SF 10 -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: ____________________ NAME EXTN. (Jr,I,II): _______ MIDDLE NAME: ___
Learner Reference Number (LRN): ______________ Birthdate (mm/dd/yyyy): _____________________ Sex: _____________

ELIGIBILITY FOR JHS ENROLMENT

Elementary School Completer General Average: ________ Citation: (If Any)
Name of Elementary School: School ID: Adress of School:
Other Credential Presented
PEPT Passer Rating: _________ ALS A & E Passer Rating: _____________ Others (Pls. Specify):
Date of Examination/Assessment (mm/dd/yyyy): ____________ Name and Address of Testing Center: ______________________

SCHOLASTIC RECORD
School: SOUTHERN MINDANAO COLLEGES School ID: 404922 District: 1 Division:PAGADIAN Region
Classified as Grade: VII Section: School Year: 2017 - 2018 Name of Adviser/Teacher: Signature: __
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

School: SOUTHERN MINDANAO COLLEGES School ID: 404922 District: 1 Division:PAGADIAN Region
Classified as Grade: VIII Section: KINGFISHER School Year: 2018 - 2019 Name of Adviser/Teacher:Lyka Nicole Saaved
QUARTER 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

CERTIFICATION

I CERTIFY that this is a true record of _________________________with LRN ______________ and that he/she is eligible for admissi
Name of School: ____________________________________ School ID: __________________ Last School Year Attended: ________

________________________
Date Name of Principal/School Head over Printed Name (Affix School Seal he
SF10-JHS)

DDLE NAME: ___________________

: _____________________________

rs (Pls. Specify): ___________

___________________________

IAN Region: IX
Signature: _________

REMARKS

____________
Remarks

IAN Region: IX
 Nicole Saavedra Signature: ______

REMARKS

___________
Remarks

gible for admission to Grade ____.

nded: _________________________

ffix School Seal here)

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

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

LEARNING AREAS QUARTER FINAL REMAR

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 Remark
Grade

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

Classified as Grade: ____ Section: ___ School Year: _____ Name of Adviser/Teacher: ________________ Signatu
LEARNING AREAS QUARTER FINAL REMAR
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 Remark
Grade
School: ______________________ School ID: ________ District: ___________________ Division: _______________
Classified as Grade: ____ Section: ___ School Year: _____ Name of Adviser/Teacher: ________________ Signatu
Quarterly Rating FINAL
LEARNING AREAS REMAR
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 Remark
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 for a
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 ________
__________________ Region: ____

_________ Signature: ________

REMARKS

____________
Remarks

__________________ Region: ____

_________ Signature: ________

REMARKS

y) _______________
Remarks
 __________________ Region: ____
_________ Signature: ________

REMARKS

y) _______________
Remarks

he/she is eligible for admission to Grade ____.

Attended: _________________________

School Seal here)

SFRT Revised 2017