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SF10-ES Republic of the Philippines

Department of Education

Learner Permanent Record for Elementary School (SF10


(Formerly Form 137)

LEARNER'S PERSONAL INFORMATION

LAST NAME: FIRST NAME: NAME EXTN. (Jr,I,II)

Learner Reference Number (LRN): Birthdate (mm/dd/yyyy): ###


ELIGIBILITY FOR ELEMENTARY SCHOOL ENROLMENT
Credential Presented for Grade 1: Kinder Progress Report ECCD Checklist
Name of School: School ID: Address of School:
Other Credential Presented
PEPT Passer Rating: Date of Examination/Assessment (mm/dd/yyyy):
Name and Address of Testing Center:
SCHOLASTIC RECORD

School: School ID: School:


District: Division Region: District: Divisio
Classified as Grade: Section: School Year: Classified as Grade:
Name of Adviser/Teacher: Signature: Name of Adviser/Teacher:
Quarterly Rating Final
LEARNING AREAS Remarks Learning Areas
1 2 3 4 Rating

Mother Tongue Mother Tongue


Filipino Filipino

English English
Mathematics Mathematics
Science Science

Araling Panlipunan Araling Panlipunan


EPP / TLE EPP / TLE

MAPEH MAPEH
Music Music
Arts Arts
Physical Education Physical Education
Health Health
Eduk. sa Pagpapakatao Eduk. sa Pagpapakatao
*Arabic Language *Arabic Language
*Islamic Values Education *Islamic Values Education

General Average General Average


Remedial Classes Conducted from: to Remedial Classes Condu
Remedial Class Recomputed
Learning Areas Final Rating Remarks Learning Areas Fin
Mark Final Grade
School: School ID: School:
District: Division Region: District: Divisio
Classified as Grade: Section: School Year: Classified as Grade:
Name of Adviser/Teacher: Signature: Name of Adviser/Teacher:

Quarterly Rating Final


LEARNING AREAS Remarks Learning Areas
1 2 3 4 Rating

Mother Tongue Mother Tongue

Filipino Filipino
English English
Mathematics Mathematics

Science Science
Araling Panlipunan Araling Panlipunan

EPP / TLE EPP / TLE


MAPEH MAPEH
Music Music
Arts Arts
Physical Education Physical Education
Health Health
Eduk. sa Pagpapakatao Eduk. sa Pagpapakatao
*Arabic Language *Arabic Language
*Islamic Values Education *Islamic Values Education
General Average General Average

Remedial Classes Conducted from: to Remedial Classes Condu


Remedial Class Recomputed
Learning Areas Final Rating Remarks Learning Areas Fin
Mark Final Grade
(SF10-ES)

N. (Jr,I,II) MIDDLE NAME:

Sex:
MENT
Kindergarten Certificate of Completion

Others (Pls. Specify):


Remark:

School ID:
Division:
Section: School Year:
Signature:
Quarterly Rating
Areas
1 2 3 4

on

Conducted from: to
Remedial Class Recomputed Final
Final Rating
Mark Grade
School ID:
Division:
Section: School Year:
Signature:

Quarterly Rating
Areas
1 2 3 4

on

Conducted from: to
Remedial Class Recomputed Final
Final Rating
Mark Grade
SF10-ES
SCHOLASTIC RECORD
School: ______________________________________ School ID: School: __________________
District: ______________________ Division: ________________ Region: District: __________________
Classified as Grade: ______ Section: __________ School Year: Classified as Grade: ______ S
Name of Adviser/Teacher: ______________________ Signature: Name of Adviser/Teacher: ____

Quarterly Rating Final


LEARNING AREAS Remarks Learning Are
1 2 3 4 Rating

Mother Tongue Mother Tongue


Filipino Filipino
English English
Mathematics Mathematics
Science Science
Araling Panlipunan Araling Panlipunan
EPP / TLE EPP / TLE
MAPEH MAPEH
Music Music
Arts Arts
Physical Education Physical Education
Health Health
Eduk. sa Pagpapakatao Eduk. sa Pagpapakatao
*Arabic Language *Arabic Language
*Islamic Values Education *Islamic Values Education
General Average General Average
Remedial Classes Date Conducted: to Remedial Classes
Remedial Class Recomputed
Learning Areas Final Rating Remarks Learning Areas
Mark Final Grade

School: ______________________________________ School ID: School: __________________


District: ______________________ Division: ________________ Region: District: __________________
Classified as Grade: ______ Section: __________ School Year: Classified as Grade: ______ S
Name of Adviser/Teacher: ______________________ Signature: Name of Adviser/Teacher: ____

Quarterly Rating Final


Learning Areas Remarks Learning Are
1 2 3 4 Rating

Mother Tongue Mother Tongue


Filipino Filipino
English English
Mathematics Mathematics
Science Science
Araling Panlipunan Araling Panlipunan
EPP / TLE EPP / TLE
MAPEH MAPEH
Music Music
Arts Arts
Physical Education Physical Education
Health Health
Eduk. sa Pagpapakatao Eduk. sa Pagpapakatao
*Arabic Language *Arabic Language
*Islamic Values Education *Islamic Values Education
General Average General Average
Remedial Classes Date Conducted: to Remedial Classes
Remedial Class Recomputed
Learning Areas Final Rating Remarks Learning Areas
Mark Final Grade

For Transfer Out /Elementary School Completer Only


CERTIFICATION
I CERTIFY that this is a true record of with LRN
School Name: School ID Division:

Date Signature of Principal/School Head over Printed Name

CERTIFICATION
I CERTIFY that this is a true record of with LRN
School Name: School ID Division:

Date Signature of Principal/School Head over Printed Name

CERTIFICATION
I CERTIFY that this is a true record of with LRN
School Name: School ID Division:

Date Signature of Principal/School Head over Printed Name


May add Certification Box if needed
Page 2 of ________

ol: ______________________________________ School ID:


ct: ______________________ Division: ________________ Region:
sified as Grade: ______ Section: __________ School Year:
e of Adviser/Teacher: ______________________ Signature:

Quarterly Rating Final Rema


Learning Areas
1 2 3 4 Rating rks

her Tongue
ino
ish
hematics
nce
ng Panlipunan
/ TLE
EH
usic
rts
hysical Education
ealth
k. sa Pagpapakatao
Arabic Language
slamic Values Education
eral Average
medial Classes Date Conducted: to
Remedial Recomputed
Learning Areas Final Rating Remarks
Class Mark Final Grade

ol: ______________________________________ School ID:


ct: ______________________ Division: ________________ Region:
sified as Grade: ______ Section: __________ School Year:
e of Adviser/Teacher: ______________________ Signature:

Quarterly Rating Final Rema


Learning Areas
1 2 3 4 Rating rks

her Tongue
ino
ish
hematics
nce
ng Panlipunan
/ TLE
EH
usic
rts
hysical Education
ealth
k. sa Pagpapakatao
Arabic Language
slamic Values Education
eral Average
medial Classes Date Conducted: to
Remedial Recomputed
Learning Areas Final Rating Remarks
Class Mark Final Grade

N
and that he/she is eligible for addmision to Grade .
Last School Year Attended:

rinted Name (Affix School Seal here)

N
and that he/she is eligible for addmision to Grade .
Last School Year Attended:

rinted Name (Affix School Seal here)

N
and that he/she is eligible for addmision to Grade .
Last School Year Attended:

rinted Name (Affix School Seal here)


SFRT Revised 2017