SF10-ES Republic of the Philippines

Department of Education

Learner Permanent Record for Elementary School (S

(Formerly Form 137)

LEARNER'S PERSONAL INFORMATION

LAST NAME: CABUG-OS FIRST NAME: JONDELL NAME EXTN. (Jr,I,II)

Learner Reference Number (LRN): 12399715004

______________ Birthdate (mm/dd/yyyy): SEPTEMBER 9,200
1 ELIGIBILITY FOR ELEMENTARY SCHOOL ENROLMENT
Credential Presented for Grade 1: Kinder Progress Report ECCD Checklist
Name of School: NIJAGA ELEMENTARY SCHOOLSchool ID: 1239 Address of School: PUROK 2,
97 SAMAR ,67
Other Credential Presented
PEPT Passer Rating: _________ Date of Examination/Assessment (mm/dd/yyyy): ____________
Name and Address of Testing Center:____________________________________________________ Rema
SCHOLASTIC RECORD
NIJAGA ELEMENTARY SCHOOL
School: ____________________________________ School ID: 123997 School: _____________________
CALBAYOG 3
District: ______________________ Divisi CALBAYOG CITY Region: VIII District: _____________________
1
Classified as Grade: ______ RUBY
Section: __________ School Year: 2018-2019 Classified as Grade: ______ Sect
Name of Adviser/Teacher RUBY P. DE GUZMAN Signature: Name of Adviser/Teacher: ______
Quarterly Rating Final
LEARNING AREAS Remarks Learning Areas
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
Remedial Class Recomputed
Learning Areas Final Rating Remarks Learning Areas
Mark Final Grade

School: ____________________________________ School ID: School: _____________________

District: ______________________ Division: _______________ Region: District: _____________________
Classified as Grade: ______ Section: __________ School Year: Classified as Grade: ______ Sect
Name of Adviser/Teacher: ______________________Signature: Name of Adviser/Teacher: ______

Quarterly Rating Final

Learning Areas Remarks Learning Areas
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
Remedial Class Recomputed
Learning Areas Final Rating Remarks Learning Areas
Mark Final Grade
the Philippines
t of Education

or Elementary School (SF10-ES)

ly Form 137)

ERSONAL INFORMATION

MIDDLE NAME: BALBIN

SEPTEMBER 9,2009 Sex: MALE

MENTARY SCHOOL ENROLMENT
Kindergarten Certificate of Completion
PUROK 2, BRGY. NIJAGA CALBAYOG CITY, W.
SAMAR ,6710

Others (Pls. Specify): _________________________

________________________ Remark:____________________________________
OLASTIC RECORD

School: _____________________________ School ID:

District: ______________________ Division: ________ Region:
Classified as Grade: ______ Section: ____ School Year:
Name of Adviser/Teacher: ______________ Signature:
Quarterly Rating Final
Learning Areas Remarks
1 2 3 4 Rating

Mother Tongue
Filipino
English

Mathematics
Science

Araling Panlipunan
EPP / TLE
MAPEH

Music
Arts

Physical Education
Health

Eduk. sa Pagpapakatao
*Arabic Language
*Islamic Values Education

General Average
 Conducted from: to
Remedial Recomputed
Final Rating Remarks
Class Mark Final Grade

School: _____________________________ School ID:

District: ______________________ Division: ________ Region:
Classified as Grade: ______ Section: ____ School Year:
Name of Adviser/Teacher: ______________ Signature:

Quarterly Rating Final

Learning Areas Remarks
1 2 3 4 Rating

Mother Tongue

Filipino
English
Mathematics

Science
Araling Panlipunan

EPP / TLE
MAPEH
Music

Arts
Physical Education
Health

Eduk. sa Pagpapakatao
*Arabic Language

*Islamic Values Education

General Average
Date Conducted: to
Remedial Recomputed
Final Rating Remarks
Class Mark Final Grade

