Beruflich Dokumente
Kultur Dokumente
DEPARTM
FIRST NAME:
Date of Birth (MM/DD/YYYY):
ELIGIBILITY FOR
High School Completer*
Gen. Ave:
Date of Graduation/Completion (MM/DD/YYYY):
PEPT Passer**
Rating:
Date of Examination/Assessment (MM/DD/YYYY):
Rating:
Name and Addres
*High School Completers are students who graduated from secondary school under the old curriculum
**PEPT - Philippine Educational Placement Test for JHS
SCHOLAST
SCHOOL:
TRACK/STRAND:
SCHOOL ID
SUBJECTS
REMARKS:
Prepared by:
Signature of Autho
to (MM/DD/YYYY):
SUBJECTS
Name of Teacher/Adviser:
SCHOOL:
TRACK/STRAND:
Indicate if Subject is CORE,
SCHOOL ID
SUBJECTS
REMARKS:
Prepared by:
Name of Teacher/Adviser:
Signature of Autho
to (MM/DD/YYYY):
SUBJECTS
FORM
LEARNER'S INFORMATION
MIDDLE NAME:
Date of SHS Admission (MM/DD/YYYY):
Sex:
SCHOLASTIC RECORD
SCHOOL ID:
GRADE LEVEL:
SECTION:
SY:
Quarter
SEM:
FAIL
SCHOOL ID:
SCHOOL:
SCHOOL ID:
SEM FINAL
GRADE
REMEDIAL
CLASS MARK
RECOMPUTED
FINAL GRADE
ACTION
Signature:
GRADE LEVEL:
SY:
SECTION:
Quarter
SEM:
FAIL
SCHOOL ID:
SEM FINAL
GRADE
Signature:
REMEDIAL
CLASS MARK
RECOMPUTED
FINAL GRADE
ACTION
FORM 137-SHS
SEM:
ACTION TAKEN
FAILED
L ID:
ACTION TAKEN
SEM:
ACTION TAKEN
FAILED
L ID:
ACTION TAKEN
Page 2
SCHOOL:
TRACK/STRAND:
SCHOOL ID:
SUBJECTS
REMARKS:
Prepared by:
Signature of Authorized
to (MM/DD/YYYY):
SUBJECTS
Name of Teacher/Adviser:
SCHOOL:
SCHOOL ID:
TRACK/STRAND:
Indicate if Subject is CORE, APPLIED,
or SPECIALIZED
SUBJECTS
REMARKS:
Prepared by:
Signature of Authorized
to (MM/DD/YYYY):
SUBJECTS
Name of Teacher/Adviser:
Track/Strand Accomplished:
Awards/Honors Received:
Certified by:
Date
NOTE:
This permanent record or a photocopy of this permanent record that bears the seal of the school and the original signature in ink of the S
Head shall be considered valid for all legal purposes. Any erasure or alteration made on this copy should be validated by the School Head
If the student transfers to another school, the originating school should produce one (1) certified true copy of this permanent record for
safekeeping. The receiving school shall continue filling up the original form.
Upon graduation, the school from which the student graduated should keep the original form and produce one (1) certified true copy for th
Division Office.
REMARKS: (Please indicate the purpose for which this permanent record will be used)
Date Issued (MM/DD/YYYY):
Form 137-SH
GRADE LEVEL:
SECTION:
SY:
Quarter
SEM:
FAILED
SCHOOL ID:
SEM FINAL
GRADE
REMEDIAL
CLASS MARK
RECOMPUTED
FINAL GRADE
ACTION TAKEN
Signature:
GRADE LEVEL:
SY:
SEM:
SECTION:
Quarter
FAILED
k of the School
hool Head.
ord for
SCHOOL:
SCHOOL ID:
SEM FINAL
GRADE
REMEDIAL
CLASS MARK
RECOMPUTED
FINAL GRADE
ACTION TAKEN
Signature:
SHS General Average:
Date of SHS Graduation (MM/DD/YYYY):
Place School Seal Here:
rm 137-SHS
ON TAKEN
FAILED
ON TAKEN
ON TAKEN
FAILED
ON TAKEN
APPLIED SUBJECTS
English for Academic and Professional Purposes
Practical Research 1
Practical Research 2
Filipino sa Piling Larang
Empowerment Technologies
Entrepreneurship
Inquiries, Investigations and Immersion
SPECIALIZED SUBJECTS (Please write the list of subjects below)
Form 137-SHS