SF10-ES Republic of the Philippines

Department of Education

Learner Permanent Record for Elementary School (SF10-ES)

(Formerly Form 137)

LEARNER'S PERSONAL INFORMATION

LAST NAME: BANSIL FIRST NAME: RIAHN NAME EXTN. (Jr,I,II) MIDDLE NAME: BELTRAN

Learner Reference Number (LRN): 106036160018 Birthdate (mm/dd/yyyy): ##### 12.20.10 Sex: FEMALE
ELIGIBILITY FOR ELEMENTARY SCHOOL ENROLMENT
Credential Presented for Grade 1: Kinder Progress Report ECCD Checklist Kindergarten Certificate of Completion
Name of School: STA MONICA ELEMENTARY School ID: 106036 Address of School: STA MONICA LUBAO PAMP.
Other Credential Presented
PEPT Passer Rating: Date of Examination/Assessment (mm/dd/yyyy): Others (Pls. Specify):
Name and Address of Testing Center: Remark:
SCHOLASTIC RECORD
School: STA MONICA ELEMENTARY School ID: 106036 School: STA MONICA ELEMENTARY School ID: 106036
District: LUBAO NORTH Division PAMP. Region: III District: LUBAO NORTH Division: PAMP. Region: III
Classified as Grade: ONE Section: A School Year: 2017-2018 Classified as Grade: TWO Section: MATAPAT School Year: 2018-2019
Name of Adviser/Teacher: BERNADETTE S. BACANI Signature: Name of Adviser/Teacher: JUSTA L. TAÑEDO Signature:
Quarterly Rating Final Quarterly Rating Final
LEARNING AREAS Remarks Learning Areas Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Mother Tongue 98 97 93 94 96 PASSED Mother Tongue 95 96 96 97 96 PASSED

Filipino 92 94 88 91 PASSED Filipino 94 94 95 95 95 PASSED

English 96 99 98 PASSED English 95 95 95 95 95 PASSED

Mathematics 99 96 99 95 97 PASSED Mathematics 93 93 95 96 94 PASSED

Science Science
Araling Panlipunan 89 94 92 92 92 PASSED Araling Panlipunan 94 95 95 96 95 PASSED

EPP / TLE EPP / TLE

MAPEH 95 93 94 96 95 PASSED MAPEH 93 94 94 95 94 PASSED

Music 98 95 91 93 94 PASSED Music 94 94 94 95 94 PASSED

Arts 93 96 94 98 95 PASSED Arts 93 94 95 96 95 PASSED

Physical Education 95 95 93 98 95 PASSED Physical Education 93 94 94 95 94 PASSED

Health 93 87 98 96 94 PASSED Health 93 93 94 95 94 PASSED

Eduk. sa Pagpapakatao 95 97 92 95 95 PASSED Eduk. sa Pagpapakatao 95 95 96 96 96 PASSED

*Arabic Language *Arabic Language

*Islamic Values Education *Islamic Values Education
General Average 95 95 94 94 95 PROMOTED General Average 94 95 95 96 95 PROMOTED

Remedial Classes Conducted from: to Remedial Classes Conducted from: to

Remedial Class Recomputed Remedial Class Recomputed Final
Learning Areas Final Rating Remarks Learning Areas Final Rating Remarks
Mark Final Grade Mark Grade

School: School ID: School: School ID:

District: Division Region: District: Division: Region:
Classified as Grade: Section: School Year: Classified as Grade: Section: School Year:
Name of Adviser/Teacher: Signature: Name of Adviser/Teacher: Signature:

Quarterly Rating Final Quarterly Rating Final

LEARNING AREAS Remarks Learning Areas Remarks
1 2 3 4 Rating 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 Conducted from: to

Remedial Class Recomputed Remedial Class Recomputed Final
Learning Areas Final Rating Remarks Learning Areas Final Rating Remarks
Mark Final Grade Mark Grade

SFRT 2017
SF10-ES Page 2 of ________
SCHOLASTIC RECORD
School: ______________________________________ School ID: School: ______________________________________ School ID:
District: ______________________ Division: ________________ Region: District: ______________________ Division: ________________ Region:
Classified as Grade: ______ Section: __________ School Year: Classified as Grade: ______ Section: __________ School Year:
Name of Adviser/Teacher: ______________________ Signature: Name of Adviser/Teacher: ______________________ Signature:

Quarterly Rating Final Quarterly Rating Final

LEARNING AREAS Remarks Learning Areas Remarks
1 2 3 4 Rating 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 Date Conducted: to
Remedial Class Recomputed Remedial Recomputed
Learning Areas Final Rating Remarks Learning Areas Final Rating Remarks
Mark Final Grade Class Mark Final Grade

School: ______________________________________ School ID: School: ______________________________________ School ID:

District: ______________________ Division: ________________ Region: District: ______________________ Division: ________________ Region:
Classified as Grade: ______ Section: __________ School Year: Classified as Grade: ______ Section: __________ School Year:
Name of Adviser/Teacher: ______________________ Signature: Name of Adviser/Teacher: ______________________ Signature:

Quarterly Rating Final Quarterly Rating Final

Learning Areas Remarks Learning Areas Remarks
1 2 3 4 Rating 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 Date Conducted: to
Remedial Class Recomputed Remedial Recomputed
Learning Areas Final Rating Remarks Learning Areas Final Rating Remarks
Mark Final Grade Class Mark Final Grade

For Transfer Out /Elementary School Completer Only

CERTIFICATION
I CERTIFY that this is a true record of with LRN and that he/she is eligible for addmision to Grade .
School Name: School ID Division: Last School Year Attended:

Date Signature of Principal/School Head over Printed Name (Affix School Seal here)

CERTIFICATION
I CERTIFY that this is a true record of with LRN and that he/she is eligible for addmision to Grade .
 School Name: School ID Division: Last School Year Attended:

Date Signature of Principal/School Head over Printed Name (Affix School Seal here)

CERTIFICATION
I CERTIFY that this is a true record of with LRN and that he/she is eligible for addmision to Grade .
School Name: School ID Division: Last School Year Attended:

Date Signature of Principal/School Head over Printed Name (Affix School Seal here)
May add Certification Box if needed SFRT Revised 2017