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Name:

(Surname) (First Name) (Middle Name)

School:
(Name) SUBJECTS (National Language 1, etc.) FILIPINO ENGLISH MATHEMATICS SCIENCE MAKABAYAN Araling Panlipunan Technology & Livelihood Educ. MAPEH Edukasyon sa Pagpapahalaga CAT (4th Year) PERIODIC RATINGS Grading Plan Used: Averaging ( ) Cumulative ( )

Year:
(Curriculum Year) Final Rating #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! PREV. GENERAL AVERAGE Jun. Jul. Aug. Sept. Oct. Nov. Dec. Jan. Feb. TOTAL Cum. TOTAL Mar. Apr. Action Taken #DIV/0! #DIV/0! #DIV/0! #DIV/0! Units Earned

Section: School Year:


Extracurricular Activities

Checked by
#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

Accomplished by
TOTAL 0 0 Section Adviser

Days of school Days present

Has advanced units in Lacks units in To be classified as


(Curriculum year)

Total number of years in school to date

Name:
(Surname) (First Name) (Middle Name)

School:
(Name) SUBJECTS (National Language 1, etc.) FILIPINO ENGLISH MATHEMATICS SCIENCE MAKABAYAN Araling Panlipunan Technology & Livelihood Educ. MAPEH Edukasyon sa Pagpapahalaga CAT (4th Year) GENERAL AVERAGE PERIODIC RATINGS Grading Plan Used: Averaging ( ) Cumulative ( )

Year:
(Curriculum Year) Final Rating #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! Action Taken #DIV/0! #DIV/0! #DIV/0! #DIV/0! Units Earned

Section: School Year:


Extracurricular Activities

Checked by
#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

TOTAL Cum. TOTAL Jun. Days of school Days present Jul. Aug. Sept. Oct. Nov. Dec. Jan. Feb. Mar. Apr. TOTAL 0 0 Section Adviser

Accomplished by

Has advanced units in Lacks units in To be classified as


(Curriculum year)

Total number of years in school to date

Name:
(Surname) (First Name) (Middle Name)

School:
(Name) SUBJECTS (National Language 1, etc.) FILIPINO ENGLISH MATHEMATICS SCIENCE MAKABAYAN Araling Panlipunan Technology & Livelihood Educ. MAPEH Edukasyon sa Pagpapahalaga CAT (4th Year) GENERAL AVERAGE PERIODIC RATINGS Grading Plan Used: Averaging ( ) Cumulative ( )

Year:
(Curriculum Year) Final Rating #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! Action Taken #DIV/0! #DIV/0! #DIV/0! #DIV/0! Units Earned

Section: School Year:


Extracurricular Activities

Checked by
#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

TOTAL Jun. Days of school Days present Jul. Aug. Sept. Oct. Nov. Dec. Jan. Feb. Cum. TOTAL Mar. Apr.

Accomplished by
TOTAL 0 0 Section Adviser

Has advanced units in Lacks units in To be classified as


(Curriculum year)

Total number of years in school to date

DepEd. Form 137-A

Republic of the Philippines Department of Education SANTA MARIA NATIONAL HIGH SCHOOL Santa Maria, Laguna

SECONDARY STUDENT'S PERMANENT RECORD


Name
(Surname) (First Name) (Middle Name)

Date of Birth; Year Place of birth: Province Parent or guardian


(Name)

Month Town
(Address)

Day Barrio

Sex

(Occupation)

Elementary course completed

School

Year

General Ave:

RECORD OF STANDARD INTELLIGENCE AND ACHIEVEMENT TESTS


Name & Form of Test Date Taken Score Received Percentile Rank Name & Form of Test Date Taken Score Received

School:
(Name)

Year:
(Curriculum Year)

Section: School Year:

Total number of years to complete Elementary Course


SUBJECTS (National Language 1, etc.) FILIPINO ENGLISH MATHEMATICS SCIENCE MAKABAYAN Araling Panlipunan Technology & Livelihood Educ. MAPEH Edukasyon sa Pagpapahalaga CAT (4th Year) GENERAL AVERAGE TOTAL Jun. Days of school Days present Jul. Aug. Sept. Oct. Nov. Dec. Jan. Feb. Cum. TOTAL Mar. Apr. #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! PERIODIC RATINGS Grading Plan Used: Averaging ( ) Cumulative ( ) Final Rating #DIV/0! #DIV/0! #DIV/0! #DIV/0! Action Taken #DIV/0! #DIV/0! #DIV/0! #DIV/0! Units Earned

Extracurricular Activities

Checked by

Accomplished by
TOTAL 0 0 Section Adviser

Has advanced units in Lacks units in To be classified as


(Curriculum year)

Total number of years in school to date

Name:
(Surname) (First Name) (Middle Name)

School:
(Name) SUBJECTS (National Language 1, etc.) FILIPINO ENGLISH MATHEMATICS SCIENCE MAKABAYAN Araling Panlipunan Technology & Livelihood Educ. MAPEH Edukasyon sa Pagpapahalaga CAT (4th Year) GENERAL AVERAGE PERIODIC RATINGS Grading Plan Used: Averaging ( ) Cumulative ( )

Year:
(Curriculum Year) Final Rating #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! Action Taken #DIV/0! #DIV/0! #DIV/0! #DIV/0! Units Earned

Section: School Year:


Extracurricular Activities

Checked by
#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

TOTAL Cum. TOTAL Jun. Days of school Days present Jul. Aug. Sept. Oct. Nov. Dec. Jan. Feb. Mar. Apr. TOTAL 0 0 Section Adviser

Accomplished by

Has advanced units in Lacks units in To be classified as


(Curriculum year)

Total number of years in school to date

1 Items in parentheses underSubject refer to the subjects studied according to year scheduled in the curriculum., a First Year subject should be followed b the Roman Numeral I; Second Year, Third Year and Fourth Year subjects should be followed by II, III, IV, respectively. An exception to this is Vocational education I, which is for the Second Year, Vocational Education II, for the Third Year, and Vocational Education III, for the Fourth Year.

1 Items in parentheses underSubject refer to the subjects studied according to year scheduled in the curriculum., a First Year subject should be followed b the Roman Numeral I; Second Year, Third Year and Fourth Year subjects should be followed by II, III, IV, respectively. An exception to this is Vocational education I, which is for the Second Year, Vocational Education II, for the Third Year, and Vocational Education III, for the Fourth Year.

(Middle Name)

Extracurricular Activities

Checked by

Accomplished by

Section Adviser

(Middle Name)

Extracurricular Activities

This student is eligible, on this

day of Checked by Accomplished by


Section Adviser (Middle Name) Extracurricular Activities

20 Checked by

I certify that this is a true record of

for admission to the Year as regular / an irregular student and has no money or property responsibility in this school.

TRANSFER

Accomplished by

Section Adviser

Remarks

he Philippines of Education

ONAL HIGH SCHOOL ia, Laguna

S PERMANENT RECORD
(Middle Name)

(Occupation)

GENCE AND ACHIEVEMENT TESTS


Percentile Rank

Extracurricular Activities

Checked by

Accomplished by

Section Adviser

(Middle Name)

Extracurricular Activities

Checked by

Accomplished by

Section Adviser

culum., a First Year subject should be III, IV, respectively. An exception to ocational Education III, for the Fourth Year.

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