Republic of the Philippines

Department of Education
Learner Permanent Record for Junior High School (SF10-JHS)
(Formerly Form 137)

LEARNER'S INFORMATION
LAST NAM ABELLA FIRST NAME: JOSE CHITO NAME EXT. (Jr,I,II): JR.
Learner Reference Number (LRN)
### 119947110001 Birthdate (mm/dd/yyyy): 11/8/2005

ELIGIBILITY FOR JHS ENROLMENT

✘ Elementary School Completer General Average: 80 Citation (if Any):
Name of Elementary School: HERMENEGILDA F. GLORIA MES School ID: 119947 Address of Schoo
Other Credential Presented
PEPT Passer Rating: ALS A & E Passer Rating:
Date of Examination/Assessment (mm/dd/yyyy): Name and Address of Testing Center:

SCHOLASTIC RECORD
SchooHERMENEGILDA F. GLORIA MHS School ID: 303170 District: Division: DU
Classified as Grad 7 Section: PIÑERO School Year: 2018-2019 Name of Adviser/Teacher: GINA M. PIÑERO
Quarterly Rating FINAL
LEARNING AREAS
1 2 3 4 RATING
Filipino 72 76 73 80 75
English 75 72 75 77 75
Mathematics 76 73 76 76 75
Science 75 73 72 78 75
Araling Panlipunan (AP) 75 76 73 75 75
Edukasyon sa Pagpapakatao (EsP) 76 73 70 80 75
Technology and Livelihood Education (TLE) 75 75 73 77 75
MAPEH 75 75 73 77 75
Music 76 77 75 76 76
Arts 75 77 73 75 75
Physical Education 75 78 76 75 76
Health 78 74 75 75 76

General Average: 75%

Remedial Classes Conducted from (mm/dd/yyyy) to (mm/dd/yyyy)

Learning Areas Final Rating Remedial Class Mark Recomputed

Final Grade

Schoo School ID: District: Division:

Classified as Grad Section: School Year: Name of Adviser/Teacher:
Quarterly Rating FINAL
LEARNING AREAS
1 2 3 4 RATING
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)
Technology and Livelihood Education (TLE)
MAPEH
Music
Arts
Physical Education
Health

General Average
Remedial Classes Conducted from (mm/dd/yyyy) to (mm/dd/yyyy)

Learning Areas Final Rating Remedial Class Mark Recomputed

Final Grade

CERTIFICATION

I CERTIFY that this is a true record o with LRN that he/she is eli
Name of Schoo School ID: Last School Year Attended:

Date Signature of Principal/School Head over Printed Name

10-JHS)

MIDDLE NAME: PITULAN

05 Sex: MALE

dress of School: BANILAD, DUMAGUETE CITY

rs (Pls. Specify):

DUMAGUETE CITY Region: VII

PIÑERO Signature:

REMARKS

PASSED
PASSED

Remarks

Region:
Signature:

REMARKS
 Remarks

hat he/she is eligible for admission to Grade

Year Attended:

(Affix School Seal Here)

SF10-JHS

School: School ID: District: Division:

Classified as Grade: Section: School Year: Name of Adviser/Teacher:
Quarterly Rating FINAL
LEARNING AREAS
1 2 3 4 RATING
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)
Technology and Livelihood Education (TLE)
MAPEH
Music
Arts
Physical Education
Health

General Average
Remedial Classes Conducted from (mm/dd/yyyy) to (mm/dd/yyyy)

Learning Areas Final Rating Remedial Class Mark Recomputed

Final Grade

School: School ID: District: Division:

Classified as Grade: Section: School Year: Name of Adviser/Teacher:
Quarterly Rating FINAL
LEARNING AREAS
1 2 3 4 RATING
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)
Technology and Livelihood Education (TLE)
MAPEH
Music
Arts
Physical Education
Health

General Average
Remedial Classes Conducted from (mm/dd/yyyy) to (mm/dd/yyyy)

Learning Areas Final Rating Remedial Class Mark Recomputed

Final Grade

School: School ID: District: Division:

Classified as Grade: Section: School Year: Name of Adviser/Teacher:
Quarterly Rating FINAL
LEARNING AREAS
RATING
 LEARNING AREAS FINAL
1 2 3 4 RATING
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)
Technology and Livelihood Education (TLE)
MAPEH
Music
Arts
Physical Education
Health

General Average
Remedial Classes Conducted from (mm/dd/yyyy) to (mm/dd/yyyy)

Learning Areas Final Rating Remedial Class Mark Recomputed

Final Grade

For Transfer Out / JHS Completer Only

CERTIFICATION

I CERTIFY that this is a true record of with LRN and that he/she is eligible
Name of School: School ID: Last School Year Attended:

Date Signature of Principal/School Head over Printed Name (Aff

(May add Certifiation box if needed)
 Page 2 of

Region:
Signature:

REMARKS

Remarks

Region:
Signature:

REMARKS

Remarks

Region:
Signature:

REMARKS
 REMARKS

Remarks

e/she is eligible for admission to Grade

(Affix School Seal Here)

SFRT Revised 2017