REPUBLIC OF THE PHILIPPIN

DEPARTMENT OF EDUCATIO

SENIOR HIGH SCHOOL STUDENT PERM

LEARNER'S INFORMATION
LAST NAME: CARAET FIRST NAME: RENALYN
LRN: 107366050013 Date of Birth (MM/DD/YYYY): 12/14/1999

ELIGIBILITY FOR SHS ENROLMENT

High School Completer* Gen. Ave: ⁄ Junior High School Completer Gen. Ave: 87
Date of Graduation/Completion (MM/DD/YYYY): 4/2/2016 Name of School: DR. JUAN A. PASTOR NATIONAL HIGH S
PEPT Passer** Rating: ALS A&E Passer*** Rating: Others (Pls. S
Date of Examination/Assessment (MM/DD/YYYY): Name and Address of Community Learning Cente
*High School Completers are students who graduated from secondary school under the old curriculum ***ALS A&E - Alternative
**PEPT - Philippine Educational Placement Test for JHS
SCHOLASTIC RECORD
SCHOOL: ICT-ED Institute of Science and Technology Inc. SCHOOL ID: 402189
TRACK/STRAND: HOME ECONOMICS
Indicate if Subject is
CORE, APPLIED, or SUBJECTS
SPECIALIZED
Core Oral Communication
Core Komunikasyon at Pananaliksik sa Wika at Kulturang Pilipino
Core General Mathematics
Core Earth and Life Science
Core Personal Development
Core Physical Education and Health

Applied Practical Research 1

Specialized Food and Beverage Services 1

REMARKS:
Prepared by: Certified True and Correct:

ADRIAN J. ANDAL ROSALIE HERNANDEZ-DE GUZMAN

Signature of Adviser over Printed Name Signature of Authorized Person over Printed N

REMEDIAL CLASSES Conducted from (MM/DD/YYYY): to (MM/DD/YYYY): SCHOOL:

Indicate if Subject is
CORE, APPLIED, or SUBJECTS
SPECIALIZED

Name of Teacher/Adviser:

SCHOOL: ICT-ED Institute of Science and Technology Inc. SCHOOL ID: 402189
TRACK/STRAND: HOME ECONOMICS
Indicate if Subject is
 Indicate if Subject is
CORE, APPLIED, or SUBJECTS
SPECIALIZED
Core Rreading and Writing
Core Pagbasa at Pagsusuri sa Iba't-ibang Disiplina
Core Physical Science
Core Statistics and Probability
Core Physical Education and Health 2

Applied Practical Research 2

Specialized Food and Beverage Services 2
Specialized Front Office 1

REMARKS:
Prepared by: Certified True and Correct:

ADRIAN J. ANDAL ROSALIE HERNANDEZ-DE GUZMAN

Signature of Adviser over Printed Name Signature of Authorized Person over Printed N

REMEDIAL CLASSES Conducted from (MM/DD/YYYY): to (MM/DD/YYYY): SCHOOL:

Indicate if Subject is
CORE, APPLIED, or SUBJECTS
SPECIALIZED

Name of Teacher/Adviser:
LIPPINES FORM 137-SHS
UCATION

PERMANENT RECORD

MIDDLE NAME: SAMSON

Sex: FEMALE Date of SHS Admission (MM/DD/YYYY): 06/13/2016

NT

L HIGH SCHOOL School Address: TALAIBON, IBAAN, BATANGAS

rs (Pls. Specify):
ng Center:
Alternative Learning System Accreditation and Equivalency Test for JHS

GRADE LEVEL: ELEVEN(11) SY: 2016-2017 SEM: 1ST

SECTION: GALILEO
Quarter SEM FINAL ACTION
1ST 2ND GRADE TAKEN

88 90 89 PASSED
85 88 87 PASSED
81 88 85 PASSED
86 86 86 PASSED
90 90 90 PASSED
91 84 88 PASSED

89 88 89 PASSED
86 83 85 PASSED

General Ave. for the Semester: 87 PASSED

Date Checked (MM/DD/YYYY):

UZMAN/PRINCIPAL
Printed Name, Designation

SCHOOL ID:
REMEDIAL
SEM FINAL RECOMPUTED ACTION
CLASS
GRADE FINAL GRADE TAKEN
MARK

Signature:

