SF 10 -JHS

Republic 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 EXTN. (Jr,I,II): _______
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:
Other Credential Presented
PEPT Passer Rating: _________ ALS A & E Passer Rating: _____________ Others (P
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
LEARNING AREAS
1 2 3 4
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) __________
Recomputed Final
Learning Areas Final Rating Remedial Class Mark Grade

School: ______________________ School ID: ________ District: ___________________ Division: ______

Classified as Grade: ____ Section: ___ School Year: _____ Name of Adviser/Teacher: ______________
QUARTER
LEARNING AREAS
1 2 3 4
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) ___________

Recomputed Final
Learning Areas Final Rating Remedial Class Mark 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 Attende

________________________
Date Name of Principal/School Head over Printed Name
Philippines
Education
unior High School (SF10-JHS)
rm 137)

ORMATION
AME EXTN. (Jr,I,II): _______ MIDDLE NAME: ___________________
_____________________ Sex: _____________________________

HS ENROLMENT
Citation: (If Any)
Adress of School:

ting: _____________ Others (Pls. Specify): ___________

Address of Testing Center: ____________________________________

RECORD
________________ Division: __________________ Region: ____
of Adviser/Teacher: ________________ Signature: __________
FINAL
REMARKS
RATING

________ to (mm/dd/yyyy) __________________

Recomputed Final Remarks
Grade

________________ Division: __________________ Region: ____

of Adviser/Teacher: ________________ Signature: __________
FINAL
REMARKS
RATING
________ to (mm/dd/yyyy) __________________
Recomputed Final
Remarks
Grade

ATION

_____________ and that he/she is eligible for admission to Grade ____.

_____________ Last School Year Attended: _________________________

(Affix School Seal here)

SF 10-JHS
School: ______________________ School ID: ________ District: ___________________ Division: ____________

Classified as Grade: ____ Section: ___ School Year: _____ Name of Adviser/Teacher: ________________ Sign

LEARNING AREAS QUARTER FINAL REM

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) _______________
Recomputed Final
Subject Final Rating Remedial Class Mark Rem
Grade

School: ______________________ School ID: ________ District: ___________________ Division: ____________

Classified as Grade: ____ Section: ___ School Year: _____ Name of Adviser/Teacher: ________________ Sign
LEARNING AREAS QUARTER FINAL REM
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 Rem
Grade

School: ______________________ School ID: ________ District: ___________________ Division: ____________

Classified as Grade: ____ Section: ___ School Year: _____ Name of Adviser/Teacher: ________________ Sign
Quarterly Rating FINAL
LEARNING AREAS REM
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) ___________
Recomputed Final
Learning Areas Final Rating Remedial Class Mark Rem
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 Name of Principal/School Head over Printed Name (Affix School Seal here)
(May add Certification box if needed)
 Pag 2 of ________
ion: __________________ Region: ____

____________ Signature: ________

REMARKS

_______________
Remarks

ion: __________________ Region: ____

____________ Signature: ________

REMARKS

yyyy) _______________
Remarks

ion: __________________ Region: ____

____________ Signature: ________

REMARKS
yyyy) _______________
Remarks

hat he/she is eligible for admission to Grade ____.

ear Attended: _________________________

ffix School Seal here)

SFRT Revised 2017