REPUBLIC OF THE PHILIPPINES SF10-SHS

DEPARTMENT OF EDUCATION

SENIOR HIGH SCHOOL STUDENT PERMANENT RECORD

LEARNER'S INFORMATION
LAST NAME: Andam FIRST NAME: Donald MIDDLE NAME: Balbutin
LRN: 127630080004 Date of Birth (MM/DD/YYYY): 05/04/2002 Sex: MALE Date of SHS Admission (MM/DD/YYYY):

ELIGIBILITY FOR SHS ENROLMENT

High School Completer* Gen. Ave: ⁄ Junior High School Completer Gen. Ave:
Date of Graduation/Completion (MM/DD/YYYY): Name of School: Father Saturnino Urios College of Sibagat,Inc. School Address: Poblacion,Sibagat,Agusan Del Sur
PEPT Passer** Rating: ALS A&E Passer*** Rating: Others (Pls. Specify):
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 Learning System Accreditation and Equivalency Test for JHS
**PEPT - Philippine Educational Placement Test for JHS
SCHOLASTIC RECORD
SCHOOL: Father Saturnino Urios College of Sibagat,Inc. SCHOOL ID: 407577 GRADE LEVEL: 11 SY: 2019-2020 SEM: 1ST
TRACK/STRAND: Humanities and Social Sciences SECTION: St.Dominic
Indicate if Subject is Quarter SEM FINAL ACTION
CORE, APPLIED, or SUBJECTS
1ST 2ND GRADE TAKEN
SPECIALIZED
Core Oral Communication 85 90 88 PASSED
Core General Mathematics 77 79 78 PASSED
Core Statistics and Probability 89 79 84 PASSED
Core Physical Education and Health 93 98 96 PASSED
Core Komunikasyon at Pananaliksik sa Wika at Kulturang Pilipino 91 97 94 PASSED
Applied English for Academic and Professional Purposes 84 81 83 PASSED
Applied Empowerment Technologies 94 86 90 PASSED
Specialized Introduction to the World Religion 86 85 86 PASSED
Specialized Community Engagement 82 89 86 PASSED

General Ave. for the Semester: 87 PASSED

REMARKS:
Prepared by: Certified True and Correct: Date Checked (MM/DD/YYYY):

REYLIZAR C. LABADO Elsa O.Rances Principal

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

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

Indicate if Subject is REMEDIAL
SEM FINAL RECOMPUTED ACTION
CORE, APPLIED, or SUBJECTS CLASS
GRADE FINAL GRADE TAKEN
SPECIALIZED MARK

Name of Teacher/Adviser: Signature:

SCHOOL: Father Saturnino Urios College of Sibagat,Inc. SCHOOL ID: 407577 GRADE LEVEL: 11 SY: 2019-2020 SEM: 2ND
TRACK/STRAND: Humanities and Social Science SECTION: St.Dominic
Indicate if Subject is Quarter SEM FINAL ACTION
CORE, APPLIED, or SUBJECTS
3RD 4TH GRADE TAKEN
SPECIALIZED
Core Reading and Writing 75 81 78 PASSED
Core Disaster Readiness and Risk Reduction 77 82 80 PASSED
Core Media and Information Literacy 92 85 89 PASSED
Core Introduction to the Philosophy of the Human Person/Pambungad sa Pilosopiya ng Tao 84 86 85 PASSED
Core Pagbasa at Pagsusuri ng Iba't Ibang Teksto Tungo sa Pananaliksik 72 81 77 PASSED
Core Contemporary Philippine Arts from the Regions 71 82 77 PASSED
Core Physical Education and Health 73 85 79 PASSED
Applied Practical Research 1 83 77 80 PASSED
Applied Entrepreneurship 88 81 85 PASSED

General Ave. for the Semester: 81 PASSED

REMARKS:
Prepared by: Certified True and Correct: Date Checked (MM/DD/YYYY):

REYLIZAR C. LABADO Elsa O.Rances Principal

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

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

Indicate if Subject is REMEDIAL
SEM FINAL RECOMPUTED ACTION
CORE, APPLIED, or SUBJECTS CLASS
GRADE FINAL GRADE TAKEN
SPECIALIZED MARK

Name of Teacher/Adviser: Signature:

 Page 2 Andam, Donald Balbutin SF10-SHS
SCHOOL: SCHOOL ID: GRADE LEVEL: SY: SEM: 1ST
TRACK/STRAND: SECTION:

Indicate if Subject is CORE, Quarter SEM FINAL ACTION

SUBJECTS
APPLIED, or SPECIALIZED 1ST 2ND GRADE TAKEN

General Ave. for the Semester:

REMARKS:
Prepared by: Certified True and Correct: Date Checked (MM/DD/YYYY):

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

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

REMEDIAL
Indicate if Subject is CORE, SEM FINAL RECOMPUTED ACTION
SUBJECTS CLASS
APPLIED, or SPECIALIZED GRADE FINAL GRADE TAKEN
MARK

Name of Teacher/Adviser: Signature:

SCHOOL: SCHOOL ID: GRADE LEVEL: SY: SEM: 2ND

TRACK/STRAND: SECTION:

Indicate if Subject is CORE, Quarter SEM FINAL ACTION

SUBJECTS
APPLIED, or SPECIALIZED 3RD 4TH GRADE TAKEN

General Ave. for the Semester:

REMARKS:
Prepared by: Certified True and Correct: Date Checked (MM/DD/YYYY):

12/30/1899
Signature of Adviser over Printed Name Signature of Authorized Person over Printed Name, Designation

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

REMEDIAL
Indicate if Subject is CORE, SEM FINAL RECOMPUTED ACTION
SUBJECTS CLASS
APPLIED, or SPECIALIZED GRADE FINAL GRADE TAKEN
MARK

Name of Teacher/Adviser: Signature:

Track/Strand Accomplished: SHS General Average:

Awards/Honors Received: Date of SHS Graduation (MM/DD/YYYY):
Certified by: Place School Seal Here:

Elsa O.Rances
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):

Andam, Donald Balbutin SF10-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)

∕ Community Engagement
∕ Introduction to the World Religion
Disciplines and Ideas in the Social Science
Creative Writing
Work Immersion
Creative Nonfiction
Trends,Network,and Critical Thingking in the 21st Century Culture
∕ Introduction to the World Religion
Philippine Politics and Governance

OTHER SUBJECTS (Please write the list of subjects below)

Christian Education