SF10-ES Republic of the Philippines

Department of Education

Learner Permanent Record for Elementary School (S

(Formerly Form 137)

LEARNER'S PERSONAL INFORMATION

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

Learner Reference Number (LRN): 124813150005 Birthdate (mm/dd/yyyy): July 09, 2007
ELIGIBILITY FOR ELEMENTARY SCHOOL ENROLMENT
Credential Presented for Grade 1: Kinder Progress Report ✘ ECCD Checklist
Name of School: C.Callao Eementary School School ID: 124813 Address of School: A.L Mic
Other Credential Presented
PEPT Passer Rating: _________ Date of Examination/Assessment (mm/dd/yyyy): ____________
Name and Address of Testing Center:____________________________________________________ Remar
SCHOLASTIC RECORD

School: C.Callao Elementary School School ID: 124813 School: _____________________

District: SIOCON Division: Zambo.Norte Region: IX District: _____________________
Classified as Grade: I Section: B School Year: 2017-2018 Classified as Grade: ______ Sect
Name of Adviser/Teacher NOVELYN M. ARMANDO Signature: Name of Adviser/Teacher: ______
Quarterly Rating Final
LEARNING AREAS Remarks Learning Areas
1 2 3 4 Rating

Mother Tongue 82 82 82 Mother Tongue

Filipino 81 82 Filipino

English 81 English
Mathematics 82 82 83 Mathematics
Science Science

Araling Panlipunan 81 82 82 Araling Panlipunan

EPP / TLE EPP / TLE

MAPEH 81 82 82 MAPEH
Music 81 82 83 Music
Arts 82 83 82 Arts

Physical Education 81 81 81 Physical Education

Health 81 81 82 Health

Eduk. sa Pagpapakatao 82 82 83 Eduk. sa Pagpapakatao

*Arabic Language *Arabic Language
*Islamic Values Education *Islamic Values Education

General Average 82 82 82 General Average

Remedial Classes Conducted from: to Remedial Classes

Final Rating Remedial Class Recomputed

Learning Areas Remarks Learning Areas
Mark Final Grade

School: ___________________________________ School ID: School: _____________________

District: ______________________ Division: _____________ Region: District: _____________________
Classified as Grade: ______ Section: __________ School Year: Classified as Grade: ______ Sect
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 Date Conducted: to Remedial Classes
Final Rating Remedial Class Recomputed
Learning Areas Mark Final Grade Remarks Learning Areas
the Philippines
t of Education

r Elementary School (SF10-ES)

y Form 137)

ERSONAL INFORMATION

MIDDLE NAME: CASTILLON

July 09, 2007 Sex: Female
MENTARY SCHOOL ENROLMENT
✘ Kindergarten Certificate of Completion
A.L Micubo Sr. Siocon Zamboanga del Norte

Others (Pls. Specify): _________________________

________________________ Remark:____________________________________
LASTIC RECORD

School: _____________________________ School ID:

District: ______________________ Division: ________ Region:
Classified as Grade: ______ Section: ____ School Year:
Name of Adviser/Teacher: ______________ Signature:
Quarterly Rating Final
Learning Areas Remarks
1 2 3 4 Rating

Mother Tongue
Filipino

English
Mathematics
Science

Araling Panlipunan
EPP / TLE

MAPEH
Music
Arts

Physical Education
Health

Eduk. sa Pagpapakatao
*Arabic Language
*Islamic Values Education

General Average
Conducted from: to
Remedial Recomputed
Final Rating Remarks
Class Mark Final Grade

School: _____________________________ School ID:

District: ______________________ Division: ________ Region:
Classified as Grade: ______ Section: ____ School Year:
Name of Adviser/Teacher: ______________ Signature:

Quarterly Rating Final

Learning Areas Remarks
1 2 3 4 Rating

Mother Tongue

Filipino
English
Mathematics

Science
Araling Panlipunan

EPP / TLE
MAPEH
Music
Arts

Physical Education
Health
Eduk. sa Pagpapakatao
*Arabic Language
*Islamic Values Education
General Average
Date Conducted: to
Remedial Recomputed
Final Rating Class Mark Final Grade Remarks

SFRT 2017
SF10-ES
SCHOLASTIC RECORD
School: __________________________________ School ID: School: ___________________
District: ______________________ Division: ____________ Region: District: ___________________
Classified as Grade: ______ Section: __________ School Year: Classified as Grade: ______ Se
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 Date Conducted: to Remedial Classes
Final Rating Remedial Class Recomputed
Learning Areas Remarks Learning Areas
Mark Final Grade

School: __________________________________ School ID: School: ___________________

District: ______________________ Division: ____________ Region: District: ___________________
Classified as Grade: ______ Section: __________ School Year: Classified as Grade: ______ Se
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 Date Conducted: to Remedial Classes
Final Rating Remedial Class Recomputed
Learning Areas 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 that h
School Name: __________________________________ School ID ________________ Division: ___________ Last School Ye

____________________________________
Date Name of Principal/School Head over Printed Name

CERTIFICATION
I CERTIFY that this is a true record of ___________________________________ with LRN ___________________ and that h
School Name: __________________________________ School ID ________________ Division: ___________ Last School Ye
____________________________________
Date Name of Principal/School Head over Printed Name

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

Date Name of Principal/School Head over Printed Name

May add Certification Box if needed
 Page 2 of ________
ASTIC RECORD
School: _________________________ School ID:
District: ______________________ Division: ____ Region:
Classified as Grade: ______ Section: School Year:
Name of Adviser/Teacher: __________ Signature:

Quarterly Rating Final

Learning Areas Remarks
1 2 3 4 Rating

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

School: _________________________ School ID:

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

Quarterly Rating Final

Learning Areas Remarks
1 2 3 4 Rating

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

CERTIFICATION
with LRN ___________________ and that he/she is eligible for admission to Grade ________.
_____ Division: ___________ Last School Year Attended: _________________________

(Affix School Seal here)

CERTIFICATION
with LRN ___________________ and that he/she is eligible for admission to Grade ________.
_____ Division: ___________ Last School Year Attended: _________________________

(Affix School Seal here)

CERTIFICATION
with LRN ___________________ and that he/she is eligible for admission to Grade ________.
_____ Division: ___________ Last School Year Attended: _________________________

(Affix School Seal here)

SFRT Revised 2017