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Form 137 Jhs

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SF 10 -JHS

Republic of the Philippines


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

LEARNER'S INFORMATION
LAST NAME: ABELLANOSA FIRST NAME: HEART NAIVEN NAME EXTN. (Jr,I,II): MIDDLE NAME: MADRI
Learner Reference Number (LRN): 118508100003 Birthdate (mm/dd/yyyy): 02/14/2005 Sex: Male
Place of Birth: VALENCIA BOHOL Name of Parent/ Guardian: ROSALINDA MADRIA
Address: POB. 1 TAGBILARAN

ELIGIBILITY FOR JHS ENROLMENT


Elementary School Completer General Average: 84 Citation: (If Any)
Name of Elementary School: TUBODACU ELEMENTARY SCHOOL School ID: 118508 Address of School: LOON BOHOL
Other Credential Presented
PEPT Passer Rating: _________ ALS A & E Passer Rating: _____________ Others (Pls. Specify): __________
Date of Examination/Assessment (mm/dd/yyyy): ____________ Name and Address of Testing Center: _________________________________

SCHOLASTIC RECORD
School: SACRED HEART ACADEMY School ID: 404-257 District: LOON SOUTH Division: BOHOL Region
Classified as Grade:7 Section: ST. JOACHIM School Year: 2017-2018 Name of Adviser/Teacher: NIKKA NIRISSA C. BOLIGAO

Curriculum Quarterly Rating FINAL


REM
Year Learning Areas 1 2 3 4 RATING
7 Religious Education 79 70 70 69 72 FAI
7 Filipino 83 77 77 67 76 PAS
7 English 84 76 70 65 72 FAI
7 Mathematics 81 73 76 70 75 PAS
7 Science 80 76 67 67 73 FAI
7 Araling Panlipunan (AP) 83 73 80 70 77 PAS
7 Technology Livelihood Education 75 75 75 68 73 FAI
7 MAPEH 85 80 71 68 76 PAS
Music 86 81 70 68 76 PAS
Arts 94 79 73 68 79 PAS
Physical Education 78 79 70 68 74 FAI
Health 85 79 70 68 76 PAS
7 Edukasyon sa Pagpapakatao ( EsP) 84 84 78 67 78 PAS
7 Computer Education ( Elective ) 79 75 67 67 72 FAI

7 Homeroom 91 84 71 67 78 PAS
General Average 74 RETA

June July Aug Sept Oct Nov Dec Jan Feb


Days of School 16 22 23 21 19 19 16 19 23
Days Present 16 22 22 20 19 11 12 7 0

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


Learning Areas Final Rating Remedial Class Mark Recomputed Final Grade Rem

School: School ID: District: Division: Region


Classified as Grade: Section: School Year: Name of Adviser/Teacher:

Curriculum Quarterly Rating FINAL


REM
Year Learning Areas 1 2 3 4 RATING
Religious Education
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Technology Livelihood Education
MAPEH
Music
Arts
Physical Education
Health
Edukasyon sa Pagpapakatao ( EsP)
Computer Education ( Elective )
Homeroom
General Average

June July Aug Sept Oct Nov Dec Jan Feb


Days of School
Days Present

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


Learning Areas Final Rating Remedial Class Mark Recomputed Final Grade Rem

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

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

NAME: MADRIA

BOHOL

ify): ___________
_________________

Region:VII
SA C. BOLIGAO Signature: __________

REMARKS
FAILED
PASSED
FAILED
PASSED
FAILED
PASSED
FAILED
PASSED
PASSED
PASSED
FAILED
PASSED
PASSED
FAILED

PASSED
RETAINED

Mar April Total


24 2 204
0 0 129

Remarks

Region:
Signature: __________

REMARKS
Mar April Total

Remarks

gible for admission to Grade ____.


nded: _________________________

hool Seal here)


