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SF 10 Learner - S Permanent Academic Record For Elementary School - Template
SF 10 Learner - S Permanent Academic Record For Elementary School - Template
Department of Education
Learner's Permanent Academic Record for Elementary School (SF10ES)
(Formerly Form 137)
LEARNER'S PERSONAL INFORMATION
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 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