SF10-ES Republic of the Philippines
Department of Education
Learner's Permanent Academic Record for Elementar
(SF10-ES)
(Formerly Form 137)
LEARNER'S PERSONAL INFORMATION
LAST NAME: FIRST NAME: NAME EXTN. (Jr,I,II)
Learner Reference Number (LRN): ______________ Birthdate (mm/dd/yyyy):
ELIGIBILITY FOR ELEMENTARY SCHOOL ENROLMENT
Credential Presented for Grade 1: Kinder Progress Report ECCD Checklist
Name of School: School ID: Address of School:
Other Credential Presented
PEPT Passer Rating: _________ Date of Examination/Assessment (mm/dd/yyyy): ____________
Name and Address of Testing Center:____________________________________________________ Remark:
SCHOLASTIC RECORD
School: ____________________________________ School ID: School: _______________________
District: ______________________ Division: _______________ Region: District: ______________________ D
Classified as Grade: ______ Section: __________ School Year: Classified as Grade: ______ Section
Name of Adviser/Teacher: ______________________Signature: Name of Adviser/Teacher: ________
Quarterly Rating Final
LEARNING AREAS Remarks Learning Areas
1 2 3 4 Rating
Mother Tongue Mother Tongue
Filipino Filipino
English English
Mathematics Mathematics
Science Science
Araling Panlipunan Araling Panlipunan
EPP / TLE EPP / TLE
MAPEH MAPEH
Music Music
Arts Arts
Physical Education Physical Education
Health Health
Eduk. sa Pagpapakatao Eduk. sa Pagpapakatao
*Arabic Language *Arabic Language
*Islamic Values Education *Islamic Values Education
General Average General Average
Remedial Classes Conducted from: to Remedial Classes
Remedial Class Recomputed
Learning Areas Final Rating Remarks Learning Areas
Mark Final Grade
School: ____________________________________ School ID: School: _______________________
District: ______________________ Division: _______________ Region: District: ______________________ D
Classified as Grade: ______ Section: __________ School Year: Classified as Grade: ______ Section
Name of Adviser/Teacher: ______________________Signature: Name of Adviser/Teacher: ________
Quarterly Rating Final
Learning Areas Remarks Learning Areas
1 2 3 4 Rating
Mother Tongue Mother Tongue
Filipino Filipino
English English
Mathematics Mathematics
Science Science
Araling Panlipunan Araling Panlipunan
EPP / TLE EPP / TLE
MAPEH MAPEH
Music Music
Arts Arts
Physical Education Physical Education
Health Health
Eduk. sa Pagpapakatao Eduk. sa Pagpapakatao
*Arabic Language *Arabic Language
*Islamic Values Education *Islamic Values Education
General Average General Average
Remedial Classes Date Conducted: to Remedial Classes
Remedial Class Recomputed
Learning Areas Final Rating Remarks Learning Areas
Mark Final Grade
mentary School
MIDDLE NAME:
Sex:
MENT
Kindergarten Certificate of Completion
Others (Pls. Specify): _________________________
Remark:____________________________________
_______________ School ID:
________ Division: ____________ Region:
___ Section: ____ School Year:
______________ Signature:
Quarterly Rating Final
as Remarks
1 2 3 4 Rating
ion
Conducted from: to
Remedial Class Recomputed
Final Rating Remarks
Mark Final Grade
_______________ School ID:
________ Division: ____________ Region:
___ Section: ____ School Year:
______________ Signature:
Quarterly Rating Final
as Remarks
1 2 3 4 Rating
ion
Date Conducted: to
Remedial Class Recomputed
Final Rating Remarks
Mark Final Grade
SFRT 2017
SF10-ES
SCHOLASTIC RECORD
School: _____________________________________ School ID: School: _______________
District: ______________________ Division: ________________Region: District: _______________
Classified as Grade: ______ Section: __________ School Year: Classified as Grade: _____
Name of Adviser/Teacher: ______________________Signature: Name of Adviser/Teacher:
Quarterly Rating Final
LEARNING AREAS Remarks Learning Area
