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SF10-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: FIRST NAME: NAME EXT. (Jr,I,II): MIDDL
Learner Reference Number (LRN): Birthdate (mm/dd/yyyy):

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.
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:
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

School: School ID: District: Division:


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

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 Signature of Principal/School Head over Printed Name (Aff


JHS)

MIDDLE NAME:
Sex:

Others (Pls. Specify):

Region:
Signature:

REMARKS

Remarks

Region:
Signature:

REMARKS
u

Remarks

e/she is eligible for admission to Grade

(Affix School Seal Here)


SF10-JHS

School: School ID: District: Division:


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

School: School ID: District: Division:


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

School: School ID: District: Division:


Classified as Grade: Section: School Year: Name of Adviser/Teacher:
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 eligible
Name of School: School ID: Last School Year Attended:

Date Signature of Principal/School Head over Printed Name (Aff


(May add Certifiation box if needed)
Page 2 of

Region:
Signature:

REMARKS

Remarks

Region:
Signature:

REMARKS

Remarks

Region:
Signature:

REMARKS
u

Remarks

e/she is eligible for admission to Grade

(Affix School Seal Here)


SFRT Revised 2017