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: _______BALCUEVA FIRST NAME: ____________________
DUSTHINE NAME EXTN. (Jr,I,II): _______ MIDDLE NAME: ___________________
SANCHEZ
Learner Reference Number (LRN): ______________
113112130040 Birthdate (mm/dd/yyyy): _____________________
05/13/2007 Sex: __ MALE
ELIGIBILITY FOR JHS ENROLMENT
√ Elementary School Completer General Average: ________
79 Citation: (If Any)
Name of Elementary School: CORNELIA M. DE JESUS School ID: 418704 Adress of School: KM. 37 PULONG BUHANGIN STA.
Other Credential Presented MEMORIAL CENTRAL MARIA, BULACAN
SCHOOL
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: ______________________
ST. THOMAS DEVELOPMENT School ID: ________
418704 District: ___________________
IV Division: __________________
BULACAN Region: ____
III
ACADEMY OF BULACAN INC. ST.
Classified as Grade: ____ Section: PAUL 2018-2019Name of Adviser/Teacher: ________________
___ School Year: _____ MS. ELLE CRUZ Signature: __________
7
Quarterly Rating FINAL
LEARNING AREAS REMARKS
1 2 3 4 RATING
Filipino 76 78 80 79 78 PASSED
English 75 75 77 77 76 PASSED
Mathematics 75 73 75 76 75 PASSED
Science 75 73 77 80 76 PASSED
Araling Panlipunan (AP) 75 75 75 76 75 PASSED
Edukasyon sa Pagpapakatao (EsP) 75 75 75 76 75 PASSED
Technology and Livelihood Education (TLE) 75 78 75 80 77 PASSED
MAPEH 76 76 76 81 77 PASSED
Music 77 78 78 80 78
Arts 78 76 76 79 77
Physical Education 74 76 76 77 76
Health 74 75 75 78 76
General Average 76
Remedial Classes Conducted from (mm/dd/yyyy) ____________________ to (mm/dd/yyyy) __________________
Learning Areas Final Rating Remedial Class Mark Recomputed Final Remarks
Grade
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) __________________
Recomputed Final
Learning Areas Final Rating Remedial Class Mark Remarks
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 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 QUARTER 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 QUARTER 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
