FORM 137-A

Republic of the Philippines

Department of Education
Region II
Schools Division of Isabela
MUOZ NATIONAL HIGH SCHOOL
Muoz West, Roxas, Isabela

SECONDARY STUDENTS PERMANENT RECORD

LRN : Date of Birth :
Name : Sex :
Place of Birth : Parent/Guardian :
Address : Occupation :
Elementary School : No. of Years :
School Year : Gen. Average :

Name of School : Grade/Section :

Address : School Year :
PERIODIC RATING EXTRA
Cur. FINAL ACTION UNITS
SUBJECTS Averaging/Cumulative CURRICULAR
Grade RATING TAKEN EARNED
1 2 3 4 ACTIVITIES
7 Filipino
7 English
7 Mathematics
7 Science
7 Araling Panlipunan
7 Edukasyon sa Pagpapakatao
7 Tech. & Livelihood Education
7 MAPEH
*Music
*Arts
*Physical Education
*Health
REPORT ON ATTENDANCE June July Aug Sept Oct Nov Dec Jan Feb Mar Apr TOTAL
Days of School
Days Present
Has Advance
:
Units in
Lacks Units in :
To be Total Number of Years in
:
Classified as School to Date:
(Curriculum
Year)

Name of School : Grade/Section :

Address : School Year :
PERIODIC RATING EXTRA
Cur. FINAL ACTION UNITS
SUBJECTS Averaging/Cumulative CURRICULAR
Grade RATING TAKEN EARNED
1 2 3 4 ACTIVITIES
8 Filipino
8 English
8 Mathematics
8 Science
8 Araling Panlipunan
8 Edukasyon sa Pagpapakatao
8 Tech. & Livelihood Education
8 MAPEH
*Music
*Arts
*Physical Education
*Health
REPORT ON ATTENDANCE June July Aug Sept Oct Nov Dec Jan Feb Mar Apr TOTAL
Days of School
Days Present
Has Advance Units in :
Lacks Units in :
www.facebook.com/mnhsroxas muoznationalhighschool@gmail.com
To be Classified as : Total Number of Years in School to Date:
(Curriculum Year)

Learners Name :

Name of School : Grade/Section :

Address : School Year :
PERIODIC RATING EXTRA
Cur. FINAL ACTION UNITS
SUBJECTS Averaging/Cumulative CURRICULAR
Grade RATING TAKEN EARNED
1 2 3 4 ACTIVITIES
9 Filipino
9 English
9 Mathematics
9 Science
9 Araling Panlipunan
9 Edukasyon sa Pagpapakatao
9 Tech. & Livelihood Education
9 MAPEH
*Music
*Arts
*Physical Education
*Health
REPORT ON ATTENDANCE June July Aug Sept Oct Nov Dec Jan Feb Mar Apr TOTAL
Days of School
Days Present
Has Advance Units in :
Lacks Units in :
To be Classified as : Total Number of Years in School to Date:
(Curriculum Year)

Name of School : Grade/Section :

Address : School Year :
PERIODIC RATING EXTRA
Cur. FINAL ACTION UNITS
SUBJECTS Averaging/Cumulative CURRICULAR
Grade RATING TAKEN EARNED
1 2 3 4 ACTIVITIES
10 Filipino
10 English
10 Mathematics
10 Science
10 Araling Panlipunan
10 Edukasyon sa Pagpapakatao
10 Tech. & Livelihood Education
10 MAPEH
*Music
*Arts
*Physical Education
*Health
REPORT ON ATTENDANCE June July Aug Sept Oct Nov Dec Jan Feb Mar Apr TOTAL
Days of School
Days Present
Has Advance Units in :
Lacks Units in :
To be Classified as : Total Number of Years in School to Date:
(Curriculum Year)

CERTIFICATE OF TRANSER

To Whom It May Concern:

GARWIN R. OCAMPO
I certify that thus us a true record of ____________________________________, this student is eligible, on this
16th SEPTEMBER 17 GRADE-11
_________ day of ______________________, 20_____, for admission to ________________________ as a regular/an
irregular and had no money or property responsibility in this school.

Remarks: __________________________________________
______________________________________________
VILMA C. DAYRIT
Secondary School Principal III
www.facebook.com/mnhsroxas muoznationalhighschool@gmail.com
 Copy of this record sent to principal of _______________________________________________________
school
on ________________________________________, 20____________.

_________________________
(Principal)

LRN : __________________________________________ Date of Birth : ___________________________

Name : __________________________________________ Sex : ___________________________
Place of Birth : __________________________________________ Parent/Guardian : ___________________________
Address : __________________________________________ Occupation : ___________________________
Elementary School : __________________________________________ No. of Years : ___________________________
School Year : __________________________________________ Gen. Average : ___________________________

www.facebook.com/mnhsroxas muoznationalhighschool@gmail.com