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SF 10 -JHS

Republic of the Philippines


Department of Education
Mainit National high School
Mainit, Surigao del Norte
Learner Permanent Record for Junior High School (SF10-JHS)
(Formerly Form 137)

LEARNER'S INFORMATION
LAST NAME: ________________________FIRST NAME: ____________________ NAME EXTN. (Jr,I,II): _______ MIDDLE NAME
Learner Reference Number (LRN): ______________ Birthdate (mm/dd/yyyy): _____________________ Sex: ________

ELIGIBILITY FOR JHS ENROLMENT


x Elementary School Completer General Average: ________ Citation: (If Any)
Name of Elementary School: School ID: Adress of School:
Other Credential Presented
PEPT Passer Rating: _________ ALS A & E Passer Rating: _____________ Others (Pls. Spe
Date of Examination/Assessment (mm/dd/yyyy): ____________ Name and Address of Testing Center: __________________

SCHOLASTIC RECORD
School: ______________________ School ID: ________ District: ___________________ Division: ___________
Classified as Grade: ____ Section: ___ School Year: _____ Name of Adviser/Teacher: ________________ S
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) _______________
Recomputed Final
Learning Areas Final Rating Remedial Class Mark Grade

School: ______________________ School ID: ________ District: ___________________ Division: ___________


Classified as Grade: ____ Section: ___ School Year: _____ Name of Adviser/Teacher: ________________ Si
QUARTER 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) ________________


Recomputed Final
Learning Areas Final Rating Remedial Class Mark
Grade

CERTIFICATION

I CERTIFY that this is a true record of _________________________with LRN ______________ and that he/she is eligible for ad
Name of School: ____________________________________ School ID: __________________ Last School Year Attended: ____

________________________
Date Name of Principal/School Head over Printed Name (Affix School Se
10-JHS)

MIDDLE NAME: ___________________


Sex: _____________________________

Others (Pls. Specify): ___________


________________________________

n: __________________ Region: ____


___________ Signature: __________

REMARKS

________________
Remarks

n: __________________ Region: ____


__________ Signature: __________

REMARKS
________________
Remarks

is eligible for admission to Grade ____.


r Attended: _________________________

(Affix School Seal here)


SF 10-JHS
School: ______________________ School ID: ________ District: ___________________ Division: ____________

Classified as Grade: ____ Section: ___ School Year: _____ Name of Adviser/Teacher: ________________ Sig

LEARNING AREAS QUARTER FINAL REM


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) _______________
Recomputed Final
Subject Final Rating Remedial Class Mark Re
Grade

School: ______________________ School ID: ________ District: ___________________ Division: ____________

Classified as Grade: ____ Section: ___ School Year: _____ Name of Adviser/Teacher: ________________ Sig
LEARNING AREAS QUARTER FINAL REM
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) __________
Recomputed Final
Learning Areas Final Rating Remedial Class Mark Re
Grade

School: ______________________ School ID: ________ District: ___________________ Division: ____________


Classified as Grade: ____ Section: ___ School Year: _____ Name of Adviser/Teacher: ________________ Sig
Quarterly Rating FINAL
LEARNING AREAS REM
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 Re
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 Name of Principal/School Head over Printed Name (Affix School Seal here
(May add Certification box if needed)
Pag 2 of ________
sion: __________________ Region: ____

____________ Signature: ________

REMARKS

) _______________
Remarks

sion: __________________ Region: ____

____________ Signature: ________


REMARKS

/yyyy) _______________
Remarks

sion: __________________ Region: ____


____________ Signature: ________

REMARKS
/yyyy) _______________
Remarks

that he/she is eligible for admission to Grade ____.


Year Attended: _________________________

Affix School Seal here)


SFRT Revised 2017
SF 10 -JHS
Republic of the Philippines
Department of Education
Mainit National high School
Mainit, Surigao del Norte
Learner Permanent Record for Junior High School (SF10-JHS)
(Formerly Form 137)

LEARNER'S INFORMATION
LAST NAME: ________________________FIRST NAME: ____________________ NAME EXTN. (Jr,I,II): _______ MIDDLE NAME:
Learner Reference Number (LRN): ______________ Birthdate (mm/dd/yyyy): _____________________ Sex: __________

ELIGIBILITY FOR JHS ENROLMENT

Elementary School Completer General Average: ________ Citation: (If Any)


