Republic of the Philippines

Department of Education
National Capital Region
DIVISION OF CITY SCHOOLS

1x1
Picture

SAN FRANCISCO HIGH SCHOOL

Misamis St., Bago Bantay, Quezon City, Metro Manila

Form 137-A

SECONDARY STUDENTS
PERMANENT RECORD

Copy of this record sent to the

Principal of ________________
____________________________
__________________________
____________________________
__
Principal
Name: ____________________________________________ Date of Birth: Year ___________ Month___________ Day_________
Place of Birth: Province _____________________________ Town______________________ Barangay ______________________
Parent or Guardian: _________________________________________________ Occupation: _______________________________
Address of Parent or Guardian: ___________________________________________ Contact Number: _______________________
Intermediate Course Completed (School): ___________________________________ Year ______________ General Ave. _______

LRN

CLASSIFIED AS
Total number of years in school to complete Elementary Course: ________
_______________________ Section: ___________________ School: ___________________________________ School Year: 20_____ - 20 _____
Final
Rating

QUARTER

Learning Areas
1

Total No. of days in the

Curriculum Year ___________

Action
Taken

Lack/s subject/s in
_________________________
_________________________
Classified as:
_________________________
Adviser:
_________________________

Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)

Checked By:
1.
____________________
__
2.
____________________
__
3.
____________________
__

Technology & Livelihood Educ. (TLE)

MAPEH
GEN. AVE

JUNE

JULY

AUG

SEPT

OCT

NOV

DEC

JAN

FEB

MARCH

APRIL

TOTAL

Days of School
Days Present
Summer: _____________________________________________________ School: ____________________________________________________
SUBJECTS

Previous Grade

Remedial Grade

Final Grade
Total No. of days in the
Curriculum Year ________

CLASSIFIED AS
Total number of years in school to date: ________
_______________________ Section: ___________________ School: ___________________________________ School Year: 20_____ - 20 _____
Final
Rating

QUARTER

Learning Areas
1

Total No. of days in the

Curriculum Year ___________

Action
Taken

Lack/s subject/s in
_________________________
_________________________
Classified as:
_________________________
Adviser:
_________________________

Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)

Checked By:
1.
____________________
__
2.
____________________
__
3.
____________________
__

Technology & Livelihood Educ. (TLE)

MAPEH
GEN. AVE

JUNE

JULY

AUG

SEPT

OCT

NOV

DEC

JAN

FEB

MARCH

APRIL

TOTAL

Days of School
Days Present
Summer: _____________________________________________________ School: ____________________________________________________

SUBJECTS

Previous Grade

Remedial Grade

Final Grade
Total No. of days in the
Curriculum Year ________

CLASSIFIED AS
Total number of years in school to date: ________
_______________________ Section: ___________________ School: ___________________________________ School Year: 20_____ - 20 _____
Final
Rating

QUARTER

Learning Areas
1

Total No. of days in the

Curriculum Year ___________

Action
Taken

Lack/s subject/s in
_________________________
_________________________
Classified as:
_________________________
Adviser:
_________________________

Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)

Checked By:
1.
____________________
__
2.
____________________
__
3.
____________________
__

Technology & Livelihood Educ. (TLE)

MAPEH
GEN. AVE

JUNE

JULY

AUG

SEPT

OCT

NOV

DEC

JAN

FEB

MARCH

APRIL

TOTAL

Days of School
Days Present
Summer: _____________________________________________________ School: ____________________________________________________
SUBJECTS

Previous Grade

Remedial Grade

Final Grade
Total No. of days in the
Curriculum Year ________

CLASSIFIED AS
Total number of years in school to date: ________
_______________________ Section: ___________________ School: ___________________________________ School Year: 20_____ - 20 _____
Final
Rating

QUARTER

Learning Areas
1

Total No. of days in the

Curriculum Year ___________

Action
Taken

Lack/s subject/s in
_________________________
_________________________
Classified as:
_________________________
Adviser:
_________________________

Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)

Checked By:
1.
____________________
__
2.
____________________
__
3.
____________________
__

Technology & Livelihood Educ. (TLE)

MAPEH
GEN. AVE

JUNE

JULY

AUG

SEPT

OCT

NOV

DEC

JAN

FEB

MARCH

APRIL

TOTAL

Days of School
Days Present
Summer: _____________________________________________________ School: ____________________________________________________
SUBJECTS

Previous Grade

Remedial Grade

Final Grade
Total No. of days in the
Curriculum Year ________

Total number of years in school to date: ________

I certify that this is a true record of ____________________________________________. This student

is eligible for admission to college/___________________________ year as a regular / an irregular student and
has no money or property responsibility in this school.

REMARKS:_______________________________________________________________________________
_________________________________________________________________________________________
Date Issued:
__________________________________________
VICTORIA B. MANGOSONG, Ed. D.
Principal IV