REPUBLIC OF THE PHILIPPINES

DEPARTMENT OF EDUCATION

SENIOR HIGH SCHOOL STUDENT PERMA

LEARNER'S INFORMATION
LAST NAME: DOVERTE FIRST NAME: CARL LEWIS
LRN: 125442070028 Date of Birth (MM/DD/YYYY): 06/16/1999 Sex:

ELIGIBILITY FOR SHS ENROLMENT

High School Completer* Gen. Ave: ⁄ Junior High School Completer Gen. Ave: 87
Date of Graduation/Completion (MM/DD/YYYY): Name of School: SUMALIG NATIONAL HIGH SCHOOL
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: TAMBULIG NATIONAL HIGH SCHOOL SCHOOL ID: 303819
TRACK/STRAND:TECHNICAL-VOCATIONAL LIVELIHOOD / INFORMATION AND COMMUNICATIONS TECHNOLOGY
Indicate if Subject is
CORE, APPLIED, or SUBJECTS
SPECIALIZED
Core Earth and Life Science*
Core General Mathematics
Core Komunikasyon at Pananaliksik sa Wika at Kulturang Pilipino
Core Oral Communication
Core Physical Education and Health I (20 hrs)
Core 21st Century Literature from the Philippines and the World
Applied English for Academic and Professional Purposes
Specialized Computer Systems Servicing NC II (160 hrs)

REMARKS:Qualified for Second Semester Grade 11

Prepared by: Certified True and Correct:

IVY G. MORPOS CECILIA Z. COLEGADO, ED. D., PRINC

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: TAMBULIG NATIONAL HIGH SCHOOL SCHOOL ID: 303819

TRACK/STRAND:TECHNICAL-VOCATIONAL LIVELIHOOD / INFORMATION AND COMMUNICATIONS TECHNOLOGY
Indicate if Subject is
CORE, APPLIED, or SUBJECTS
SPECIALIZED
 CORE, APPLIED, or SUBJECTS
SPECIALIZED
Core Pagbasa at Pagsusuri ng Iba't Ibang Teksto Tungo sa Pananaliksik
Core Physical Education and Health II (20 hrs)
Core Physical Science*
Core Reading and Writing
Core Statistics and Probability
Applied Empowerment Technologies
Applied Practical Research 1
Specialized Computer Systems Servicing NC II (160 hrs)

REMARKS: Eligible for Grade 12

Prepared by: Certified True and Correct:

IVY G. MORPOS CECILIA Z. COLEGADO, ED. D., PRINC

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 SF10-SHS
CATION

PERMANENT RECORD

MIDDLE NAME: SUICO

Sex: MALE Date of SHS Admission (MM/DD/YYYY): 06/04/2018

NT

L School Address: SUMALIG, TAMBULIG, ZAMBOANGA DEL SUR

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

GRADE LEVEL: XI SY: 2018 - 2019 SEM: 1ST

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

89 91 90 PASSED
89 90 90 PASSED
86 87 87 PASSED
86 90 88 PASSED
84 93 89 PASSED
82 90 86 PASSED
87 85 86 PASSED
90 92 91 PASSED

General Ave. for the Semester: 88 PROMOTED

Date Checked (MM/DD/YYYY):

., PRINCIPAL II
nted Name, Designation

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

Signature:

GRADE LEVEL: XI SY: 2018 - 2019 SEM: 2ND

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

91 88 90 PASSED
90 88 89 PASSED
97 97 97 PASSED
83 92 88 PASSED
92 94 93 PASSED
90 86 88 PASSED
89 91 90 PASSED
92 92 92 PASSED

General Ave. for the Semester: 91 PROMOTED

Date Checked (MM/DD/YYYY):

., PRINCIPAL II
nted Name, Designation

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

Signature:
 Page 2 DOVERTE, CARL LEWIS SUICO
SCHOOL: TAMBULIG NATIONAL HIGH SCHOOL SCHOOL ID: 303819 GRADE
TRACK/STRAND: ICT - TVL

Indicate if Subject is CORE,

SUBJECTS
APPLIED, or SPECIALIZED

Core Introduction to the Philosophy of the Human Person/Pambungad sa Pilosopiya ng Tao

