SF 10 -JHS (Special Program in Sports - SPS)
Republic of the Philippines
Department of Education
Learner Permanent Record for Junior High School (SF10-JHS)
(Formerly Form 137)
LEARNER'S INFORMATION
LAST NAME: __________________________ FIRST NAME: _________________________ NAME EXTN. (Jr,I,II): _______ MIDDLE NAME: ________________________
Learner Reference Number (LRN): ____________________________ Birthdate (mm/dd/yyyy): __________________________Sex: ___________________________
ELIGIBILITY FOR JHS ENROLMENT
Elementary School Completer General Average: ________ Citation: (If Any)
Name of Elementary School: School ID: Adress of School:
Other Credential Presented
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: __________________________________ 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)
MAPEH
Music
Arts
Physical Education
Health
Edukasyon sa Pagpapakatao (EsP)
Specialization
General Average
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)
MAPEH
Music
Arts
Physical Education
Health
Edukasyon sa Pagpapakatao (EsP)
Specialization
General Average
Remedial Classes Conducted from (mm/dd/yyyy) ____________________ to (mm/dd/yyyy) __________________
Recomputed Final
Learning Areas Final Rating Remedial Class Mark Grade Remarks
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 (Special Program in Sports - SPS) 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)
MAPEH
Music
Arts
Physical Education
Health
Edukasyon sa Pagpapakatao (EsP)
Specialization
General Average
Remedial Classes Conducted from (mm/dd/yyyy) ____________________ to (mm/dd/yyyy) _______________
Subject 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: _________
LEARNING AREAS QUARTER FINAL REMARKS
1 2 3 4 RATING
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
MAPEH
Music
Arts
Physical Education
Health
Edukasyon sa Pagpapakatao (EsP)
Specialization
General Average
Remedial Classes Conducted from (mm/dd/yyyy) ____________________ to (mm/dd/yyyy) _______________
Recomputed Final
Learning Areas Final Rating Remedial Class Mark Grade Remarks
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)
MAPEH
Music
Arts
Physical Education
Health
Edukasyon sa Pagpapakatao (EsP)
Specialization
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
