REPUBLIC OF THE PHILIPPINES

DEPARTMENT OF EDUCATION

SENIOR HIGH SCHOOL STUDENT PERMA

LEARNER'S INFORMATION
LAST NAME: FIRST NAME:
LRN: Date of Birth (MM/DD/YYYY): Sex:

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:
PEPT Passer** Rating: ALS A&E Passer*** Rating: Others (Pls. Spec
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 Lea
**PEPT - Philippine Educational Placement Test for JHS
SCHOLASTIC RECORD
SCHOOL: JUDGE FELICIANO BELMONTE SR. HIGH SCHOOL SCHOOL ID:
TRACK/STRAND:FOOD BEVERAGE AND SERVICES
Indicate if Subject is
CORE, APPLIED, or SUBJECTS
SPECIALIZED
Core Oral Communication in Context
Core Komunikasyon at Pananaliksik sa Wika at kulturang Pilipino
Core General Mathematics
Core Physical Education and Health
Core 21st Century Literature from the Philippines and the World
Core Earth and Life Science
Core Media and Information Literacy
Specialized Bread and Pastry

REMARKS:
Prepared by: Certified True and Correct:

AMIEL RAY C. NAYAN, REGISTRA

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

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

Indicate if Subject is
CORE, APPLIED, or SUBJECTS
SPECIALIZED

Name of Teacher/Adviser:

SCHOOL: JUDGE FELICIANO BELMONTE SR. HIGH SCHOOL SCHOOL ID:

TRACK/STRAND:FOOD BEVERAGE AND SERVICES
Indicate if Subject is
 Indicate if Subject is
CORE, APPLIED, or SUBJECTS
SPECIALIZED
Core Reading and Writing Skills
Core Pagbasa at Pagsusuri ng Iba't-ibang Teksto Tungo sa Pananaliksik
Core Understanding Culture, Society and Politics
Core Statistics and Probability
Core Physical Education and Health
Core Personal Development / Pansariling Kaunlaran
Applied Practical Research 1
Applied English for Academic and Professional Purposes
Specialized Bread and Pastry

REMARKS:
Prepared by: Certified True and Correct:

AMIEL RAY C. NAYAN, REGISTRA

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

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

Indicate if Subject is
CORE, APPLIED, or SUBJECTS
SPECIALIZED

Name of Teacher/Adviser:
 PPINES SF10-SHS
CATION

PERMANENT RECORD

MIDDLE NAME:
Sex: Date of SHS Admission (MM/DD/YYYY):

NT

School Address:
Pls. Specify):
Center:
rnative Learning System Accreditation and Equivalency Test for JHS

GRADE LEVEL: SY: SEM: 1ST

SECTION:
Quarter SEM FINAL ACTION
1ST 2ND GRADE TAKEN

General Ave. for the Semester:

Date Checked (MM/DD/YYYY):

GISTRAR I
nted Name, Designation

SCHOOL ID:
REMEDIAL
SEM FINAL RECOMPUTED ACTION
CLASS
GRADE FINAL GRADE TAKEN
MARK

Signature:

GRADE LEVEL: SY: SEM: 2ND

SECTION:
Quarter SEM FINAL ACTION
 SEM FINAL ACTION
3RD 4TH GRADE TAKEN

General Ave. for the Semester:

Date Checked (MM/DD/YYYY):

GISTRAR I
nted Name, Designation

SCHOOL ID:
REMEDIAL
SEM FINAL RECOMPUTED ACTION
CLASS
GRADE FINAL GRADE TAKEN
MARK

Signature:
 Page 2
SCHOOL: JUDGE FELICIANO BELMONTE SR. HIGH SCHOOL SCHOOL ID: GRADE
TRACK/STRAND: FOOD BEVERAGE AND SERVICES

Indicate if Subject is CORE,

SUBJECTS
APPLIED, or SPECIALIZED

Core Introduction to the Philosophy of the Human Person

Core Contemporary Philippine Arts from the Regions
Core Physical Education and Health
Core Physical Science
Applied Practical Research 2
Applied Filipino sa Piling Larangan
Specialized FBS

REMARKS:
Prepared by: Certified True and Correct:

AMIEL RAY C. NAYAN, REGISTRAR I

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

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

Indicate if Subject is CORE,

SUBJECTS
APPLIED, or SPECIALIZED

Name of Teacher/Adviser:

SCHOOL: JUDGE FELICIANO BELMONTE SR. HIGH SCHOOL SCHOOL ID: GRADE
TRACK/STRAND: FOOD BEVERAGE AND SERVICES

Indicate if Subject is CORE,

SUBJECTS
APPLIED, or SPECIALIZED

Core Physical Education and Health

Applied Empowerment Technologies
Applied Entrepreneurship
Applied Inquiries, Investigation and Immersion
Specialized Cookery
Specialized Work Immersion
REMARKS:
Prepared by: Certified True and Correct:

JOANN M. DE LEON AMIEL RAY C. NAYAN, REGISTRAR I

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

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

Indicate if Subject is CORE,

SUBJECTS
APPLIED, or SPECIALIZED

Name of Teacher/Adviser:

Track/Strand Accomplished: FOOD BEVERAGE AND SERVICES

Awards/Honors Received:
Certified by: Place School Sea

ZAIDA M. PADULLO
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):

 SF10-SHS
GRADE LEVEL: 12 SY: 2017-2018 SEM: 1ST
SECTION: MACAPAGAL
Quarter SEM FINAL ACTION
1ST 2ND GRADE TAKEN

General Ave. for the Semester:

Date Checked (MM/DD/YYYY):

ISTRAR I
ed Name, Designation

SCHOOL ID:
REMEDIAL
SEM FINAL RECOMPUTED ACTION
CLASS
GRADE FINAL GRADE TAKEN
MARK

Signature:

GRADE LEVEL: 12 SY: 2017-2018 SEM: 2ND

SECTION: MACAPAGAL
Quarter SEM FINAL ACTION
3RD 4TH GRADE TAKEN
 General Ave. for the Semester:

Date Checked (MM/DD/YYYY):

ISTRAR I
ed Name, Designation

SCHOOL ID:
REMEDIAL
SEM FINAL RECOMPUTED ACTION
CLASS
GRADE FINAL GRADE TAKEN
MARK

Signature:

SHS General Average:

Date of SHS Graduation (MM/DD/YYYY):
chool Seal Here:
 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)

OTHER SUBJECTS (Please write the list of subjects below)