GRADE LEVEL: ELEVEN(11) SY: 2016-2017 SEM: 2ND

SECTION: GALILEO
Quarter SEM FINAL ACTION
 SEM FINAL ACTION
3RD 4TH GRADE TAKEN

92 88 90 PASSED
84 89 87 PASSED
88 86 87 PASSED
81 85 83 PASSED
90 84 87 PASSED

84 84 84 PASSED
91 79 85 PASSED
85 88 87 PASSED

General Ave. for the Semester: 86 PASSED

Date Checked (MM/DD/YYYY):

UZMAN/PRINCIPAL
Printed Name, Designation

SCHOOL ID:
REMEDIAL
SEM FINAL RECOMPUTED ACTION
CLASS
GRADE FINAL GRADE TAKEN
MARK

Signature:
 Page 2 CARAET, RENALYN SAMSON
SCHOOL: SCHOOL ID: GRADE
TRACK/STRAND:

Indicate if Subject is CORE,

SUBJECTS
APPLIED, or SPECIALIZED

REMARKS:
Prepared by: Certified True and Correct:

Signature of Adviser over Printed Name Signature of Authorized Person over Printed Name, D

REMEDIAL CLASSES Conducted from (MM/DD/YYYY): (MM/DD/YYYY): SCHOOL:

Indicate if Subject is CORE,

SUBJECTS
APPLIED, or SPECIALIZED

Name of Teacher/Adviser:

SCHOOL: SCHOOL ID: GRADE

TRACK/STRAND:

Indicate if Subject is CORE,

SUBJECTS
APPLIED, or SPECIALIZED
REMARKS:
Prepared by: Certified True and Correct:

Signature of Adviser over Printed Name Signature of Authorized Person over Printed Name, D

REMEDIAL CLASSES Conducted from (MM/DD/YYYY): (MM/DD/YYYY): SCHOOL:

Indicate if Subject is CORE,

SUBJECTS
APPLIED, or SPECIALIZED

Name of Teacher/Adviser:

Track/Strand Accomplished:
Awards/Honors Received:
Certified by: Place School Sea

Signature of School Head over Printed Name 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 School 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 the Division Office.

REMARKS: (Please indicate the purpose for which this permanent record will be used)

Date Issued (MM/DD/YYYY):

 Form 137-SHS
GRADE LEVEL: SY: SEM:
SECTION:
Quarter SEM FINAL ACTION
GRADE TAKEN

General Ave. for the Semester:

Date Checked (MM/DD/YYYY):

ed Name, Designation

SCHOOL ID:
REMEDIAL
SEM FINAL RECOMPUTED ACTION
CLASS
GRADE FINAL GRADE TAKEN
MARK

Signature:

GRADE LEVEL: SY: SEM:

SECTION:
Quarter SEM FINAL ACTION
GRADE TAKEN
 General Ave. for the Semester:

Date Checked (MM/DD/YYYY):

ed Name, Designation

SCHOOL ID:
REMEDIAL
SEM FINAL RECOMPUTED ACTION
CLASS
GRADE FINAL GRADE TAKEN
MARK

Signature:

SHS General Average:

Date of SHS Graduation (MM/DD/YYYY):
chool Seal Here:
CARAET, RENALYN SAMSON Form 137-SHS
ANNEX: LIST OF SUBJECTS TAKEN
Please check the subjects passed by the student
CORE SUBJECTS
⁄ Oral Communication
⁄ Reading and Writing
⁄ Komunikasyon at Pananaliksik sa Wika at Kulturang Pilipino
⁄ Pagbasa at Pagsusuri ng Iba't Ibang Teksto Tungo sa Pananaliksik
21st Century Literature from the Philippines and the World
Contemporary Philippine Arts from the Regions
Media and Information Literacy
⁄ General Mathematics
⁄ Statistics and Probability
⁄ Earth and Life Science*
⁄ Physical Science*
⁄ Personal Development/Pansariling Kaunlaran
Understanding Culture, Society and Politics
Introduction to the Philosophy of the Human Person/Pambungad sa Pilosopiya ng Tao
⁄ Physical Education and Health (spread out in 4 semesters)
*STEM students will take these instead:
Earth Science
Disaster Readiness and Risk Reduction
Subject substitutions, if any:

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)

⁄ Food and Beverage Services 1
⁄ Food and Beverage Services 2
⁄ Front Office 1

OTHER SUBJECTS (Please write the list of subjects below)