DepED Form 137- A

Republic of the Philippines

DEPARTMENT OF EDUCATION
Region IV- A CALABARZON
Division of Quezon
BALESIN INTEGRATED SCHOO
Polillo, Quezon
SECONDARY STUDENTS PERMANENT
NAME: VERGARA, JOAN DELA CRUZ
PLACE OF BIRTH:
QUEZON

DATE OF BIRTH:
TOWN:

PARENT/GUARDIAN:

BALESIN POLILLO QUEZON

INTERMEDIATE COURSE COMPLETED:
BALESIN ELEMENTARY SCHOOL
ADDRESS OF PARENTS:

YEAR:
FIRST
SCHOOL: BALESIN INTEGRATED SCHOOL
SUBJECTS

S.Y.

Final
Rating

Action
Taken
Pasa
Pasa
Pasa
Pasa
Pasa

Filipino I
English I
Mathematics I
Science I
MAKABAYAN
Araling Panlipunan I
T.L.E. I
MAPEH. I
E.P. I

Total Units Earned:

School Days:

10.2
Days Present:
Gen. Ave.

Adviser: ALEJANDRO B. DELOS SANTOS

Advance Units in:

Lack Units in:
Total Number of Years in School:

Units
Earned
1.2
1.5
1.5
1.8
4.2
1.2
1.2
1.2
0.06

WALA
WALA

YEAR:
THIRD
SCHOOL: BALESIN INTEGRATED SCHOOL
Final
SUBJECTS
Rating
Filipino III
English III
Mathematics III
Science III
MAKABAYAN
*Araling Panlipunan III

7
S.Y.
Action
Taken
Pasa
Pasa
Pasa
Pasa
Pasa

Units
Earned
1.2
1.5
1.5
1.8
4.5

*Technology and Livelihood EdIII

*MAPEH III
*Edukasyon sa Pagpapahalaga III

Total Units Earned:

School Days:

1
Days Present:

10.5

JUNE 12, 1998

Gen. Ave

Adviser: ARIES C. CAMARADOR

Advance Units in:

Lack Units in:
Total Number of Years in School:

WALA
WALA

I hereby certify that this is the true record of

money or property responsibility in this school.

9
MONICA A. MANABO

This student is eligible on this 18th day of Jan

Note: Not valid without school dry seal

Issued as requested to the Principal/Registrar of COMPUTER SYSTEMS TECHNOLOGICAL COLLEGE, INC..

...
..

public of the Philippines

RTMENT OF EDUCATION
on IV- A CALABARZON
Division of Quezon
IN INTEGRATED SCHOOL
Polillo, Quezon

STUDENTS PERMANENT RECORD

F BIRTH:

JUNE 12, 1998

POLILLO

SEX:

FEMALE

BARANGAY:

BALESIN

YEAR: 2000-10

GEN. AVE.:

OCCUPATION:

CHOOL

YEARS IN E.S.

YEAR:
SECOND
SCHOOL: BALESIN INTEGRATED SCHOOL
Final
SUBJECTS
Rating
Filipino II
English II
Mathematics II
Science II
MAKABAYAN
Araling Panlipunan II
T.L.E. II
MAPEH. II
E.P. II

Total Units Earned:

School Days:

Action
Taken
Pasa
Pasa
Pasa
Pasa
Pasa

Units
Earned
1.2
1.5
1.5
1.8
4.2

10.2
Days Present:
Gen. Ave.

Adviser: ELIZABETH D. ALMARINES

Advance Units in:

Lack Units in:
Total Number of Years in School:

S.Y.

WALA
WALA
8

YEAR:
FOURTH
SCHOOL: BALESIN INTEGRATED SCHOOL
Final
SUBJECTS
Rating
Filipino IV
English IV
Mathematics IV
Science IV
MAKABAYAN
*Araling Panlipunan IV

S.Y.
Action
Taken
Pasa
Pasa
Pasa
Pasa
Pasa

Units
Earned
1.2
1.5
1.5
1.8
4.5

Pasa

0.3

*Technology and Livelihood Ed. IV

*MAPEH IV
*Edukasyon sa Pagpapahalaga IV

CAT

Total Units Earned:

School Days:

10.8
Days Present:

Adviser: LYNZY P. PAANOD

Advance Units in:
Lack Units in:
Total Number of Years in School:

Gen. Ave.
WALA
WALA
10

eligible on this 18th day of January 2016 for admission to__COLLEGE____year as regular/irregular student, and has no

GICAL COLLEGE, INC..

Encoded and Verified:

MISHAEL S. CAYANAN
School Registrar

VENERANDA A. DELOS SANTOS

Teacher -In- Charge