SF10A
Department of Education
Learner Permanent Record for Junior High School (SF10-JHS)
(Formerly Form 137)
LEARNER'S INFORMATION
LAST NAME: FIRST NAME: NAME EXT. (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: Address 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)
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
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) 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: S
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 Remarks
Final Grade
School: School ID: District: Division: Region:
Classified as Grade: Section: School Year: Name of Adviser/Teacher: S
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 Remarks
Final Grade
School: School ID: District: Division: Region:
Classified as Grade: Section: School Year: Name of Adviser/Teacher: S
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 Remarks
Final Grade
For Transfer Out / JHS Completer Only
CERTIFICATION
I CERTIFY that this is a true record of with LRN t 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
u
