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SF10-ES Republic of the Philippines

Department of Education
Learner Permanent Record for Elementary School (SF10-ES)
(Formerly Form 137)
LEARNER'S PERSONAL INFORMATION

ANCHETA NATHANIELA GAMULAO


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

10437900012 10-20-2014 FEMALE


Learner Reference Number (LRN): ______________ Birthdate (mm/dd/yyyy): Sex:
ELIGIBILITY FOR ELEMENTARY SCHOOL ENROLMENT
Credential Presented for Grade 1: Kinder Progress Report ✘ ECCD Checklist Kindergarten Certificate of Completion
Name of School: School ID: Address of School:
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
STO. TOMAS ELEMENTARY SCHOOL
School: ______________________________________ School ID: 104379 STO. TOMAS ELEMENTARY SCHOOL
School: ______________________________ School ID: 104379
SAGUDAY QUIRINO
District: ______________________ Division: ________________ Region: 2 SAGUDAY QUIRINO
District: ______________________ Division: __________ Region: 2
ONE Section: __________
Classified as Grade: ______ School Year: 2021-2022 Classified as Grade: ______ 2 School Year: 2022-2023
IMELDA C. GARCIA
Name of Adviser/Teacher: ______________________ Signature: LORETA C. ACIERTO
Name of Adviser/Teacher: _______________ Signature :
Quarterly Rating Final Quarterly Rating Final
LEARNING AREAS Rating
Remarks Learning Areas Rating
Remarks
1 2 3 4 1 2 3 4
Mother Tongue 75 76 75 75 75 PASSED Mother Tongue 76 76 76 76 76 PASSED

Filipino 75 76 76 76 PASSED Filipino 76 77 77 77 77 PASSED

English 75 75 75 PASSED English 75 76 76 76 76 PASSED

Mathematics 78 77 78 78 78 PASSED Mathematics 75 76 76 76 76 PASSED

Science Science
Araling Panlipunan 77 78 77 77 77 PASSED Araling Panlipunan 75 78 78 78 77 PASSED

EPP / TLE EPP / TLE


MAPEH 76 78 77 78 77 PASSED MAPEH 77 80 80 80 79 PASSED

Music 75 77 76 77 Music 76 78 78 78 78 PASSED

Arts 76 77 75 78 Arts 80 85 85 85 84 PASSED

Physical Education 75 78 78 78 Physical Education 75 78 78 78 77 PASSED

Health 77 78 75 78 Health 76 78 78 78 78 PASSED

Eduk. sa Pagpapakatao 79 79 79 79 79 Eduk. sa Pagpapakatao 75 79 79 79 78 PASSED

General Average 77 77 76 77 77 PROMOTED General Average 76 77 77 77 77 PROMOTED


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: ______________________________________ 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 Rating
Remarks
1 2 3 4 Rating 1 2 3 4

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

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
SFRT 2017
#DIV/0! 82 82 83 85 83
81 85 85
81 85 85 83.66667

81 83 82
81 82 83 84 82.5 82 82 83 85 83
82 83 85 85 83.75 81 85 85 83.66667
81 82 84 84 82.75 81 83 82
80 81 86 86 83.25 81 82 83 84 82.5
83 83 84 84 83.5 82 83 85 85 83.75
82 82 85 85 83.5 81 82 84 84 82.75
80 86 80 84 85 86 86 86 87 87 86.5
83 84 77 85 83 84
82 85 83 88 86 88
80 81 83 81 86 84
81.25 84 80.75 84.5 85 85.5 83.9375
81 80 81 81 81 80.75
83 86 86 87 87 86.5
82 81 82 84 84 82.75
81
81.75
80 81 86 86
83 83 84 84
82
80 82
81 85
81 85
81
80 81 86 86

83 83 84 84
82 82 85 85
80 81 81 81
81.25 81.75 84 84
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:

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

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

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

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