Core Media and Information Literacy
Core Physical Education and Health
Core Understanding Culture, Society and Politics
Applied Filipino sa Piling Larang
Applied Practical Research 2
Specialized Computer Systems Servicing NC II (160 hrs)

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: SCHOOL ID: GRADE

TRACK/STRAND:

Indicate if Subject is CORE,

SUBJECTS
APPLIED, or SPECIALIZED
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: XII SY: 2019-2020 SEM: 1ST
SECTION: OSTRICH
Quarter SEM FINAL ACTION
1ST 2ND GRADE TAKEN

88 93 91 PASSED
90 92 91 PASSED
95 97 96 PASSED
85 92 89 PASSED
92 96 94 PASSED
93 86 90 PASSED
94 92 93 PASSED

General Ave. for the Semester: 92 PASSED

Date Checked (MM/DD/YYYY):

ed Name, Designation

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

Signature:

GRADE LEVEL: SY: SEM:

SECTION:
Quarter SEM FINAL ACTION
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:
REPORT OF ATTENDANCE DepEd FORM 9 LRN: 125442070028
Republic of the Philippines
Department of Education

September

November
December
Region IX Zamboanga Peninsula

February
October
Division of Zamboanga del Sur

January

TOTAL
August

March
District of Tambulig

April
June
July
TAMBULIG NATIONAL HIGH SCHOOL - SENIOR HIGH
New Village, Tambulig, Zamboanga del Sur
No. of
school 18 22 20 20 18 19 11 22 19 21 5 195 Name: DOVERTE, CARL LEWIS SUICO
days Age: 20
Grade: 12 Sex: MALE
School Year: 2019-20 Section: OSTRICH
No. of Track / Strand: TVL - INFORMATION AND COMMUNICATION TE
school
18 22 20 20 18 19 11 22 19 21 5 195
days
present Dear Parent:
This report card shows the ability and progress your child has made in the
different learning areas as well as his / her core values.
No. of The school welcomes you should you desire to know more about your child's
school
0 0 0 0 0 0 0 0 0 0 0 0 progress.
days
absent
CECILIA Z. COLEGADO, ED. D. JOLEE MAY B. TORRES
School Principal II Adviser
PARENT / GUARDIAN SIGNATURE
Certificate of Transfer
1 st Quarter Admitted to Grade: Section:
Eligibility for Admission to Grade:
2 nd Quarter Approved:

3 rd Quarter
School Principal Teacher
4 th Quarter
Cancellation of Eligibility to Transfer
Admitted In:
Date:
School Principal

REPORT OF LEARNING PROGRESS AND ACHIEVEMENT REPORT ON LEARNER'S OBSERVED VALUES

First Semester
CORE/APPLI SEMIFI ACTIO
ED/ QUARTER Quarter
SPECIALIZE
SUBJECTS NAL N Core Values Behavioral Statement
1 2 1 2 3 4
 CORE Introduction to Philosophy 88 93 91 PASSED Expresses one's spiritural
beliefs while respecting the AO AO AO AO
CORE Media and Information Literacy 90 92 91 PASSED
spiritual beliefs of others
CORE Physical Education and Health III 93 94 94 PASSED 1. Maka-Diyos
Understanding Culture, Society and Shows adherence to ethical
CORE Politics 85 92 89 PASSED AO AO AO AO
principles by upholding truth
APPLIED Filipino sa Piling Larang 92 96 94 PASSED
APPLIED Practical Research II 93 86 90 PASSED Is sensitive to individual, social,
AO SO SO AO
Computer Systems Servicing NC II and cultural differences
SPECIALIZED(160 hrs) 94 92 93 PASSED
2. Makatao
Demonstrates contributions
AO AO AO AO
toward solidarity
GENERAL AVERAGE 91 PROMOTED Cares for the environment and
3. Makakalikasan utilizes resources wisely, SO AO AO AO
Second Semester:
CORE/APPLI judiciously, and economically
SEMIFI ACTIO
ED/ QUARTER
SUBJECTS NAL N Demonstrates pride in being a
SPECIALIZE 3 4
D GRADE TAKEN Filipino; exercises the rights
AO AO AO AO
and responsibilities of a Filipino
citizen
4. Makabansa
Demonstrates appropriate
behavior in carrying out
AO AO AO AO
activities in the school,
community, and country

