SF10-ES Republic of the Philippines

Department of Education
Learner's Permanent Academic Record for Elementary School
(SF10-ES)
(Formerly Form 137)
LEARNER'S PERSONAL INFORMATION

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

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

ELIGIBILITY FOR ELEMENTARY SCHOOL ENROLMENT
Credential Presented for Grade 1: Kinder Progress Report ECCD Checklist Kindergarten Certificate of Completion
Name of School: School ID: Address of School:
Other Credential Presented
PEPT Passer Rating: _________ Date of Examination/Assessment (mm/dd/yyyy): ____________ Others (Pls. Specify): _________________________
Name and Address of Testing Center:____________________________________________________ Remark:____________________________________
SCHOLASTIC RECORD

School: _____________________________________ School ID: School: _____________________________ School ID:

District: ______________________ Division: ________________Region: District: ______________________ Division: ____________ Region:
Classified as Grade: ______ Section: __________ School Year: Classified as Grade: ______ Section: _____ School Year:
Name of Adviser/Teacher: ______________________Signature: Name of Adviser/Teacher: _______________ Signature:
Quarterly Rating Final Quarterly Rating Final
LEARNING AREAS Remarks Learning Areas Remarks
1 2 3 4 Rating 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 Conducted from: to

Learning Areas Final Rating Remedial Class Recomputed Remarks Learning Areas Final Rating Remedial Class Recomputed Remarks
Mark Final Grade Mark Final Grade

School: _____________________________________ School ID: School: _____________________________ School ID:

District: ______________________ Division: ________________Region: District: ______________________ Division: ____________ Region:
Classified as Grade: ______ Section: __________ School Year: Classified as Grade: ______ Section: _____ School Year:
Name of Adviser/Teacher: ______________________Signature: Name of Adviser/Teacher: _______________ Signature:

Quarterly Rating Final Quarterly Rating Final

Learning Areas Remarks Learning Areas Remarks
1 2 3 4 Rating 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 Date Conducted: to
Remedial Class Recomputed Remedial Class Recomputed
Learning Areas Final Rating Mark Final Grade Remarks Learning Areas Final Rating Mark Final Grade Remarks
SF10-ES
SCHOLASTIC RECORD
School: _____________________________________ School ID: School: _______________
District: ______________________ Division: ________________Region: District: _______________
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 Area
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 Educati
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: _____
Name of Adviser/Teacher: ______________________Signature: Name of Adviser/Teacher:

Quarterly Rating Final

Learning Areas Remarks Learning Area
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 Educati
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 ___________________ and tha
School Name: __________________________________ School ID ________________ Division: ___________ Last Schoo

____________________________________
Date Name of Principal/School Head over Printed Name

CERTIFICATION
I CERTIFY that this is a true record of ___________________________________ with LRN ___________________ and tha
School Name: __________________________________ School ID ________________ Division: ___________ Last Schoo

____________________________________
Date Name of Principal/School Head over Printed Name

CERTIFICATION
I CERTIFY that this is a true record of ___________________________________ with LRN ___________________ and tha
School Name: __________________________________ School ID ________________ Division: ___________ Last Schoo

____________________________________
 Date Name of Principal/School Head over Printed Name
May add Certification Box if needed
 Page 2 of ________

________________________ School ID:

_________________ Division: ________ Region:
Grade: ______ Section: ____ School Year:
er/Teacher: ______________ Signature:

Quarterly Rating Final

arning Areas Remarks
1 2 3 4 Rating

punan

ucation

papakatao
guage
ues Education
age
ses Date Conducted: to
Remedial Recomputed
g Areas Final Rating Remarks
Class Mark Final Grade

________________________ School ID:

_________________ Division: ________ Region:
Grade: ______ Section: ____ School Year:
er/Teacher: ______________ Signature:

Quarterly Rating Final

arning Areas Remarks
1 2 3 4 Rating

e
punan

ucation

papakatao
guage
ues Education
age
ses Date Conducted: to
Remedial Recomputed
g Areas Final Rating Remarks
Class Mark Final Grade

____ and that he/she is eligible for admission to Grade ________.

_ Last School Year Attended: _________________________

(Affix School Seal here)

____ and that he/she is eligible for admission to Grade ________.

_ Last School Year Attended: _________________________

(Affix School Seal here)

____ and that he/she is eligible for admission to Grade ________.

_ Last School Year Attended: _________________________
(Affix School Seal here)
SFRT Revised 2017