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Form 137 Sample Template

FORM 137

Uploaded by

April Yabao
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd

Topics covered

  • Remedial Class Mark,
  • Transfer Out,
  • Edukasyon sa Pagpapakatao,
  • Learning Areas Ratings,
  • Division,
  • School ID,
  • Final Rating,
  • Junior High School,
  • MAPEH,
  • Testing Center
0% found this document useful (0 votes)
2K views22 pages

Form 137 Sample Template

FORM 137

Uploaded by

April Yabao
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd

Topics covered

  • Remedial Class Mark,
  • Transfer Out,
  • Edukasyon sa Pagpapakatao,
  • Learning Areas Ratings,
  • Division,
  • School ID,
  • Final Rating,
  • Junior High School,
  • MAPEH,
  • Testing Center

SF10-JHS List of names

ANIG-IG, KIT JUSTINE A.


Republic of the Philippines
Department of Education
Learner Permanent Record for Junior High School (SF10-JHS)
(Formerly Form 137)

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 53 FAILED


Remedial Classes Conducted from (mm/dd/yyyy) to (mm/dd/yyyy) u

Learning Areas Final Rating Remedial Class Mark Recomputed Remarks


Final Grade

School: School ID: District: Division: Region:


Classified as Grade: Section: School Year: Name of Adviser/Teacher: Signature:
Quarterly Rating
LEARNING AREAS 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) u

Learning Areas Final Rating Remedial Class Mark Recomputed Remarks


Final Grade

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

School: School ID: District: Division: Region:


Classified as Grade: Section: School Year: Name of Adviser/Teacher: Signature:
Quarterly Rating
LEARNING AREAS 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)

Learning Areas Final Rating Remedial Class Mark Recomputed Remarks


Final Grade

School: School ID: District: Division: Region:


Classified as Grade: Section: School Year: Name of Adviser/Teacher: Signature:
Quarterly Rating
LEARNING AREAS 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)

Learning Areas Final Rating Remedial Class Mark Recomputed Remarks


Final Grade

School: School ID: District: Division: Region:


Classified as Grade: Section: School Year: Name of Adviser/Teacher: Signature:
Quarterly Rating
LEARNING AREAS 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)

Learning Areas Final Rating Remedial Class Mark Recomputed Remarks


Final 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 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

LRN BIRTHDAY AGE SEX Name of Elementary School General Average

128081150178 02/20/2009 13 MALE TAMBO CENTRAL SCHOOL 82%


2 2 2 Male 2 2
3 3 3 Male 3 3
4 4 4 Male 4 4
5 5 5 Male 5 5
6 6 6 Male 6 6
7 7 7 Male 7 7
8 8 8 Male 8 8
9 9 9 Male 9 9
10 10 10 Male 10 10
11 11 11 Male 11 11
12 12 12 Male 12 12
13 13 13 Male 13 13
14 14 14 Male 14 14
15 15 15 Male 15 15
16 16 16 Male 16 16
17 17 17 Male 17 17
18 18 18 Male 18 18
19 19 19 Male 19 19
20 20 20 Male 20 20
20 Male 21 21
Male 22 22
Male 23 23
Male 24 24
Male 25 25
Male 26 26
Male 27 27
Male 28 28
Male 29 29
Male 30 30
Male 31 31
Male 32 32
Male 33 33
Male 34 34
Male 35 35
36 36
37 37
38 38
39 39
40 40
41 41
42 42
43 43
44 44
45 45
46 46
47 47
48 48
ELIGIBILITY FOR JHS ENROLMENT

Citation Name of Elementary School School ID Address of School


TAMBO CENTRAL SCHOOL 128081 TAMBO, HINAPLANON, ILIGAN CITY
2 2 2 2
3 3 3 3
4 4 4 4
5 5 5 5
6 6 6 6
7 7 7 7
8 8 8 8
9 9 9 9
10 10 10 10
11 11 11 11
12 12 12 12
13 13 13 13
14 14 14 14
15 15 15 15
16 16 16 16
17 17 17 17
18 18 18 18
19 19 19 19
20 20 20 20
21 21 21 21
22 22 22 22
23 23 23 23
24 24 24 24
25 25 25 25
26 26 26 26
27 27 27 27
28 28 28 28
29 29 29 29
30 30 30 30
31 31 31 31
32 32 32 32
33 33 33 33
34 34 34 34
35 35 35 35
36 36 36 36
37 37 37 37
38 38 38 38
39 39 39 39
40 40 40 40
41 41 41 41
42 42 42 42
43 43 43 43
44 44 44 44
45 45 45 45
46 46 46 46
47 47 47 47
48 48 48 48
OTHER CREDENTIALS

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

SCHOOL SCHOOL ID District Division Region


HINAPLANON NATIONAL HIGH SCHOOL 304149 NORTH III ILIGAN CITY X
6 7 8 9 10
6 7 8 9 10
6 7 8 9 10
6 7 8 9 10
6 7 8 9 10
6 7 8 9 10
6 7 8 9 10
6 7 8 9 10
6 7 8 9 10
6 7 8 9 10
6 7 8 9 10
6 7 8 9 10
6 7 8 9 10
6 7 8 9 10
6 7 8 9 10
6 7 8 9 10
6 7 8 9 10
6 7 8 9 10
6 7 8 9 10
6 7 8 9 10
6 7 8 9 10
6 7 8 9 10
6 7 8 9 10
6 7 8 9 10
6 7 8 9 10
6 7 8 9 10
6 7 8 9 10
6 7 8 9 10
6 7 8 9 10
6 7 8 9 10
6 7 8 9 10
6 7 8 9 10
6 7 8 9 10
6 7 8 9 10
6 7 8 9 10
6 7 8 9 10
6 7 8 9 10
6 7 8 9 10
6 7 8 9 10
6 7 8 9 10
6 7 8 9 10
6 7 8 9 10
6 7 8 9 10
6 7 8 9 10
6 7 8 9 10
6 7 8 9 10
6 7 8 9 10
RECORD FILIPINO ENGLISH MATH

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

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