SF 10-JHS
School: ______________________ School ID: ________ District: _______________ Division: _________________Regio
Classified as Grade: ____ Section: _________ School Year: _____ Name of Adviser/Teacher: ________________ Signa
QUARTER FINAL
LEARNING AREAS R
1 2 3 4 RATING
Religious Education
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Technology Livelihood Education
MAPEH
Music
Arts
Physical Education
Health
Edukasyon sa Pagpapakatao ( EsP)
Computer Education ( Elective )

Homeroom
General Average
June July Aug Sept Oct Nov Dec Jan Feb Mar
Days of School
Days Present

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: ________________ Signature: __
QUARTER FINAL
LEARNING AREAS R
1 2 3 4 RATING
Religious Education
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Technology Livelihood Education
MAPEH
Music
Arts
Physical Education
Health
Edukasyon sa Pagpapakatao ( EsP)
Computer Education ( Elective )

Homeroom
General Average
June July Aug Sept Oct Nov Dec Jan Feb Mar
Days of School
Days Present

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: ________________ Signature: __

Quarterly Rating FINAL


LEARNING AREAS R
1 2 3 4 RATING
Religious Education
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Technology Livelihood Education
MAPEH
Music
Arts
Physical Education
Health
Edukasyon sa Pagpapakatao ( EsP)
Computer Education ( Elective )

Homeroom
General Average
June July Aug Sept Oct Nov Dec Jan Feb Mar
Days of School
Days Present
Remedial Classes Conducted from (mm/dd/yyyy) ____________________ to (mm/dd/yyyy) _______________
Recomputed Final
Learning Areas Final Rating Remedial Class Mark 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 adm
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 ________
___Region: ____
___ Signature: ______

REMARKS

April Total

Remarks

________ Region: ____


nature: ________
REMARKS

April Total

________
Remarks

________ Region: ____


nature: ________

REMARKS
April Total

________
Remarks

ble for admission to Grade ____.


_________________________

l here)
SFRT Revised 2017
SF 10-JHS
School: SACRED HEART ACADEMY School ID: 404-257 District: LOON SOUTH Division: BOHOL R
Classified as Grade:7 Section: ST. JOACHIM School Year: 2017-2018 Name of Adviser/Teacher: NIKKA NIRISSA C. BOL

Curriculum Quarterly Rating FINAL


Year Learning Areas 1 2 3 4 RATING
Religious Eduction
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Technology Livelihood Education
MAPEH
Music
Arts
Physical Education
Health
Edukasyon sa Pagpapakatao ( EsP)
Computer Education ( Elective )
Homeroom
General Average

June July Aug Sept Oct Nov Dec Jan


Days of School
Days Present

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


Recomputed Final
Learning Areas Final Rating Remedial Class Mark Grade

School: SACRED HEART ACADEMY School ID: 404-257 District: LOON SOUTH Division: BOHOL Region:VII
Classified as Grade:7 Section: ST. JOACHIM School Year: 2017-2018 Name of Adviser/Teacher: NIKKA NIRISSA C. BOL

Curriculum Quarterly Rating FINAL


Year Learning Areas 1 2 3 4 RATING
Religious Eduction
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Technology Livelihood Education
MAPEH
Music
Arts
Physical Education
Health
Edukasyon sa Pagpapakatao ( EsP)
Computer Education ( Elective )
Homeroom
General Average

June July Aug Sept Oct Nov Dec Jan


Days of School
Days Present

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 a
Name of School: ____________________________________ School ID: __________________ Last School Year Attended: ___

________________________
Date Name of Principal/School Head over Printed Name
Pag 2 of ________
Division: BOHOL Region:VII
r/Teacher: NIKKA NIRISSA C. BOLIGAO Signature: __________

REMARKS

Feb Mar April Total

d/yyyy) __________________
Remarks

vision: BOHOL Region:VII


r/Teacher: NIKKA NIRISSA C. BOLIGAO Signature: __________

REMARKS
Feb Mar April Total

d/yyyy) __________________
Remarks

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


_ Last School Year Attended: _________________________

(Affix School Seal here)

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