Name of Elementary School: School ID: Adress of School:
Other Credential Presented
PEPT Passer Rating: _________ ALS A & E Passer Rating: _____________ Others (Pls. Speci
Date of Examination/Assessment (mm/dd/yyyy): ____________ Name and Address of Testing Center: ____________________

SCHOLASTIC RECORD
School: ______________________ School ID: ________ District: ___________________ Division: ____________
Classified as Grade: ____ Section: ___ School Year: _____ Name of Adviser/Teacher: ________________ Sig
Quarterly Rating FINAL
LEARNING AREAS R
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
Developmental Reading
Environmental Science
General Average

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


Recomputed Final
Learning Areas Final Rating Remedial Class Mark R
Grade

School: ______________________ School ID: ________ District: ___________________ Division: ____________


Classified as Grade: ____ Section: ___ School Year: _____ Name of Adviser/Teacher: ________________ Sign

QUARTER FINAL
LEARNING AREAS R
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
Geometry
Research I (Basic Statestics)
General Average

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


Learning Areas Final Rating Remedial Class Mark Recomputed Final R
Grade

CERTIFICATION

I CERTIFY that this is a true record of _________________________with LRN ______________ and that he/she is eligible for adm
Name of School: ____________________________________ School ID: __________________ Last School Year Attended: _____

________________________
Date Name of Principal/School Head over Printed Name (Affix School Sea
0-JHS)

MIDDLE NAME: ___________________


Sex: _____________________________

Others (Pls. Specify): ___________


______________________________

__________________ Region: ____


_________ Signature: __________

REMARKS

_______________
Remarks

__________________ Region: ____


________ Signature: __________

REMARKS
______________
Remarks

s eligible for admission to Grade ____.


Attended: _________________________

(Affix School Seal here)


SF 10-JHS
School: ______________________ School ID: ________ District: ___________________ Division: __________

Classified as Grade: ____ Section: ___ School Year: _____ Name of Adviser/Teacher: ________________ Si

LEARNING AREAS QUARTER 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
Spanish
Science (Basic Physics)
Biotechnology/Advance Statistics
General Average
Remedial Classes Conducted from (mm/dd/yyyy) ____________________ to (mm/dd/yyyy) _____________
Recomputed Final
Subject Final Rating Remedial Class Mark Grade

School: ______________________ School ID: ________ District: ___________________ Division: __________

Classified as Grade: ____ Section: ___ School Year: _____ Name of Adviser/Teacher: ________________ Si
LEARNING AREAS QUARTER 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
Spanish
Advance Chemistry
Research II
General Average
Remedial Classes Conducted from (mm/dd/yyyy) ____________________ to (mm/dd/yyyy) ______________
Recomputed Final
Learning Areas Final Rating Remedial Class Mark Grade

School: ______________________ School ID: ________ District: ___________________ Division: __________


Classified as Grade: ____ Section: ___ School Year: _____ Name of Adviser/Teacher: ________________ Si
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

For Transfer Out /JHS Completer Only


CERTIFICATION

I CERTIFY that this is a true record of _____________________________with LRN ________________ and that he/she is eligib
Name of School: ____________________________________ School ID __________________ Last School Year Attended: ____

_____________________
Date Name of Principal/School Head over Printed Name (Affix School S
(May add Certification box if needed)
Pag 2 of ________
__________________ Region: ____

________ Signature: ________

REMARKS

_____________
Remarks

__________________ Region: ____

________ Signature: ________


REMARKS

_____________
Remarks

__________________ Region: ____


________ Signature: ________

REMARKS
_____________
Remarks

e/she is eligible for admission to Grade ____.


Attended: _________________________

(Affix School Seal here)


SFRT Revised 2017
SF 10 -JHS
Republic of the Philippines
Department of Education
Mainit National high School
Mainit, Surigao del Norte
Learner Permanent Record for Junior High School (SF10-JHS)
(Formerly Form 137)

LEARNER'S INFORMATION
LAST NAME: ________________________FIRST NAME: ____________________ NAME EXTN. (Jr,I,II): _______ MIDDLE NAME:
Learner Reference Number (LRN): ______________ Birthdate (mm/dd/yyyy): _____________________ Sex: __________

ELIGIBILITY FOR JHS ENROLMENT


Elementary School Completer General Average: ________ Citation: (If Any)
Name of Elementary School: School ID: Adress of School:
Other Credential Presented
PEPT Passer Rating: _________ ALS A & E Passer Rating: _____________ Others (Pls. Speci
Date of Examination/Assessment (mm/dd/yyyy): ____________ Name and Address of Testing Center: ____________________

