Form 137 Sample Template
Topics covered
Form 137 Sample Template
Topics covered
LEARNER'S INFORMATION
LAST NAME: ANIG-IG FIRST NAME: KIT JUSTINE NAME EXT. (Jr,I,II): 0 MIDDLE NAME: ALIVIO
Learner Reference Number (LRN): 128081150178 Birthdate (mm/dd/yyyy): 2/20/2009 Sex: MALE
ELIGIBILITY FOR JHS ENROLMENT
Elementary School Completer General Avarage 82% Citation (if Any): 0
Name of Elementary School: TAMBO CENTRAL SCHOOL School ID: 128081 Address of School: TAMBO, HINAPLANON, ILIGAN CITY
Other Credential Presented
PEPT Passer Rating: 0 ALS A & E Passer Rating: 0 Others (Pls. Specify): 0
Date of Examination/Assessment (mm/dd/yyyy): 12/30/1899 Name and Address of Testing Center: 0
SCHOLASTIC RECORD
School:HINAPLANON NATIONAL HIGH SCHOOL School ID: 304149 District: NORTH III Division: ILIGAN CITY Region: X
Classified as Grade: 7 Section: JAPAN School Year: 2022-2023 Name of Adviser/Teacher: ASNIFA MACAPODI Signature:
Quarterly Rating
LEARNING AREAS FINAL REMARKS
1 2 3 4 RATING
Filipino 82 79 89 0 63 FAILED
English 78 73 90 0 60 FAILED
Mathematics 87 75 78 0 60 FAILED
Science 77 75 89 0 60 FAILED
Araling Panlipunan (AP) 81 73 0 0 39 FAILED
Edukasyon sa Pagpapakatao (EsP) 80 84 0 0 41 FAILED
Technology and Livelihood Education (TLE) 0 73 0 0 18 FAILED
MAPEH 87 85 86 PASSED
Music 87 83 0 0
Arts 84 89 0 0
Physical Education 88 82 0 0
Health 89 86 0 0
General Average
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 Signature of Principal/School Head over Printed Name (Affix School Seal Here)
SF10-JHS Page 2 of
Date Signature of Principal/School Head over Printed Name (Affix School Seal Here)
(May add Certifiation box if needed) SFRT Revised 2017
LEARNER'S INFORMATION
WHOLE
ANIG-IG, KIT NAME A.
JUSTINE SURNAME FIRST NAME MIDDLE NAME NAME EXTENSION
ANIG-IG KIT JUSTINE ALIVIO
2 2 2 2
3 3 3 3 3
4 4 4 4 4
5 5 5 5 5
6 6 6 6 6
7 7 7 7 7
8 8 8 8 8
9 9 9 9 9
10 10 10 10 10
11 11 11 11 11
12 12 12 12 12
13 13 13 13 13
14 14 14 14 14
15 15 15 15 15
16 16 16 16 16
17 17 17 17 17
18 18 18 18 18
19 19 19 19 19
20 20 20 20 20
21 21 21 21 21
22 22 22 22 22
23 23 23 23 23
24 24 24 24 24
25 25 25 25 25
26 26 26 26 26
27 27 27 27 27
28 28 28 28 28
29 29 29 29 29
30 30 30 30 30
31 31 31 31 31
32 32 32 32 32
33 33 33 33 33
34 34 34 34 34
35 35 35 35 35
36 36 36 36 36
37 37 37 37 37
38 38 38 38 38
39 39 39 39 39
40 40 40 40 40
41 41 41 41 41
42 42 42 42 42
43 43 43 43 43
44 44 44 44 44
45 45 45 45 45
46 46 46 46 46
47 47 47 47 47
48 48 48 48 48
MATION ELIGIBILITY
PEPT RATING ALS RATING DATE OF ASSESEMENT NAME OF TESTING CENTER OTHERS
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
SCHOLASTIC RECORD
2ND
2ND
3RD
3RD
4TH
4TH
1ST
1ST
1ST
Classified as Grade Section School Year Name of Adviser
7 JAPAN 2022-2023 ASNIFA MACAPODI 82 79 89 78 73 90 87
11 12 13 14
11 12 13 14
11 12 13 14
11 12 13 14
11 12 13 14
11 12 13 14
11 12 13 14
11 12 13 14
11 12 13 14
11 12 13 14
11 12 13 14
11 12 13 14
11 12 13 14
11 12 13 14
11 12 13 14
11 12 13 14
11 12 13 14
11 12 13 14
11 12 13 14
11 12 13 14
11 12 13 14
11 12 13 14
11 12 13 14
11 12 13 14
11 12 13 14
11 12 13 14
11 12 13 14
11 12 13 14
11 12 13 14
11 12 13 14
11 12 13 14
11 12 13 14
11 12 13 14
11 12 13 14
11 12 13 14
11 12 13 14
11 12 13 14
11 12 13 14
11 12 13 14
11 12 13 14
11 12 13 14
11 12 13 14
11 12 13 14
11 12 13 14
11 12 13 14
11 12 13 14
11 12 13 14
ARALING
MATH SCIENCE PANLIPUNA ESP TLE MAPEH Music
N
2ND
2ND
2ND
2ND
2ND
2ND
3RD
3RD
3RD
3RD
3RD
3RD
4TH
4TH
4TH
4TH
4TH
4TH
1ST
1ST
1ST
1ST
1ST
1ST
75 78 77 75 89 81 73 80 84 73 87
2ND
83
3RD
Music
4TH
1ST
2ND
84 89
Arts
3RD
4TH
1ST
2ND
88 82
PE
3RD
4TH
1ST
2ND
89 86
3RD
Health
4TH
Aug
SEPT
OCT
NOV
DEC
JAN
FEB
MAR
ATTENDANCE
APR
MAY
NCE JUN MAKA-DIYOS MAKATAO MAKAKALIKASAN
JUL
1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3
SO SO SO SO SO SO
NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO
NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO
NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO
NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO
NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO
NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO
NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO
AKAKALIKASAN MAKABANSA HOMEROOM GUIDANCE
2ND
3RD
4TH
1ST
4 1 2 3 4 1 2 3 4
SO SO
NO NO NO NO NO NO NO NO NO SD R T Y
NO NO NO NO NO NO NO NO NO SD R T Y
NO NO NO NO NO NO NO NO NO SD R T Y
NO NO NO NO NO NO NO NO NO SD R T Y
NO NO NO NO NO NO NO NO NO SD R T Y
NO NO NO NO NO NO NO NO NO SD R T Y
NO NO NO NO NO NO NO NO NO SD R T Y
SD R T Y
SD R T Y
SD R T Y
SD R T Y
SD R T Y
SD R T Y
SD R T Y
SD R T Y
SD R T Y
SD R T Y
SD R T Y
SD R T Y
SD R T Y
SD R T Y
SD R T Y
SD R T Y
SD R T Y
SD R T Y
SD R T Y
SD R T Y