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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: LOMA FIRST NAME: JANREY NAME EXTN. (Jr,I,II): _______ MIDDLE NAME: ROBLES
Learner Reference Number (LRN): 109820160176 Birthdate (mm/dd/yyyy): 11/04/2010 Sex: MALE

ELIGIBILITY FOR JHS ENROLMENT


X Elementary School Completer General Average: 86 Citation: (If Any)
XM Name of Elementary School: JAVALERA ELEMENTARY SCHOOL School ID: 107949 Adress of School: BRGY. JAVALERA CITY OF GEN. TRIAS CAVITE
M√
Other√/ Credential Presented
/ PEPT Passer Rating: _________ ALS A & E Passer Rating: _____________ Others (Pls. Specify): ___________
/
Date
/ of Examination/Assessment (mm/dd/yyyy): ____________ Name and Address of Testing Center: ____________________________________

SCHOLASTIC RECORD
School: MAKILING INTEGRATED SCHOOL School ID: 301523 District: CLUSTER 4 Division: CALAMBA CITY Region: IV-A
Classified as Grade: 7 Section: NEEM School Year: 2023-2024 Name of Adviser/Teacher: NELIZA H. CANICULA Signature: _______
Quarterly Rating FINAL
LEARNING AREAS REMARKS
1 2 3 4 RATING
Filipino 7 75
English 7 75
Mathematics 7 75 TRANSFERRED OUT
Science 7 75 06-Nov-23
Araling Panlipunan (AP) 7 75 DUE TO CHANGE OF RESIDENCE
Edukasyon sa Pagpapakatao (EsP) 7 80
Technology and Livelihood Education (TLE) 7 78
MAPEH 7 75
Music 75
Arts 75
Physical Education 75
Health 75

General Average 89
Remedial Classes Conducted from (mm/dd/yyyy) ____________________ to (mm/dd/yyyy) __________________
Learning Areas Final Rating Remedial Class Mark Recomputed Final Grade Remarks

School: __________________________School ID: _________ District: ___________________ Division: __________________ Region: _______
Classified as Grade: ____Section: _____________School Year: ________ Name of Adviser/Teacher: ___________________ Signature: _______
QUARTER FINAL
LEARNING AREAS REMARKS
1 2 3 4 RATING
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)
Technology and Livelihood Education (TLE)
MAPEH
Music
Arts
Physical Education
Health

General Average

Remedial Classes Conducted from (mm/dd/yyyy) ____________________ to (mm/dd/yyyy) __________________


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 (Affix School Seal here)
SF 10-JHS Pag 2 of ________
School: __________________________ School ID: ________ District: ___________________ Division: __________________ Region: ______

Classified as Grade: ____ Section: ____________ School Year: _______ Name of Adviser/Teacher: ________________ Signature: ________

LEARNING AREAS Quarterly Rating FINAL REMARKS


1 2 3 4 RATING
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)
Technology and Livelihood Education (TLE)
MAPEH
Music
Arts
Physical Education
Health

General Average
Remedial Classes Conducted from (mm/dd/yyyy) ____________________ to (mm/dd/yyyy) _______________
Recomputed Final
Subject Final Rating Remedial Class Mark Grade Remarks

School: ________________________ School ID: ________ District: ___________________ Division: __________________ Region: __________

Classified as Grade: ____ Section: ___________ School Year: _______ Name of Adviser/Teacher: ________________ Signature: __________
LEARNING AREAS Quarterly Rating FINAL REMARKS
1 2 3 4 RATING
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)
Technology and Livelihood Education (TLE)
MAPEH
Music
Arts
Physical Education
Health

General Average
Remedial Classes Conducted from (mm/dd/yyyy) ____________________ to (mm/dd/yyyy) _______________
Recomputed Final
Learning Areas Final Rating Remedial Class Mark Remarks
Grade

School: ________________________ School ID: ________ District: ___________________ Division: __________________ Region: __________
Classified as Grade: ____ Section: _____________School Year: _______ Name of Adviser/Teacher: ________________ Signature: ________
Quarterly Rating FINAL
LEARNING AREAS REMARKS
1 2 3 4 RATING
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)
Technology and Livelihood Education (TLE)
MAPEH
Music
Arts
Physical Education
Health

General Average
Remedial Classes Conducted from (mm/dd/yyyy) ____________________ to (mm/dd/yyyy) _______________
Learning Areas Final Rating Remedial Class Mark Recomputed Final Remarks
Grade

For Transfer Out /JHS Completer Only


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 (Affix School Seal here)
(May add Certification box if needed) SFRT Revised 2017

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