SF10-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

LAST NAME:

FIRST NAME:

MIDDLE NAME:

LRN:

Date of Birth (MM/DD/YYYY):

01/01/1970

Sex:

ELIGIBILITY FOR JHS ENROLMENT

Transferee *

Gen. Ave. / Rating:

Date of Graduation/ Completion/ Assessment/ Examination (MM/DD/YYYY):

04/03/2018

Name of School / Testing Center - School ID (Except ALS & PEPT) - Address:

SAN AGUSTIN ELEMENTARY SCHOOL - 00000 - SAN AGUSTIN SAGBAYAN BOHOL

SCHOLASTIC RECORD

School: ___________________________ School ID: ____________ District: ____________ Division: ____________ Region: ____________
Classified as Grade: ___ Section: _____________ School Year: _________ Name of Adviser/Teacher: _____________________ Signature: ____________________

LEARNING AREAS	Quarterly Rating				FINAL RATING	REMARKS
LEARNING AREAS	1	2	3	4	FINAL RATING	REMARKS















	General Average

Learning Areas	Final Rating	Remedial Class Mark	Recomputed Final Grade	Remarks
REMEDIAL CLASSES	Conducted from (MM/DD/YYYY): ________ to (MM/DD/YYYY): ________

LEARNING AREAS	Quarterly Rating				FINAL RATING	REMARKS
LEARNING AREAS	1	2	3	4	FINAL RATING	REMARKS















	General Average

Learning Areas	Final Rating	Remedial Class Mark	Recomputed Final Grade	Remarks
REMEDIAL CLASSES	Conducted from (MM/DD/YYYY): ________ to (MM/DD/YYYY): ________

SF10-JHS

Page 2 of __

LEARNING AREAS	Quarterly Rating				FINAL RATING	REMARKS
LEARNING AREAS	1	2	3	4	FINAL RATING	REMARKS















	General Average

Learning Areas	Final Rating	Remedial Class Mark	Recomputed Final Grade	Remarks
REMEDIAL CLASSES	Conducted from (MM/DD/YYYY): ________ to (MM/DD/YYYY): ________

LEARNING AREAS	Quarterly Rating				FINAL RATING	REMARKS
LEARNING AREAS	1	2	3	4	FINAL RATING	REMARKS















	General Average

Learning Areas	Final Rating	Remedial Class Mark	Recomputed Final Grade	Remarks
REMEDIAL CLASSES	Conducted from (MM/DD/YYYY): ________ to (MM/DD/YYYY): ________

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

Name of School: _______________________ School ID: ______________________ Last School Year Attended: .

Date

___________________
School Principal

(Affix School Seal here)