON
Learner Reference Number (LRN): 126703180017 Birthdate (mm/dd/yyyy): ### 11/13/2013 Sex: F
ELIGIBILITY FOR ELEMENTARY SCHOOL ENROLMENT
Credential Presented for Grade 1: ✘ Kinder Progress Report ✘ ECCD Checklist ✘ Kindergarten Certificate of Completion
Name of School: Magsaysay Elementary School School ID: 126703 Address of School: Magsaysay Opol Misamis Oriental
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: Magsaysay Elementary School School ID: 126703 School: Magsaysay Elementary School School ID: 126703
District: OPOL Division Misamis Oriental Region: X District: Opol Division: Misamis Oriental Region: X
Classified as Grade: 1 Section: Aguinaldo School Year: 2017-2018 Classified as Grade: 2 Section: Bonifacio School Year: 2018-2019
Name of Adviser/Teacher: Evelyn Deladia Puerto Signature: Name of Adviser/Teacher: Benjamin Franco Signature:
Quarterly Rating Final Quarterly Rating
LEARNING AREAS Remarks Learning Areas Final Rating Remarks
1 2 3 4 Rating 1 2 3 4
Mother Tongue 93 94 94 93 94 PASSED Mother Tongue 92 93 93 93 93 PASSED
Music Music
Arts Arts
Physical Education Physical Education
Health Health
Eduk. sa Pagpapakatao 93 93 94 95 94 PASSED Eduk. sa Pagpapakatao 93 93 94 94 94 PASSED
School: Magsaysay Elementary School School ID: 126703 School: Magsaysay Elementary School School ID: 123456
District: Misamis Division Misamis Oriental Region: X District: Opol Division: Misamis Oriental Region: X
Classified as Grade: 3 Section: Rizal School Year: 2019-2020 Classified as Grade: 4 Section: Jacinto School Year: 2020-2021
Name of Adviser/Teacher: ELMER SISTONA Signature: Name of Adviser/Teacher: ALLEN ABARQUEZ Signature:
Music Music
Arts Arts
Physical Education Physical Education
Health Health
Eduk. sa Pagpapakatao 94 94 95 95 95 PASSED Eduk. sa Pagpapakatao 92 92 93 93 93 PASSED
SFRT 2017
SF10-ES Page 2 of ________
SCHOLASTIC RECORD
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:
Date Signature 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 addmision to Grade .
School Name: School ID Division: Last School Year Attended:
Date Signature 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 addmision to Grade .
School Name: School ID Division: Last School Year Attended:
Date Signature of Principal/School Head over Printed Name (Affix School Seal here)
May add Certification Box if needed SFRT Revised 2017