Office of Academic Services
for Integrated School
JUNIOR HIGH SCHOOL SCHOLASTIC RECORD
Name of Applicant: ______________________________________________________________________
(Last) (First) (MI)
School: ________________________________________________________________________________
School Address: ________________________________________________________________________
To the Applicant: Fill out the information above, then forward to your school’s Registrar’s Office.
To the Registrar: The person submitting this form is applying at De La Salle University-Senior High School. It is
necessary that this form be filled out completely and accurately. Applicants with non-numerical (pass/fail) grades
in all terms/semesters/quarters will be required to submit through email a Certificate from the School Registrar
that no numerical grades were given to students, and a legend of grading equivalency.
Final Grades
Subject Grade 7 Grade 8 Grade 9
(AY: __ to __) (AY: __ to __) (AY: __ to __)
Science
Math
English
Filipino
Social Science
Deportment/Conduct
General Average
Grade Level (as shown in the
report card)
7
8
9
Batch Ranking
Rank in the Batch: _______
Total Number of Expected Graduates: ________
If no numerical ranking is available, please check the best estimate of applicable rank.
____ Top 10 %
____ Upper 25 %
____ Middle 50 %
____ Lower 25 %
Certified true and correct by:
___________________________ ___________________________
(Signature over printed name) (Designation)
Laguna Boulevard, LTI Spine Road, Biñan City, Laguna 2401 Taft Ave. Manila 1004, Philippines I Tel. No. (02) 524-
39918 Trunk Line: (049) 554-8900 loc. 108 and 122 4611 local 160 and 161
[email protected] I www.dlsu.edu.ph [email protected] I www.dlsu.edu.ph