FORM 137-A

Republic of the Philippines

Department of Education
Negros Island Region
Division of Negros Oriental
SIBULAN NATIONAL HIGH SCHOOL
(School)

Sibulan, Negros Oriental

(Address)

SECONDARY STUDENT'S PERMANENT RECORD

Surname: XXXX First Name: XXXX M. I.: XXXX
Date of Birth: Year:XXXX Month: XXXX XXXX Day: Sex: XXXX
Place of Birth: XXXX LRN: XXXXX
Parent/ Guardian: XXXX Address: XXXX Occupation: XXXX
Elem. Course Completed: XXXX School Year :XXXX
Total Number of Years in SchoolXXXX Average: XXXX
School: XXXX Curr. Yr./Sec: XXXX School Year : XXXX
MARKAHAN Lagda ng
Mga Asignatura Huling Marka Yunit Pagpapasiya
1 2 3 4 Guro
FILIPINO
ENGLISH
MATHEMATICS
SCIENCE
MAKABAYAN
ARALING PANLIPUNAN
TLE
MAPEH
MUSIC
ARTS
PE
HEALTH
EP

Gurong Tagapayo:
Hun. Huly. Agos. Sept. Okt. Nob. Des. Ene. Peb. Mar. Abr. Kabuuan
Araw na may Pasok
Araw na Ipinasok
Araw na Nahuli
Karapdapat na ilipat at tanggapint sa XXXXXX
May paunang unit sa XXXX
Kulang ng yunit sa XXXX
Yunit na opsyonal sa XXXX
School: XXXX Curr. Yr./Sec: XXXXX School Year :XXXX
________
MARKAHAN Lagda ng
Mga Asignatura Huling Marka Yunit Pagpapasiya
1 2 3 4 Guro
FILIPINO
ENGLISH
MATHEMATICS
SCIENCE
MAKABAYAN
ARALING PANLIPUNAN
TLE
MAPEH
MUSIC
ARTS
PE
HEALTH
EP

Gurong Tagapayo:
Hun. Huly. Agos. Sept. Okt. Nob. Des. Ene. Peb. Mar. Abr. Kabuuan
Araw na may Pasok
Araw na Ipinasok
Araw na Nahuli
Karapdapat na ilipat at tanggapint sa XXXXXX
May paunang unit sa XXXX
Kulang ng yunit sa XXXX
Yunit na opsyonal sa XXXX
Surname: XXXXX First Name:
XXXX M. I.: XXXX
School: XXXX Curr. Yr./Sec: XXXX School Year: XXXX
MARKAHAN Lagda ng
Mga Asignatura Huling Marka Yunit Pagpapasiya
1 2 3 4 Guro
FILIPINO
ENGLISH
MATHEMATICS
SCIENCE
MAKABAYAN
ARALING PANLIPUNAN
TLE
MAPEH
MUSIC
ARTS
PE
HEALTH
EP

Gurong Tagapayo:
Hun. Huly. Agos. Sept. Okt. Nob. Des. Ene. Peb. Mar. Abr. Kabuuan
Araw na may Pasok
Araw na Ipinasok
Araw na Nahuli
Karapdapat na ilipat at tanggapint sa XXXXXX
May paunang unit sa XXXX
Kulang ng yunit sa XXXX
Yunit na opsyonal sa XXXX

School: XXXX Curr. Yr./Sec: XXXXX School Year :XXXX

________
MARKAHAN Lagda ng
Mga Asignatura Huling Marka Yunit Pagpapasiya
1 2 3 4 Guro
FILIPINO
ENGLISH
MATHEMATICS
SCIENCE
MAKABAYAN
ARALING PANLIPUNAN
TLE
MAPEH
MUSIC
ARTS
PE
HEALTH
EP

Gurong Tagapayo:
Hun. Huly. Agos. Sept. Okt. Nob. Des. Ene. Peb. Mar. Abr. Kabuuan
Araw na may Pasok
Araw na Ipinasok
Araw na Nahuli
Karapdapat na ilipat at tanggapint sa XXXXXX
May paunang unit sa XXXXXX
Kulang ng yunit sa XXXXXX
Yunit na opsyonal sa XXXXXX

I certify that this is a true record of XXXXXX.

This student is eligible for admission to XXXXXX as regular/ irregular student.
Issued this XXXXXX day of XXXXXX.
 ERNESTO RONALD C. TENERIO
Punong Guro

FORM 137-A
Republic of the Philippines
Department of Education
Negros Island Region
Division of Negros Oriental
SIBULAN NATIONAL HIGH SCHOOL
(School)

Sibulan, Negros Oriental

(Address)