SFRT 2017
SF10-ES
SCHOLASTIC RECORD
School: _____________________________________ School ID: School: _______________
District: ______________________ Division: ________________Region: District: _______________
Classified as Grade: ______ Section: __________ School Year: Classified as Grade: _____
Name of Adviser/Teacher: ______________________Signature: Name of Adviser/Teacher: _

Quarterly Rating Final

LEARNING AREAS Remarks Learning Area
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 Educatio
General Average General Average
Remedial Classes Date Conducted: to Remedial Classes
Remedial Class Recomputed
Learning Areas Final Rating Remarks Learning Areas
Mark Final Grade

School: _____________________________________ School ID: School: _______________

District: ______________________ Division: ________________Region: District: _______________
Classified as Grade: ______ Section: __________ School Year: Classified as Grade: _____
Name of Adviser/Teacher: ______________________Signature: Name of Adviser/Teacher: _

Quarterly Rating Final

Learning Areas Remarks Learning Area
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 Educatio
General Average General Average
Remedial Classes Date Conducted: to Remedial Classes
Remedial Class Recomputed
Learning Areas Final Rating Remarks Learning Areas
Mark Final Grade

For Transfer Out /Elementary School Completer Only

CERTIFICATION
I CERTIFY that this is a true record of ___________________________________ with LRN ___________________ and that
School Name: __________________________________ School ID ________________ Division: ___________ Last School

____________________________________
Date Name of Principal/School Head over Printed Name

CERTIFICATION
I CERTIFY that this is a true record of ___________________________________ with LRN ___________________ and that
School Name: __________________________________ School ID ________________ Division: ___________ Last School

____________________________________
Date Name of Principal/School Head over Printed Name

CERTIFICATION
I CERTIFY that this is a true record of ___________________________________ with LRN ___________________ and that
School Name: __________________________________ School ID ________________ Division: ___________ Last School

____________________________________
 Date Name of Principal/School Head over Printed Name
May add Certification Box if needed
 Page 2 of ________
OLASTIC RECORD
School: _____________________________ School ID:
District: ______________________ Division: ________ Region:
Classified as Grade: ______ Section: ____ School Year:
Name of Adviser/Teacher: ______________ Signature:

Quarterly Rating Final

Learning Areas Remarks
1 2 3 4 Rating

Mother Tongue
Filipino
English
Mathematics
Science
Araling Panlipunan
EPP / TLE
MAPEH
Music
Arts
Physical Education
Health
Eduk. sa Pagpapakatao
*Arabic Language
*Islamic Values Education
General Average
Remedial Classes Date Conducted: to
Remedial Recomputed
Learning Areas Final Rating Remarks
Class Mark Final Grade

School: _____________________________ School ID:

District: ______________________ Division: ________ Region:
Classified as Grade: ______ Section: ____ School Year:
Name of Adviser/Teacher: ______________ Signature:

Quarterly Rating Final

Learning Areas Remarks
1 2 3 4 Rating

Mother Tongue
Filipino
 English
Mathematics
Science
Araling Panlipunan
EPP / TLE
MAPEH
Music
Arts
Physical Education
Health
Eduk. sa Pagpapakatao
*Arabic Language
*Islamic Values Education
General Average
Remedial Classes Date Conducted: to
Remedial Recomputed
Learning Areas Final Rating Remarks
Class Mark Final Grade

CERTIFICATION
LRN ___________________ and that he/she is eligible for admission to Grade ________.
Division: ___________ Last School Year Attended: _________________________

(Affix School Seal here)

CERTIFICATION
LRN ___________________ and that he/she is eligible for admission to Grade ________.
Division: ___________ Last School Year Attended: _________________________

(Affix School Seal here)

CERTIFICATION
LRN ___________________ and that he/she is eligible for admission to Grade ________.
Division: ___________ Last School Year Attended: _________________________
(Affix School Seal here)
SFRT Revised 2017