REPUBLIC OF THE PHILIPPINES

DEPARTMENT OF EDUCATION

SENIOR HIGH SCHOOL STUDENT PERMA

LEARNER'S INFORMATION
LAST NAME: RIVERA FIRST NAME: HEINZ
LRN: 400026150062 Date of Birth (MM/DD/YYYY): 01/25/2002 Sex:

ELIGIBILITY FOR SHS ENROLMENT

⁄ High School Completer* Gen. Ave: ⁄ Junior High School Completer Gen. Ave: 79
Date of Graduation/Completion (MM/DD/YYYY): Name of School: VINTAR ACADEMY INC.
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: AIE COLLEGE-LAOAG INC. SCHOOL ID: 407045
TRACK/STRAND:FOOD AND BEVERAGE SERVICES (FBS)
Indicate if Subject is
CORE, APPLIED, or SUBJECTS
SPECIALIZED
Core Oral Communication
Core Komunikasyon at Pananaliksik sa Wika at Kulturang Pilipino
Core General Mathematics
Core Earth and Life Science*
Core Personal Development/Pansariling Kaunlaran
Core Understanding Culture, Society and Politics
Core Physical Education and Health
Applied English for Academic and Professional Purposes
Applied Empowerment Technologies

REMARKS:
Prepared by: Certified True and Correct:

JOANNA MAE C. ALAPIT JENNIFER O. ANDRES, SCHOOL DIRE

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: AIE COLLEGE-LAOAG INC. SCHOOL ID: 407045

TRACK/STRAND:FOOD AND BEVERAGE SERVICES (FBS)
Indicate if Subject is
 Indicate if Subject is
CORE, APPLIED, or SUBJECTS
SPECIALIZED
Core Reading and Writing
Core Pagbasa at Pagsusuri ng Iba't Ibang Teksto Tungo sa Pananaliksik
Core Personal Development/Pansariling Kaunlaran
Core Physical Education and Health
Applied Practical Research 1
Specialized Food and Beverage 1
Specialized Business Ethics
Specialized Bartending 1

REMARKS:
Prepared by: Certified True and Correct:

JOANNA MAE C. ALAPIT JENNIFER O. ANDRES, SCHOOL DIRE

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 FORM 137-SHS
CATION

PERMANENT RECORD

MIDDLE NAME:
Sex: FEMALE Date of SHS Admission (MM/DD/YYYY): 2017-2018

NT

School Address: VINTAR, ILOCOS NORTE

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

GRADE LEVEL: 11 SY: 2017-2018 SEM: 1ST

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

84 85 85 PASSED
94 95 95 PASSED
80 83 82 PASSED
85 87 86 PASSED
94 95 95 PASSED
89 90 90 PASSED
94 95 95 PASSED
84 87 86 PASSED
89 92 91 PASSED

General Ave. for the Semester: 89 PASSED

Date Checked (MM/DD/YYYY):

OOL DIRECTOR
nted Name, Designation

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

Signature:

GRADE LEVEL: 11 SY: 2017-2018 SEM: 2ND

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

83 86 85 PASSED
75 82 79 PASSED
80 87 84 PASSED
85 89 87 PASSED
77 87 82 PASSED
75 84 80 PASSED
75 76 76 PASSED
87 87 87 PASSED

General Ave. for the Semester: 83 PASSED

Date Checked (MM/DD/YYYY):

OOL DIRECTOR
nted Name, Designation

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

Signature:
 Page 2 RIVERA, HEINZ
SCHOOL: AIE SENIOR HIGH SCHOOL SCHOOL ID: 407045 GRADE
TRACK/STRAND: FOOD AND BEVERAGE SERVICES

Indicate if Subject is CORE,

SUBJECTS
APPLIED, or SPECIALIZED

Core Contemporary Philippine Arts from the Regions

Core Media and Information Literacy
Core Physical Education and Health
Core Introduction to the Philosophy of the Human Person/Pambungad sa Pilosopiya ng Tao
Applied Filipino sa Piling Larang
Applied Entrepreneurship
Specialized Promote Food and Beverage Product
Specialized Provide Food and Beverage to Guest

REMARKS:
Prepared by: Certified True and Correct:

JENNY MARIE D. BALLERA JENNIFER O. ANDRES, SCHOOL DIRECT

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: AIE COLLEGE-LAOAG, INC. SCHOOL ID: 407045 GRADE

TRACK/STRAND: TVL-HOME ECONOMICS(FBS)

Indicate if Subject is CORE,

SUBJECTS
APPLIED, or SPECIALIZED

Core Physical Education and Health 4

Applied Practical Research 2
Applied Inquiries, Investigations and Immersion
Specialized Food and Beverage Services 5
Specialized Bread and Pastry Production
Specialized Bartending 2
Specialized Work Immersion
REMARKS:
Prepared by: Certified True and Correct:

JENNY MARIE D. BALLERA JENNIFER O. ANDRES, SCHOOL DIRECT

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: TVL-HOME ECONOMICS(FBS)

Awards/Honors Received:
Certified by: Place School Sea

JENNIFER O. ANDRES 04/11/2019

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):

 Form 137-SHS
GRADE LEVEL: 12 SY: 2018-2019 SEM: 1ST
SECTION: FBS
Quarter SEM FINAL ACTION
1ST 2ND GRADE TAKEN

88 94 91 PASSED
87 84 86 PASSED
82 82 82 PASSED
90 87 89 PASSED
86 87 87 PASSED
79 78 79 PASSED
90 82 86 PASSED
90 82 86 PASSED

General Ave. for the Semester: 86 PASSED

Date Checked (MM/DD/YYYY):

L DIRECTOR
ed Name, Designation

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

Signature:

GRADE LEVEL: 12 SY: 2018-2019 SEM: 2ND

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

85 88 87 PASSED
83 91 87 PASSED
77 75 76 PASSED
80 82 81 PASSED
75 81 78 PASSED
80 84 82 PASSED
95 96 96 PASSED
 General Ave. for the Semester: 84 PASSED

Date Checked (MM/DD/YYYY):

L DIRECTOR
ed Name, Designation

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

Signature:

SHS General Average: 86

Date of SHS Graduation (MM/DD/YYYY): 04/15/2019
chool Seal Here:
RIVERA, HEINZ Form 137-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)

Promote Food and Beverage Product
Provide Food and Beverage to Guest

OTHER SUBJECTS (Please write the list of subjects below)