School Form 10 SF10 Learners Permanent Academic Record for Junior High School

SF10-JHSRepublic of the Philippines Department of Education Learner Permanent Record for Junior High School (SF10-JHS) (Formerly Form 137) LEARNER'S INFORMATION LAST NAME: FIRST NAME: NAME EXT. (Jr,I,II): MIDDL Learner Reference Number (LRN): Birthdate (mm/dd/yyyy): ELIGIBILITY FOR JHS ENROLMENT Elementary School Completer General Average: Citation (if Any): Name of Elementary School: School ID: Address of School: Other Credential Presented PEPT Passer Rating: ALS A & E Passer Rating: Others (Pls. Date of Examination/Assessment (mm/dd/yyyy): Name and Address of Testing Center: SCHOLASTIC RECORD School: School ID: District: Division: Classified as Grade: Section: School Year: Name of Adviser/Teacher: Quarterly Rating FINAL LEARNING AREAS 1 2 3 4 RATING Filipino English Mathematics Science Araling Panlipunan (AP) Edukasyon sa Pagpapakatao (EsP) Technology and Livelihood Education (TLE) MAPEH Music Arts Physical Education Health General Average Remedial Classes Conducted from (mm/dd/yyyy) to (mm/dd/yyyy) Learning Areas Final Rating Remedial Class Mark Recomputed Final Grade School: School ID: District: Division: Classified as Grade: Section: School Year: Name of Adviser/Teacher: Quarterly Rating FINAL LEARNING AREAS 1 2 3 4 RATING Filipino English Mathematics Science Araling Panlipunan (AP) Edukasyon sa Pagpapakatao (EsP) Technology and Livelihood Education (TLE) MAPEH Music Arts Physical Education Health General Average Remedial Classes Conducted from (mm/dd/yyyy) to (mm/dd/yyyy) Learning Areas Final Rating Remedial Class Mark Recomputed Final Grade CERTIFICATION I CERTIFY that this is a true record of with LRN and that he/she is eligible Name of School: School ID: Last School Year Attended: Date Signature of Principal/School Head over Printed Name (Aff JHS) MIDDLE NAME: Sex: Others (Pls. Specify): Region: Signature: REMARKS u Remarks Region: Signature: REMARKS u Remarks e/she is eligible for admission to Grade (Affix School Seal Here) SF10-JHS School: School ID: District: Division: Classified as Grade: Section: School Year: Name of Adviser/Teacher: Quarterly Rating FINAL LEARNING AREAS 1 2 3 4 RATING Filipino English Mathematics Science Araling Panlipunan (AP) Edukasyon sa Pagpapakatao (EsP) Technology and Livelihood Education (TLE) MAPEH Music Arts Physical Education Health General Average Remedial Classes Conducted from (mm/dd/yyyy) to (mm/dd/yyyy) Learning Areas Final Rating Remedial Class Mark Recomputed Final Grade School: School ID: District: Division: Classified as Grade: Section: School Year: Name of Adviser/Teacher: Quarterly Rating FINAL LEARNING AREAS 1 2 3 4 RATING Filipino English Mathematics Science Araling Panlipunan (AP) Edukasyon sa Pagpapakatao (EsP) Technology and Livelihood Education (TLE) MAPEH Music Arts Physical Education Health General Average Remedial Classes Conducted from (mm/dd/yyyy) to (mm/dd/yyyy) Learning Areas Final Rating Remedial Class Mark Recomputed Final Grade School: School ID: District: Division: Classified as Grade: Section: School Year: Name of Adviser/Teacher: Quarterly Rating FINAL LEARNING AREAS 1 2 3 4 RATING Filipino English Mathematics Science Araling Panlipunan (AP) Edukasyon sa Pagpapakatao (EsP) Technology and Livelihood Education (TLE) MAPEH Music Arts Physical Education Health General Average Remedial Classes Conducted from (mm/dd/yyyy) to (mm/dd/yyyy) Learning Areas Final Rating Remedial Class Mark Recomputed Final Grade For Transfer Out / JHS Completer Only CERTIFICATION I CERTIFY that this is a true record of with LRN and that he/she is eligible Name of School: School ID: Last School Year Attended: Date Signature of Principal/School Head over Printed Name (Aff (May add Certifiation box if needed) Page 2 of Region: Signature: REMARKS u Remarks Region: Signature: REMARKS u Remarks Region: Signature: REMARKS u Remarks e/she is eligible for admission to Grade (Affix School Seal Here) SFRT Revised 2017