1 2 3 4 Rating
Mother Tongue Mother Tongue
Filipino Filipino
English English
Mathematics Mathematics
Science Science
Araling Panlipunan Araling Panlipunan
EPP / TLE EPP / TLE
MAPEH MAPEH
Music Music
Arts Arts
Physical Education Physical Education
Health Health
Eduk. sa Pagpapakatao Eduk. sa Pagpapakatao
*Arabic Language *Arabic Language
*Islamic Values Education *Islamic Values Educati
General Average General Average
Remedial Classes Date Conducted: to Remedial Classes
Remedial Class Recomputed
Learning Areas Final Rating Remarks Learning Areas
Mark Final Grade
School: _____________________________________ School ID: School: _______________
District: ______________________ Division: ________________Region: District: _______________
Classified as Grade: ______ Section: __________ School Year: Classified as Grade: _____
Name of Adviser/Teacher: ______________________Signature: Name of Adviser/Teacher:
Quarterly Rating Final
Learning Areas Remarks Learning Area
1 2 3 4 Rating
Mother Tongue Mother Tongue
Filipino Filipino
English English
Mathematics Mathematics
Science Science
Araling Panlipunan Araling Panlipunan
EPP / TLE EPP / TLE
MAPEH MAPEH
Music Music
Arts Arts
Physical Education Physical Education
Health Health
Eduk. sa Pagpapakatao Eduk. sa Pagpapakatao
*Arabic Language *Arabic Language
*Islamic Values Education *Islamic Values Educati
General Average General Average
Remedial Classes Date Conducted: to Remedial Classes
Remedial Class Recomputed
Learning Areas Final Rating Remarks Learning Areas
Mark Final Grade
For Transfer Out /Elementary School Completer Only
CERTIFICATION
I CERTIFY that this is a true record of ___________________________________ with LRN ___________________ and tha
School Name: __________________________________ School ID ________________ Division: ___________ Last Schoo
____________________________________
Date Name of Principal/School Head over Printed Name
CERTIFICATION
I CERTIFY that this is a true record of ___________________________________ with LRN ___________________ and tha
School Name: __________________________________ School ID ________________ Division: ___________ Last Schoo
____________________________________
Date Name of Principal/School Head over Printed Name
CERTIFICATION
I CERTIFY that this is a true record of ___________________________________ with LRN ___________________ and tha
School Name: __________________________________ School ID ________________ Division: ___________ Last Schoo
____________________________________
Date Name of Principal/School Head over Printed Name
May add Certification Box if needed
Page 2 of ________
________________________ School ID:
_________________ Division: ________ Region:
Grade: ______ Section: ____ School Year:
er/Teacher: ______________ Signature:
Quarterly Rating Final
arning Areas Remarks
1 2 3 4 Rating
punan
ucation
papakatao
guage
ues Education
age
ses Date Conducted: to
Remedial Recomputed
g Areas Final Rating Remarks
Class Mark Final Grade
________________________ School ID:
_________________ Division: ________ Region:
Grade: ______ Section: ____ School Year:
er/Teacher: ______________ Signature:
Quarterly Rating Final
arning Areas Remarks
1 2 3 4 Rating
e
punan
ucation
papakatao
guage
ues Education
age
ses Date Conducted: to
Remedial Recomputed
g Areas Final Rating Remarks
Class Mark Final Grade
____ and that he/she is eligible for admission to Grade ________.
_ Last School Year Attended: _________________________
(Affix School Seal here)
____ and that he/she is eligible for admission to Grade ________.
_ Last School Year Attended: _________________________
(Affix School Seal here)
____ and that he/she is eligible for admission to Grade ________.
_ Last School Year Attended: _________________________
(Affix School Seal here)
SFRT Revised 2017