| LEARNER'S INFORMATION | |||||||||
|---|---|---|---|---|---|---|---|---|---|
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LAST NAME:
FIRST NAME:
NAME EXT. (Jr,I,II):
MIDDLE NAME:
Learner Reference Number (LRN):
Birthdate (mm/dd/yyyy):
Sex:
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| ELIGIBILITY FOR JHS ENROLMENT |
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|
Elementary School Completer
General Average:
Citation (If Any):
Name of Elementary School:
School ID:
Address Of School:
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| Other Credential Presented | |||||||||
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PEPT Passer
Rating:
ALS A & E Passer
Rating:
Others (Pls. Specify)
Date of Examination/Assessment(mm/dd/yyyy):
Name and Address of Testing Center:
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| SCHOLASTIC RECORD |
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School:
School ID:
District:
Division:
Region:
Classified as Grade:
Section:
School Year:
Name of Adviser/Teacher:
Signature:
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||||||||||
| LEARNING AREAS | Quarterly Rating | FINAL RATING |
REMARKS | |||||||
| 1 | 2 | 3 | 4 | |||||||
| General Average | ||||||||||
|
Remedial Classes
Conducted from(mm/dd/yyyy): to (mm/dd/yyyy):
|
||||||||||
| Learning Areas | Final Rating | Remedial Class Mark | Recomputed Final Grade |
Remarks | ||||||
|
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 | |||||||
| General Average | ||||||||||
|
Remedial Classes
Conducted from(mm/dd/yyyy): to (mm/dd/yyyy):
|
||||||||||
| Learning Areas | Final Rating | Remedial Class Mark | Recomputed Final Grade |
Remarks | ||||||
| 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)
|