SF 10 -JHS

Republic of the Philippines

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

LEARNER'S INFORMATION Santa Barbara NCHS

LAST NAME: CLAIRE S. JUAREZ FIRST NAME: CLAIRE NAME EXTN. (Jr,I,II): _______ MIDDLE NAME: SOBR
Learner Reference Number (LRN): 123456789 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: ________________________

Santa Barbara NCHS SCHOLASTIC RECORD

School: ______________________ School ID: ________ District: ___________________ Division: ________________
Classified as Grade: ____ Section: ___ School Year: _____ Name of Adviser/Teacher: ________________ Signatu
Quarterly Rating FINAL
LEARNING AREAS REMA
1 2 3 4 RATING
Filipino 76 78 90 90 84 Pass
English 77 87 78 77 80 Pass
Mathematics 78 86 77 78 80 Pass
Science 79 87 76 87 82 Pass
Araling Panlipunan (AP) 90 85 75 86 84 Pass
Edukasyon sa Pagpapakatao (EsP) 93 86 74 89 86 Pass
Technology Vocational Education (TVE) 92 84 78 90 86 Pass
MAPEH 78 90 91 89 87 Pass
Music 77 89 90 92 87
Arts 89 89 99 89 92
Physical Education 77 90 89 87 86
Health 67 91 87 88 83
Technical Drawing (TD) 90 88 90 80 87 Pass
Internet and Computing Fundamentals (ICF) 89 87 76 78 83 Pass

General Average 84 Prom

Remedial Classes Conducted from (mm/dd/yyyy) ____________________ to (mm/dd/yyyy) __________________
Recomputed Final
Learning Areas Final Rating Remedial Class Mark Rema
Grade

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

Classified as Grade: ____ Section: ___ School Year: _____ Name of Adviser/Teacher: ________________ Signatur
QUARTER FINAL
LEARNING AREAS REMA
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 Rema
Grade

CERTIFICATION

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

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

E NAME: SOBREDILLA
HGCGFCGFCGFH

Pls. Specify): ___________

________________________

_____________ Region: ____

____ Signature: __________

REMARKS

Passed
Passed
Passed
Passed
Passed
Passed
Passed
Passed
Passed
Passed
Passed
Passed
Passed
Passed

Promoted
_________
Remarks

_____________ Region: ____

___ Signature: __________

REMARKS
________
Remarks

e for admission to Grade ____.

d: _________________________

chool Seal here)

123456789
SF 10-JHS Pag 2 of _______
School: ______________________ School ID: ________ District: ___________________ Division: __________________

Classified as Grade: ___ Section: __ School Year: ___ Name of Adviser/Teacher: ________________ Signature: ____

LEARNING AREAS QUARTER FINAL REMARK

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 Remarks
Grade

School: ____________________ School ID: ________ District: _________________ Division: ________________ Regio

Classified as Grade: ___ Section: __ School Year: ____ Name of Adviser/Teacher: ______________ Signature: _____
LEARNING AREAS QUARTER FINAL REMARK
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 Remarks
Grade

School: ______________________ School ID: ________ District: _________________ Division: ________________ Reg
Classified as Grade: ___ Section: __ School Year: ____ Name of Adviser/Teacher: ________________ Signature: ___
Quarterly Rating FINAL
LEARNING AREAS REMARK
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 Remarks
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 Gr
Name of School: ____________________________________ School ID __________________ Last School Year Attended: ____________

_____________________
Date Name of Principal/School Head over Printed Name (Affix School Seal
(May add Certification box if needed) SFRT Revi
 _____
_____ Region: ____

________

MARKS

marks

Region: ____

_______
MARKS

___
marks

_ Region: ____
: ________

MARKS
___
marks

to Grade ____.
__________________

l Seal here)
Revised 2017
HGCGFCGFCGFH