Name:

(Surname) (First Name) (Middle Name)

School: Year: Section:
(Name) (Curriculum Year) School Year:
SUBJECTS PERIODIC RATINGS Final Action Units Extracurricular
(National Language 1, etc.) Grading Plan Used: Averaging ( ) Cumulative ( ) Rating Taken Earned Activities
FILIPINO #DIV/0! #DIV/0!
ENGLISH #DIV/0! #DIV/0!
MATHEMATICS #DIV/0! #DIV/0!
SCIENCE #DIV/0! #DIV/0!
MAKABAYAN Checked by
Araling Panlipunan #DIV/0! #DIV/0!
Technology & Livelihood Educ. #DIV/0! #DIV/0!
MAPEH #DIV/0! #DIV/0!
Edukasyon sa Pagpapahalaga #DIV/0! #DIV/0!

CAT (4th Year) #DIV/0! #DIV/0!

PREV.
GENERAL AVERAGE TOTAL
Cum. TOTAL Accomplished by
Jun. Jul. Aug. Sept. Oct. Nov. Dec. Jan. Feb. Mar. Apr. TOTAL
Days of school 0
Days present 0 Section Adviser
Has advanced units in
Lacks units in
To be classified as Total number of years in school to date
(Curriculum year)
Name:
(Surname) (First Name) (Middle Name)
School: Year: Section:
(Name) (Curriculum Year) School Year:
SUBJECTS PERIODIC RATINGS Final Action Units Extracurricular
(National Language 1, etc.) Grading Plan Used: Averaging ( ) Cumulative ( ) Rating Taken Earned Activities
FILIPINO #DIV/0! #DIV/0!
ENGLISH #DIV/0! #DIV/0!
MATHEMATICS #DIV/0! #DIV/0!
SCIENCE #DIV/0! #DIV/0!
MAKABAYAN Checked by
Araling Panlipunan #DIV/0! #DIV/0!
Technology & Livelihood Educ. #DIV/0! #DIV/0!
MAPEH #DIV/0! #DIV/0!
Edukasyon sa Pagpapahalaga #DIV/0! #DIV/0!

CAT (4th Year) #DIV/0! #DIV/0!

GENERAL AVERAGE
TOTAL
Cum. TOTAL Accomplished by
Jun. Jul. Aug. Sept. Oct. Nov. Dec. Jan. Feb. Mar. Apr. TOTAL
Days of school 0
Days present 0 Section Adviser
Has advanced units in
Lacks units in
To be classified as Total number of years in school to date
(Curriculum year)
Name:
(Surname) (First Name) (Middle Name)
School: Year: Section:
(Name) (Curriculum Year) School Year:
SUBJECTS PERIODIC RATINGS Final Action Units Extracurricular
(National Language 1, etc.) Grading Plan Used: Averaging ( ) Cumulative ( ) Rating Taken Earned Activities
FILIPINO #DIV/0! #DIV/0!
ENGLISH #DIV/0! #DIV/0!
MATHEMATICS #DIV/0! #DIV/0!
SCIENCE #DIV/0! #DIV/0!
MAKABAYAN Checked by
Araling Panlipunan #DIV/0! #DIV/0!
Technology & Livelihood Educ. #DIV/0! #DIV/0!
MAPEH #DIV/0! #DIV/0!
Edukasyon sa Pagpapahalaga #DIV/0! #DIV/0!

CAT (4th Year) #DIV/0! #DIV/0!

GENERAL AVERAGE
TOTAL
Cum. TOTAL Accomplished by
Jun. Jul. Aug. Sept. Oct. Nov. Dec. Jan. Feb. Mar. Apr. TOTAL
Days of school 0
Days present 0 Section Adviser
Has advanced units in
Lacks units in
To be classified as Total number of years in school to date
(Curriculum year)
DepEd. Form 137-A
Republic of the Philippines
Department of Education

DIFFUN NATIONAL HIGH SCHOOL

Diffun, Quirino

SECONDARY STUDENT'S PERMANENT RECORD

Name
(Surname) (First Name) (Middle Name)
Date of Birth; Year Month Day Sex
Place of birth: Province Town Barrio
Parent or guardian
(Name) (Address) (Occupation)
Elementary course completed School Year General Ave:

RECORD OF STANDARD INTELLIGENCE AND ACHIEVEMENT TESTS

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

School: Year: Section:

(Name) (Curriculum Year)
Total number of years to complete Elementary Course School Year:

SUBJECTS PERIODIC RATINGS Final Action Units Extracurricular

(National Language 1, etc.) Grading Plan Used: Averaging ( ) Cumulative ( ) Rating Taken Earned Activities
FILIPINO #DIV/0! #DIV/0!
ENGLISH #DIV/0! #DIV/0!
MATHEMATICS #DIV/0! #DIV/0!
SCIENCE #DIV/0! #DIV/0!
MAKABAYAN Checked by
Araling Panlipunan #DIV/0! #DIV/0!
Technology & Livelihood Educ. #DIV/0! #DIV/0!
MAPEH #DIV/0! #DIV/0!
Edukasyon sa Pagpapahalaga #DIV/0! #DIV/0!

CAT (4th Year) #DIV/0! #DIV/0!

GENERAL AVERAGE
TOTAL
Cum. TOTAL Accomplished by
Jun. Jul. Aug. Sept. Oct. Nov. Dec. Jan. Feb. Mar. Apr. TOTAL
Days of school 0
Days present 0 Section Adviser
Has advanced units in
Lacks units in
To be classified as Total number of years in school to date
(Curriculum year)
Name:
(Surname) (First Name) (Middle Name)
School: Year: Section:
(Name) (Curriculum Year) School Year:

SUBJECTS PERIODIC RATINGS Final Action Units Extracurricular

(National Language 1, etc.) Grading Plan Used: Averaging ( ) Cumulative ( ) Rating Taken Earned Activities
FILIPINO #DIV/0! #DIV/0!
ENGLISH #DIV/0! #DIV/0!
MATHEMATICS #DIV/0! #DIV/0!
SCIENCE #DIV/0! #DIV/0!
MAKABAYAN Checked by
Araling Panlipunan #DIV/0! #DIV/0!
Technology & Livelihood Educ. #DIV/0! #DIV/0!
MAPEH #DIV/0! #DIV/0!
Edukasyon sa Pagpapahalaga #DIV/0! #DIV/0!

CAT (4th Year) #DIV/0! #DIV/0!

GENERAL AVERAGE
TOTAL
Cum. TOTAL Accomplished by
Jun. Jul. Aug. Sept. Oct. Nov. Dec. Jan. Feb. Mar. Apr. TOTAL
Days of school 0
Days present 0 Section Adviser
Has advanced units in
Lacks units in
To be classified as Total number of years in school to date
(Curriculum year)

1 Items in parentheses under Subject 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.
 1 Items in parentheses under Subject 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.
(Middle Name)

Extracurricular
Activities

20
Checked by

day of
Accomplished by

Section Adviser

This student is eligible, on this

(Middle Name)

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

Checked by
TRANSFER

Accomplished by

Section Adviser

(Middle Name)

Extracurricular
Activities

Checked by
I certify that this is a true record of

Remarks

Accomplished by

Section Adviser
 Philippines
Education

L HIGH SCHOOL
uirino

PERMANENT RECORD

(Middle Name)

(Occupation)

NCE AND ACHIEVEMENT TESTS

Percentile
Rank

Extracurricular
Activities

Checked by

Accomplished by

Section Adviser

(Middle Name)

Extracurricular
Activities

Checked by

Accomplished by

Section Adviser

lum., a First Year subject should be

IV, respectively.