REPUBLIC OF THE PHILIPPINES

DEPARTMENT OF EDUCATION

SENIOR HIGH SCHOOL STUDENT PERMA

LEARNER'S INFORMATION
LAST NAME: ALFONSO FIRST NAME: JAYBIE LYN
LRN: 109242060005 Date of Birth (MM/DD/YYYY): 01/29/2001 Sex:

ELIGIBILITY FOR SHS ENROLMENT

High School Completer* Gen. Ave: ⁄ Junior High School Completer Gen. Ave: 76
Date of Graduation/Completion (MM/DD/YYYY): Name of School: LUIS PALAD NATIONAL HIGH SCHOO
PEPT Passer** Rating: ALS A&E Passer*** Rating: Others (Pls. Spec
Date of Examination/Assessment (MM/DD/YYYY): Name and Address of Community Learning Center:
*High School Completers are students who graduated from secondary school under the old curriculum ***ALS A&E - Alternative Lea
**PEPT - Philippine Educational Placement Test for JHS
SCHOLASTIC RECORD
SCHOOL: ACEBA SCIENCE & TECH. INSTITUTE (ASTI) Inc. SCHOOL ID: 409096
TRACK/STRAND: TVL/ICT-COMPUTER HARDWARE SERVICING NC II
Indicate if Subject is
CORE, APPLIED, or SUBJECTS
SPECIALIZED
Core Oral Communication in Context
Core General Mathematics
Core Kumunikasyon at Pananaliksik sa Wika at Kulturang Pilipino
Core Personal Development
Core Introduction to the Philosophy of Human Person
Core Physical Science
Core Physical Education and Health
Specialized Computer Hardware Servicing

REMARKS:
Prepared by: Certified True and Correct:

MS FAYE FRANCHESCA A. APOLI MS. SHYRELL R. SEGUI, School

Signature of Adviser over Printed Name Signature of Authorized Person over Printed Name

REMEDIAL CLASSES Conducted from (MM/DD/YYYY): to (MM/DD/YYYY): SCHOOL:

Indicate if Subject is
CORE, APPLIED, or SUBJECTS
SPECIALIZED

Name of Teacher/Adviser:

SCHOOL: ACEBA SCIENCE & TECH. INSTITUTE (ASTI) INC. SCHOOL ID: 407419
TRACK/STRAND: TVL/ICT-COMPUTER HARDWARE SERVICING NC II
 Indicate if Subject is
CORE, APPLIED, or SUBJECTS
SPECIALIZED
Core Reading and Writing Skills
Core Statistics and Probability
Core Pagbasa at Pagsusuri ng Iba't-ibang Teksto Tungo sa Pananaliksik
Core Physical Education and Health
Applied English for Academic and Professional Purposes
Applied Entrepreneurship
Applied Practical Research 1
Applied Filipino sa Piling Larangan (Tech-Voc)
Specialized Computer Hardware Servicing

REMARKS:
Prepared by: Certified True and Correct:

MS FAYE FRANCHESCA A. APOLI MS. SHYRELL R. SEGUI, School

Signature of Adviser over Printed Name Signature of Authorized Person over Printed Name

REMEDIAL CLASSES Conducted from (MM/DD/YYYY): to (MM/DD/YYYY): SCHOOL:

Indicate if Subject is
CORE, APPLIED, or SUBJECTS
SPECIALIZED

Name of Teacher/Adviser:
 PPINES FORM 137-SHS
CATION

PERMANENT RECORD

MIDDLE NAME: RACA

Sex: FEMALE Date of SHS Admission (MM/DD/YYYY): 06/19/2017

NT

SCHOOL School Address: BRGY. IPILAN TAYABAS, QUEZON

Pls. Specify):
Center:
rnative Learning System Accreditation and Equivalency Test for JHS

GRADE LEVEL: 11 SY: 2017-2018 SEM: 1ST

SECTION: EDISON
Quarter SEM FINAL ACTION
1ST 2ND GRADE TAKEN

87 86 87 PASSED
85 93 89 PASSED
85 83 84 PASSED
74 88 81 PASSED
81 91 86 PASSED
86 91 89 PASSED
95 98 97 PASSED
86 92 89 PASSED

General Ave. for the Semester: 88 PASSED

Date Checked (MM/DD/YYYY):

School Head
nted Name, Designation

SCHOOL ID:
REMEDIAL
SEM FINAL RECOMPUTED ACTION
CLASS
GRADE FINAL GRADE TAKEN
MARK

Signature:

GRADE LEVEL: 11 SY: 2017-2018 SEM: 2ND

SECTION: NEWTON
 Quarter SEM FINAL ACTION
3RD 4TH GRADE TAKEN

86 86 86 PASSED
78 80 79 PASSED
82 89 86 PASSED
90 82 86 PASSED
83 87 85 PASSED
81 82 82 PASSED
81 88 85 PASSED
89 86 88 PASSED
88 86 87 PASSED

General Ave. for the Semester: 85 PASSED

Date Checked (MM/DD/YYYY):