SECONDARY STUDENT'S PERMANENT RECORD

Surname: XXXX First Name: XXXX M. I.: XXXX
Date of Birth: Year:XXXX Month: XXXX XXXX Day: Sex: XXXX
Place of Birth: XXXX LRN: XXXXX
Parent/ Guardian: XXXX Address: XXXX Occupation: XXXX
Elem. Course Completed: XXXX School Year :XXXX
Total Number of Years in SchoolXXXX Average: XXXX
School: XXXX Curr. Yr./Sec: XXXX School Year : XXXX
MARKAHAN Lagda ng
Mga Asignatura Huling Marka Yunit Pagpapasiya
1 2 3 4 Guro
FILIPINO
ENGLISH
MATHEMATICS
SCIENCE
MAKABAYAN
ARALING PANLIPUNAN
TLE
MAPEH
MUSIC
ARTS
PE
HEALTH
EP
Gurong Tagapayo:
Hun. Huly. Agos. Sept. Okt. Nob. Des. Ene. Peb. Mar. Abr. Kabuuan
Araw na may Pasok
Araw na Ipinasok
Araw na Nahuli
Karapdapat na ilipat at tanggapint sa XXXXXX
May paunang unit sa XXXX
Kulang ng yunit sa XXXX
Yunit na opsyonal sa XXXX
School: XXXX Curr. Yr./Sec: XXXXX School Year :XXXX
________
MARKAHAN Lagda ng
Mga Asignatura Huling Marka Yunit Pagpapasiya
1 2 3 4 Guro
FILIPINO
ENGLISH
MATHEMATICS
SCIENCE
MAKABAYAN
ARALING PANLIPUNAN
TLE
MAPEH
MUSIC
ARTS
PE
HEALTH
EP
Gurong Tagapayo:
Hun. Huly. Agos. Sept. Okt. Nob. Des. Ene. Peb. Mar. Abr. Kabuuan
Araw na may Pasok
Araw na Ipinasok
Araw na Nahuli
Karapdapat na ilipat at tanggapint sa XXXXXX
May paunang unit sa XXXX
Kulang ng yunit sa XXXX
Yunit na opsyonal sa XXXX
Surname: XXXXX First Name:
XXXX M. I.: XXXX
School: XXXX Curr. Yr./Sec: XXXX School Year: XXXX
MARKAHAN Lagda ng
Mga Asignatura Huling Marka Yunit Pagpapasiya
1 2 3 4 Guro
FILIPINO
ENGLISH
MATHEMATICS
SCIENCE
MAKABAYAN
ARALING PANLIPUNAN
TLE
MAPEH
MUSIC
ARTS
PE
HEALTH
EP

Gurong Tagapayo:
Hun. Huly. Agos. Sept. Okt. Nob. Des. Ene. Peb. Mar. Abr. Kabuuan
Araw na may Pasok
Araw na Ipinasok
Araw na Nahuli
Karapdapat na ilipat at tanggapint sa XXXXXX
May paunang unit sa XXXX
Kulang ng yunit sa XXXX
Yunit na opsyonal sa XXXX
School: XXXX Curr. Yr./Sec: XXXXX School Year :XXXX
________
MARKAHAN Lagda ng
Mga Asignatura Huling Marka Yunit Pagpapasiya
1 2 3 4 Guro
FILIPINO
ENGLISH
MATHEMATICS
SCIENCE
MAKABAYAN
ARALING PANLIPUNAN
TLE
MAPEH
MUSIC
ARTS
PE
HEALTH
EP

Gurong Tagapayo:
Hun. Huly. Agos. Sept. Okt. Nob. Des. Ene. Peb. Mar. Abr. Kabuuan
Araw na may Pasok
Araw na Ipinasok
Araw na Nahuli
Karapdapat na ilipat at tanggapint sa XXXXXX
May paunang unit sa XXXXXX
Kulang ng yunit sa XXXXXX
Yunit na opsyonal sa XXXXXX

I certify that this is a true record of XXXXXX.

This student is eligible for admission to XXXXXX as regular/ irregular student.
Issued this XXXXXX day of XXXXXX.

ERNESTO RONALD C. TENERIO

Punong Guro
B.P.S. FORM 9
Republic of the Philippines
Department of Education
Region VII, Central Visayas
Division of Negros Oriental
SIBULAN NATIONAL HIGH SCHOOL
(Name of School)

SECONDARY STUDENT'S PERMANENT RECORD

Name: _______________________________________Date of Birth: Year: _______ Month: ______________ Day: ____
Place of Birth: Province: ______________________________________ Town: ________________ Barrio: __________
Parent/ Guardian: _________________________________________________ Occupation: _____________________
Address: __________________________________________________________ LRN: _____________________
Elementary Course Completed: __________________________________________________ School Year : _________
Curr. Year: _____________ Sch. Year: __________ Curr. Year: _____________ Sch. Year: __________
School: ____________________________________ School: ____________________________________
Location: ___________________________________ Location: ___________________________________
Subjects Average Action Taken Units Earned Subjects Average Action Taken Units Earned
Filipino Filipino
English English
Mathematics Mathematics
Sci. & Tech. Sci. & Tech.
Makabayan Makabayan
Aral. Pan. Aral. Pan.
TLE TLE
MAPEH MAPEH
Music Music
Arts Arts
PE PE
Helath Helath
E. P. E. P.
Total Days of School: _______ Total Units Earned: _________ Total Days of School: _______ Total Units Earned: _________
Total Days Present: _________ No. of Years: _________ Total Days Present: _________ No. of Years: _________

Curr. Year: _____________ Sch. Year: __________ Curr. Year: _____________ Sch. Year: __________
School: ____________________________________ School: ____________________________________
Location: ___________________________________ Location: ___________________________________
Subjects Average Action Taken Units Earned Subjects Average Action Taken Units Earned
Filipino Filipino
English English
Mathematics Mathematics
Sci. & Tech. Sci. & Tech.
Makabayan Makabayan
Aral. Pan. Aral. Pan.
TLE TLE
MAPEH MAPEH
Music Music
Arts Arts
PE PE
Helath Helath
E. P. E. P.
Total Days of School: _______ Total Units Earned: _________ Total Days of School: _______ Total Units Earned: _________
Total Days Present: _________ No. of Years: _________ Total Days Present: _________ No. of Years: _________

Summary of Units Required Required

UNITS UNITS I hereby certify that this is a true record of
Filipino ____________________ ___________________________________________
English ____________________ and that as per requirments of the DepEd, he/she is
Mathematics ____________________ eligible for graduation on _________________, 20__
Science ____________________
MAKABAYAN ____________________ ERNESTO RONALD C. TENORIO
Aral. Pan. ____________________ Principal II
TLE ____________________
MAPEH ____________________ Approved: _______________________
EP ____________________ Date: ________________________
TOTAL: ____________________ For the Schools Division Superintendent
___________
___________
: _________

___________