Learner Permanent Record for Elementary School (SF
(Formerly Form 137)
LEARNER'S PERSONAL INFORMATION
LAST NAME: FIRST NAME: NAME EXTN. (Jr,I,II)
Learner Reference Number (LRN): ______________ Birthdate (mm/dd/yyyy):
ELIGIBILITY FOR ELEMENTARY SCHOOL ENROLMENT Credential Presented for Grade 1: Kinder Progress Report ECCD Checklist Name of School: School ID: Address of School: Other Credential Presented PEPT Passer Rating: _________ Date of Examination/Assessment (mm/dd/yyyy): ____________ Name and Address of Testing Center:____________________________________________________ Remark: SCHOLASTIC RECORD
School: ____________________________________ School ID: School: _______________________
District: ______________________ Division: _______________ Region: District: ______________________ D Classified as Grade: ______ Section: __________ School Year: Classified as Grade: ______ Section 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
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: ______________________ D Classified as Grade: ______ Section: __________ School Year: Classified as Grade: ______ Section 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 ool (SF10-ES)
MIDDLE NAME:
Sex: MENT Kindergarten Certificate of Completion
Others (Pls. Specify): _________________________
Remark:____________________________________
_______________ School ID:
________ Division: ________ Region: ___ Section: ____ School Year: ______________ Signature: Quarterly Rating Final as Remarks 1 2 3 4 Rating
ion Conducted from: to Remedial Recomputed Final Rating Remarks Class Mark Final Grade
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 Educati 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 Educati 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 tha School Name: __________________________________ School ID ________________ Division: ___________ Last Schoo
____________________________________ Date Name of Principal/School Head over Printed Name
CERTIFICATION I CERTIFY that this is a true record of ___________________________________ with LRN ___________________ and tha School Name: __________________________________ School ID ________________ Division: ___________ Last Schoo
____________________________________ Date Name of Principal/School Head over Printed Name
CERTIFICATION I CERTIFY that this is a true record of ___________________________________ with LRN ___________________ and tha School Name: __________________________________ School ID ________________ Division: ___________ Last Schoo
____________________________________ Date Name of Principal/School Head over Printed Name May add Certification Box if needed Page 2 of ________
