REPUBLIC OF THE PHILIPPINES FORM 137-SHS

DEPARTMENT OF EDUCATION

SENIOR HIGH SCHOOL STUDENT PERMANENT RECORD

LEARNER'S INFORMATION

LAST NAME: ACOSTA FIRST NAME: REMEGIO JAY MIDDLE NAME: DUCAY
LRN: 101588060001 Date of Birth (MM/DD/YYYY): May 7, 2000 Sex: MALE Date of SHS Admission (MM/DD/YYYY): 6/5/2017

ELIGIBILITY FOR SHS ENROLLMENT

HS Completer ∕ JHS Completer

Gen. Ave: 85 Date of Graduation/Completion (MM/DD/YYYY): April 2, 2017 Name of School: MANGATAREM NATIONAL HIGH SCHOOL School Address: POGONLOMBOY, MANGATAREM, PANGASINAN

PEPT Passer* ALS A&E Passer** Others (Pls. Specify):

Rating: N/A Date of Examination/Assessment (MM/DD/YYYY): N/A Name and Address of Community Learning Center: N/A
*PEPT - Philippine Educational Placement Test for JHS
**ALS A&E - Alternative Learning System Accreditation and Equivalency Test for JHS

SCHOLASTIC RECORD

SCHOOL: MANGATAREM NATIONAL HIGH SCHOOL SCH ID: 300222 GRADE LEVEL:11 SY: 2017-2018 SEM: 1ST
TRACK/STRAND:TVL/SMAW -SHIELDED METAL ARC WELDING SECTION: SMAW B

Indicate if Subject is Quarter

SEM FINAL
CORE, APPLIED, or LEARNING AREAS/SUBJECTS ACTION TAKEN
SPECIALIZED GRADE
1ST 2ND
Core Oral Communication 82 83 83 PASSED
Core Komunikasyon at Pananaliksik sa Wika at Kulturang Pilipino 87 88 88 PASSED
Core General Mathematics 88 89 89 PASSED
Core Earth and Life Science* 80 80 80 PASSED
Core Introduction to the Philosophy of the Human Person/Pambungad sa Pilosopiya ng Tao 86 90 88 PASSED
Core Physical Education and Health 87 90 89 PASSED
Applied English for Academic and Professional Purposes 83 84 84 PASSED
Specialized Shielded Metal Arc Welding NC I (160 hrs) 89 91 90 PASSED

General Ave. for the Semester: 86 PASSED

REMARKS: PROMOTED
Prepared by: Certified True and Correct: Date Checked (MM/DD/YYYY):

MARVIN DARIUS M. LAGASCA EVELYN G. VELASQUEZ Principal IV

Signature of Adviser over Printed Name Signature over printed name Designation

REMEDIAL CLASSES SCHOOL: SCHOOL ID:

Indicate if Subject is
SEM FINAL REMEDIAL RECOMPUTED
CORE, APPLIED, or LEARNING AREAS/SUBJECTS ACTION TAKEN
GRADE CLASS MARK FINAL GRADE
SPECIALIZED

Name of Teacher/Adviser: Signature:

SCHOOL: MANGATAREM NATIONAL HIGH SCHOOL SCH ID: 300222 GRADE LEVEL: 11 SY: 2017-2018 SEM: 2ND

TRACK/STRAND: TVL/SMAW -SHIELDED METAL ARC WELDING SECTION: B

Indicate if Subject is Quarter

SEM FINAL
CORE, APPLIED, or LEARNING AREAS/SUBJECTS ACTION TAKEN
GRADE
SPECIALIZED 3RD 4TH

Core Reading and Writing 87 86 87 PASSED

Core Pagbasa at Pagsusuri ng Iba't Ibang Teksto Tungo sa Pananaliksik 90 90 90 PASSED
Core Media and Information Literacy 91 92 92 PASSED
Core Statistics and Probability 85 91 88 PASSED
Core Physical Science* 87 90 89 PASSED
Core Physical Education and Health 89 95 92 PASSED
Specialized Shielded Metal Arc Welding NC II (160 hrs) 92 94 93 PASSED

General Ave. for the Semester: 90 PASSED

REMARKS: PROMOTED
Prepared by: Certified True and Correct: Date Checked (MM/DD/YYYY):

MARVIN DARIUS M. LAGASCA EVELYN G. VELASQUEZ Principal IV

Signature of Adviser over Printed Name Signature over printed name Designation

REMEDIAL CLASSES SCHOOL: SCHOOL ID:

Indicate if Subject is
SEM FINAL REMEDIAL RECOMPUTED
CORE, APPLIED, or LEARNING AREAS/SUBJECTS ACTION TAKEN
GRADE CLASS MARK FINAL GRADE
SPECIALIZED

Core

Name of Teacher/Adviser: Signature:

Page 2 ACOSTA, REMEGIO JAY Form 137-SHS

SCHOOL: SCH ID: GRADE LEVEL: SY: SEM:

TRACK/STRAND: SECTION:

Indicate if Subject is Quarter

SEM FINAL
CORE, APPLIED, or LEARNING AREAS/SUBJECTS ACTION TAKEN
GRADE
SPECIALIZED
Core

General Ave. for the Semester:

REMARKS:
Prepared by: Certified True and Correct: Date Checked (MM/DD/YYYY):

Signature of Adviser over Printed Name Signature over printed name Designation

REMEDIAL CLASSES SCHOOL: SCHOOL ID:

Indicate if Subject is
SEM FINAL REMEDIAL RECOMPUTED
CORE, APPLIED, or LEARNING AREAS/SUBJECTS ACTION TAKEN
GRADE CLASS MARK FINAL GRADE
SPECIALIZED

Core

Name of Teacher/Adviser: Signature:

SCHOOL: SCH ID: GRADE LEVEL: SY: SEM:

TRACK/STRAND: SECTION:

Indicate if Subject is Quarter

SEM FINAL
CORE, APPLIED, or LEARNING AREAS/SUBJECTS ACTION TAKEN
GRADE
SPECIALIZED

General Ave. for the Semester:

REMARKS:
Prepared by: Certified True and Correct: Date Checked (MM/DD/YYYY):

Signature of Adviser over Printed Name Signature over printed name Designation

REMEDIAL CLASSES SCHOOL: SCHOOL ID:

Indicate if Subject is
SEM FINAL REMEDIAL RECOMPUTED
CORE, APPLIED, or LEARNING AREAS/SUBJECTS ACTION TAKEN
GRADE CLASS MARK FINAL GRADE
SPECIALIZED

Name of Teacher/Adviser: Signature:

Track/Strand Accomplished: SHS General Average: Date of SHS Graduation (MM/DD/YYYY):

Honors Received:
Certified by: Place School Seal Here:

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 authenticated 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 produce two (2) certified true copies of this permanent record: 1 copy for the school, 1 copy for the Division Office.

REMARKS: (Please indicate the purpose for which this permanent record will be used)

Date of Issue (MM/DD/YYYY):

ACOSTA, REMEGIO JAY 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)

Automotive Servicing NC II
/ General Biology 1
/ General Biology 2
/ General Chemistry 1
/ Pre-Calculus
/ Basic Calculus
/ Shielded Metal Arc Welding NC II (160 hrs)
Form 137-SHS