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School Form 10 JHS Learners Academic Permanent Record

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SF10-JHS

Republic of the Philippines


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

LEARNER'S INFORMATION
LAST NAME: FIRST NAME: NAME EXT. (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: Address of School:
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: 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
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) u

Learning Areas Final Rating Remedial Class Mark Recomputed Remarks


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
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) u

Learning Areas Final Rating Remedial Class Mark Recomputed Remarks


Final Grade

CERTIFICATION

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

Date Signature of Principal/School Head over Printed Name (Affix School Seal Here)
SF10-JHS Page 2 of

School: Tapilon National High School School ID: 302964 District: Daanbantayan II Division: Cebu Province Region: VII
Classified as Grade: 9 Section: Virgo School Year: 2022-2023 Name of Adviser/Teacher: Chris-Ann A. Noval Signature:
Quarterly Rating FINAL
LEARNING AREAS REMARKS
1 2 3 4 RATING
Filipino 0 PASSED
English 0 PASSED
Mathematics 0 PASSED
Science 0 PASSED
Araling Panlipunan (AP) 0 PASSED
Edukasyon sa Pagpapakatao (EsP) 0 PASSED
Technology and Livelihood Education (TLE) 0 PASSED
MAPEH 0 0 0 0 0 PASSED
Music
Arts
Physical Education
Health

General Average 0 PROMOTED

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

Learning Areas Final Rating Remedial Class Mark Recomputed Remarks


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
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) u

Learning Areas Final Rating Remedial Class Mark Recomputed Remarks


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
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) u

Learning Areas Final Rating Remedial Class Mark Recomputed Remarks


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 for admission to Grade
Name of School: School ID: Last School Year Attended:

Date Signature of Principal/School Head over Printed Name (Affix School Seal Here)
(May add Certifiation box if needed) SFRT Revised 2017

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