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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 EXT.(Jr,I,II):
MIDDLE NAME:
Learner Reference Number (LRN):
Birthdate (mm/dd/yyyy):
Sex:
MALE
FEMALE
ELIGIBILITY FOR JHS ENROLMENT
Elementary School Completer
General Average:
Citation (If Any):
Name of Elementary School:
School ID:
Address 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:
School ID:
District:
Division:
Region:
Classified as Grade:
Section:
School Year:
Name of Adviser/Teacher:
Signature:
LEARNING AREAS
Quarterly Rating
FINAL
RATING
REMARKS
1
2
3
4
PASSED
FAILED
PASSED
FAILED
PASSED
FAILED
PASSED
FAILED
PASSED
FAILED
PASSED
FAILED
PASSED
FAILED
PASSED
FAILED
PASSED
FAILED
PASSED
FAILED
PASSED
FAILED
PASSED
FAILED
PASSED
FAILED
PASSED
FAILED
General Average
PROMOTED
RETAINED
Remedial Classes
Conducted from(mm/dd/yyyy):
to (mm/dd/yyyy):
Learning Areas
Final Rating
Remedial Class Mark
Recomputed
Final Grade
Remarks
PROMOTED
RETAINED
PROMOTED
RETAINED
School:
School ID:
District:
Division:
Region:
Classified as Grade:
Section:
School Year:
Name of Adviser/Teacher:
Signature:
LEARNING AREAS
Quarterly Rating
FINAL
RATING
REMARKS
1
2
3
4
PASSED
FAILED
PASSED
FAILED
PASSED
FAILED
PASSED
FAILED
PASSED
FAILED
PASSED
FAILED
PASSED
FAILED
PASSED
FAILED
PASSED
FAILED
PASSED
FAILED
PASSED
FAILED
PASSED
FAILED
PASSED
FAILED
PASSED
FAILED
General Average
PROMOTED
RETAINED
Remedial Classes
Conducted from(mm/dd/yyyy):
to (mm/dd/yyyy):
Learning Areas
Final Rating
Remedial Class Mark
Recomputed
Final Grade
Remarks
PROMOTED
RETAINED
PROMOTED
RETAINED
CERTIFICATION
I CERTIFY that this is a true record of
with LRN:
and that he/she is eligible for adminssion to Grade
Name of School:
School ID:
Last School Year Attended:
Date
Signature of Principal/School Head over Printed Name
(Affix School Seal Here)