Marking Non-Numerical Rating

AO Always Observed

GENERAL AVERAGE 91 PROMOTED SO Sometimes Observed

Description Grading Scale Remarks

RO Rarely Observed
Outstanding 90-100 PASSED
Very Satisfacto 85-89 PASSED
Satisfactory 80-84 PASSED NO Not Observed
Fairly Satisfact 75-79 PASSED
Did not meet Expec Below 75 FAILED
DOVERTE, CARL LEWIS SUICO 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 (160 hrs)

OTHER SUBJECTS (Please write the list of subjects below)

⁄ Physical Education and Health I (20 hrs)
Physical Education and Health II (20 hrs)
DepEd Form 138-A
Republic of the Philippines
Department of Education
Region IX
Division of Zamboanga del Sur
TAMBULIG NATIONAL HIGH SCHOOL - SHS
New Village, Tambulig, Zamboanga del Sur
Name: DOVERTE, CARL LEWIS SUICO
Age: 20 Sex: MALE
Grade: 12 Section: OSTRICH
School Year: 2019 -2020 LRN:
###125442070028
TRACK/STRAND: ICT - TVL
Dear Parents:
This report card shows the ability and progress your child has made in the
different learning areas as well as his/her core values.
The school welcomes you,should, desire to know more about your child's progress.
Thank you.
JOLEE MAY B. TORRES
Adviser
CECILIA Z. COLEGADO, ED. D.
School Principal II
REPORT ON LEARNING PROGRESS AND ACHIEVEMENT
First Semester
QUARTER SEMESTER
SUBJECTS 1 2 FINAL GRADE
Core Subjects
Introduction to Philosophy 88 93 91

Media and Informaton Literacy 90 92 91

Physical Education and Health 95 97 96

Understanding Culture, Society and Politics 85 92 89

Applied and Specialized Subjects
Filipino sa Piling Larang 92 96 94
Practical Research 2 93 86 90
Computer System Servicing NCII 94 92 93
GENERAL AVERAGE FOR THE SEMESTER 92
Second Semester
QUARTER SEMESTER
SUBJECTS FINAL
1 2 GRADE
Core Subjects
0

0
0
0

Applied and Specialized Subjects

0
0
0

GENERAL AVERAGE FOR THE SEMESTER

 REPORT ON LEARNER’S OBSERVED VALUES
Quarter
Core Values Behavior Statements
1 2 3 4
Expresses one’s spiritual beliefs while
respecting the spiritual beliefs of others.
1. Maka-Diyos Shows adherence to ethical principles by
upholding truth.
Is sensitive to individual , social, and cultural
differences.
2. Makatao
Demonstrates contributions toward
solidarity

3. Maka- Cares for the environment and utilizes

resources wisely, judiciously and
Kalikasan economically

Demonstrates pride in being a Filipino;

exercises the rights and responsibilities of a
Filipino citizen
4. Makabansa
Demonstrate appropriate behavior in
carrying out activities in the school,
community, and country

Observed Values
Marking Non-numerical Rating
AO Always Observed
SO Sometimes Observed
RO Rarely Observed
NO Not Observed
LEARNER PROGRESS AND ACHIEVEMENT
Descriptors Grading Scale Remarks
Outstanding 90 – 100 Passed
Very Satisfactory 85 – 89 Passed
Satisfactory 80 – 84 Passed
Fairly Satisfactory 75 – 79 Passed
Did not Meet Expectations Below 75 FAILED

REPORT ON ATTENDANCE
TOTAL
MAR
NOV

MONTHS
AUG

OCT

APR
DEC
JUN

JAN

FEB
SEP
JUL

No. of School Days 18 21 21 20 15 19 16 21 19 20 5 195

No. of Days Present

No. of Days Absent

PARENT/GUARDIAN’S SIGNATURE
1 Quarter: _________________________
ST

2nd Quarter: _________________________

3rd Quarter: _________________________
4th Quarter: _________________________
CERTIFICATE OF TRANSFER
Admitted to Grade: ______ Section: ________________
Eligibility for Admission to Grade: ______
Approved:

Principal
Teacher

CANCELLATION OF ELIGIBILITY TO TRANSFER

Admitted in: _______________

Date: _____________________

School Principal