School Head
nted Name, Designation

SCHOOL ID:
REMEDIAL
SEM FINAL RECOMPUTED ACTION
CLASS
GRADE FINAL GRADE TAKEN
MARK

Signature:
 Page 2 ALFONSO, JAYBIE LYN RACA
SCHOOL: ACEBA SCIENCE & TECH. INSTITUTE (ASTI) Inc. SCHOOL ID: 409906 GRADE
TRACK/STRAND: TVL/ICT-Computer Programming NC IV

Indicate if Subject is CORE,

SUBJECTS
APPLIED, or SPECIALIZED

Core Earth and Life Science

Core 21st Century Literature from the Philippines and the World
Core Understanding Culutre, Society and Politics
Core Media and Information Literacy
Core Physical Education and Health
Applied Practical Research 2
Applied Empowerment Technologies (for Tech-Voc)
Applied Inquiries, Investation and Immersion
Specialized Computer Programming (.Net Technology)

REMARKS:
Prepared by: Certified True and Correct:

Signature of Adviser over Printed Name Signature of Authorized Person over Printed Name, D

REMEDIAL CLASSES Conducted from (MM/DD/YYYY): (MM/DD/YYYY): SCHOOL:

Indicate if Subject is CORE,

SUBJECTS
APPLIED, or SPECIALIZED

Name of Teacher/Adviser:

SCHOOL: ACEBA SCIENCE & TECH. INSTITUTE (ASTI) INC. SCHOOL ID: 407419 GRADE
TRACK/STRAND: TVL/ICT-Computer Programming NC IV

Indicate if Subject is CORE,

SUBJECTS
APPLIED, or SPECIALIZED

Core Contemporary Philippine Arts from the Region

Core Disaster Risk Reduction Management
Core Physical Education and Health
Specialized Work Immersion
Specialized Computer Programming (.Net Technology)
REMARKS:
Prepared by: Certified True and Correct:

Signature of Adviser over Printed Name Signature of Authorized Person over Printed Name, D

REMEDIAL CLASSES Conducted from (MM/DD/YYYY): (MM/DD/YYYY): SCHOOL:

Indicate if Subject is CORE,

SUBJECTS
APPLIED, or SPECIALIZED

Name of Teacher/Adviser:

Track/Strand Accomplished:
Awards/Honors Received:
Certified by: Place School Sea

Signature of School Head over Printed Name Date

NOTE:
This permanent record or a photocopy of this permanent record that bears the seal of the school and the original
signature in ink of the School Head shall be considered valid for all legal purposes. Any erasure or alteration
made on this copy should be validated by the School Head.
If the student transfers to another school, the originating school should produce one (1) certified true copy of this
permanent record for safekeeping. The receiving school shall continue filling up the original form.
Upon graduation, the school from which the student graduated should keep the original form and produce one (1)
certified true copy for the Division Office.

REMARKS: (Please indicate the purpose for which this permanent record will be used)

Date Issued (MM/DD/YYYY):

 Form 137-SHS
GRADE LEVEL: 12 SY: 2017-2018 SEM: 1ST
SECTION: DARWIN
Quarter SEM FINAL ACTION
1ST 2ND GRADE TAKEN

General Ave. for the Semester:

Date Checked (MM/DD/YYYY):

ed Name, Designation

SCHOOL ID:
REMEDIAL
SEM FINAL RECOMPUTED ACTION
CLASS
GRADE FINAL GRADE TAKEN
MARK

Signature:

GRADE LEVEL: 12 SY: 2017-2018 SEM: 2ND

SECTION: DARWIN
Quarter SEM FINAL ACTION
3RD 4TH GRADE TAKEN
 General Ave. for the Semester:

Date Checked (MM/DD/YYYY):

ed Name, Designation

SCHOOL ID:
REMEDIAL
SEM FINAL RECOMPUTED ACTION
CLASS
GRADE FINAL GRADE TAKEN
MARK

Signature:

SHS General Average:

Date of SHS Graduation (MM/DD/YYYY):
chool Seal Here:
ALFONSO, JAYBIE LYN RACA Form 137-SHS
ANNEX: LIST OF SUBJECTS TAKEN
Please check the subjects passed by the student
CORE SUBJECTS
Oral Communication
Reading and Writing
Komunikasyon at Pananaliksik sa Wika at Kulturang Pilipino
Pagbasa at Pagsusuri ng Iba't Ibang Teksto Tungo sa Pananaliksik
21st Century Literature from the Philippines and the World
Contemporary Philippine Arts from the Regions
Media and Information Literacy
⁄ General Mathematics
Statistics and Probability
Earth and Life Science*
Physical Science*
Personal Development/Pansariling Kaunlaran
Understanding Culture, Society and Politics
Introduction to the Philosophy of the Human Person/Pambungad sa Pilosopiya ng Tao
Physical Education and Health (spread out in 4 semesters)
*STEM students will take these instead:
Earth Science
Disaster Readiness and Risk Reduction
Subject substitutions, if any:

APPLIED SUBJECTS
English for Academic and Professional Purposes
Practical Research 1
Practical Research 2
Filipino sa Piling Larang
Empowerment Technologies
Entrepreneurship
Inquiries, Investigations and Immersion

SPECIALIZED SUBJECTS (Please write the list of subjects below)

Computer Systems Servicing NC II

OTHER SUBJECTS (Please write the list of subjects below)