SCHOLASTIC RECORD
School: ______________________ School ID: ________ District: ___________________ Division: ____________
Classified as Grade: ____ Section: ___ School Year: _____ Name of Adviser/Teacher: ________________ Sig
Quarterly Rating FINAL
LEARNING AREAS R
1 2 3 4 RATING
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)
MAPEH
Music
Arts
Physical Education
Health
Music
Dancing
Visual Arts
Creative Writing
General Average

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


Learning Areas Final Rating Remedial Class Mark Recomputed Final R
Grade

School: ______________________ School ID: ________ District: ___________________ Division: ____________


Classified as Grade: ____ Section: ___ School Year: _____ Name of Adviser/Teacher: ________________ Sign

QUARTER FINAL
LEARNING AREAS R
1 2 3 4 RATING
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)
MAPEH
Music
Arts
Physical Education
Health
Music
Dancing
Visual Arts
Creative Writing
General Average

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


Learning Areas Final Rating Remedial Class Mark Recomputed Final R
Grade

CERTIFICATION

I CERTIFY that this is a true record of _________________________with LRN ______________ and that he/she is eligible for adm
Name of School: ____________________________________ School ID: __________________ Last School Year Attended: _____

________________________
Date Name of Principal/School Head over Printed Name (Affix School Sea
0-JHS)

MIDDLE NAME: ___________________


Sex: _____________________________

Others (Pls. Specify): ___________


______________________________

__________________ Region: ____


_________ Signature: __________

REMARKS

_______________
Remarks

__________________ Region: ____


________ Signature: __________

REMARKS
______________
Remarks

s eligible for admission to Grade ____.


Attended: _________________________

(Affix School Seal here)


SF 10-JHS
School: ______________________ School ID: ________ District: ___________________ Division: ___________
Classified as Grade: ____ Section: ___ School Year: _____ Name of Adviser/Teacher: ________________ Sig

LEARNING AREAS QUARTER FINAL RE


1 2 3 4 RATING
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)
MAPEH
Music
Arts
Physical Education
Health
Music
Dancing
Visual Arts
Creative Writing
General Average
Remedial Classes Conducted from (mm/dd/yyyy) ____________________ to (mm/dd/yyyy) _______________
Recomputed Final
Subject Final Rating Remedial Class Mark Re
Grade

School: ______________________ School ID: ________ District: ___________________ Division: ___________

Classified as Grade: ____ Section: ___ School Year: _____ Name of Adviser/Teacher: ________________ Sig
LEARNING AREAS QUARTER FINAL RE
1 2 3 4 RATING
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)
MAPEH
Music
Arts
Physical Education
Health
Music
Dancing
Visual Arts
Creative Writing
General Average
Remedial Classes Conducted from (mm/dd/yyyy) ____________________ to (mm/dd/yyyy) __________
Learning Areas Final Rating Remedial Class Mark Recomputed Final Re
Grade

School: ______________________ School ID: ________ District: ___________________ Division: ___________


Classified as Grade: ____ Section: ___ School Year: _____ Name of Adviser/Teacher: ________________ Sig
Quarterly Rating FINAL
LEARNING AREAS RE
1 2 3 4 RATING
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)
MAPEH
Music
Arts
Physical Education
Health
Music
Dancing
Visual Arts
Creative Writing
General Average
Remedial Classes Conducted from (mm/dd/yyyy) ____________________ to (mm/dd/yyyy) __________
Learning Areas Final Rating Remedial Class Mark Recomputed Final Re
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 for
Name of School: ____________________________________ School ID __________________ Last School Year Attended: _____

_____________________
Date Name of Principal/School Head over Printed Name (Affix School Seal here
(May add Certification box if needed)
Pag 2 of ________
sion: __________________ Region: ____
_____________ Signature: ________

REMARKS

y) _______________
Remarks

sion: __________________ Region: ____

_____________ Signature: ________


REMARKS

d/yyyy) _______________
Remarks

sion: __________________ Region: ____


_____________ Signature: ________

REMARKS
d/yyyy) _______________
Remarks

t he/she is eligible for admission to Grade ____.


Year Attended: _________________________

Affix School Seal here)


SFRT Revised 2017