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SF10-JHS
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Republic of the Philippines
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Department of Education
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Learner Permanent Record for Junior High School (SF10-JHS)
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(Formerly Form 137)
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LEARNER'S INFORMATION
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LAST NAME:FIRST NAME:NAME EXT. (Jr,I,II):MIDDLE NAME:
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Learner Reference Number (LRN):Birthdate (mm/dd/yyyy):Sex:
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ELIGIBILITY FOR JHS ENROLMENT
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Elementary School CompleterGeneral Average:Citation (if Any):
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Name of Elementary School:
School ID:Address of School:
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Other Credential Presented
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PEPT PasserRating:ALS A & E PasserRating:Others (Pls. Specify):
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Date of Examination/Assessment (mm/dd/yyyy):Name and Address of Testing Center:
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SCHOLASTIC RECORD
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School:School ID:District:Division:Region:
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Classified as Grade:Section:School Year:Name of Adviser/Teacher:Signature:
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LEARNING AREASQuarterly RatingFINAL
RATING
REMARKS
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1234
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Filipino
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English
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Mathematics
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Science
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Araling Panlipunan (AP)
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Edukasyon sa Pagpapakatao (EsP)
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Technology and Livelihood Education (TLE)
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MAPEH
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Music
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Arts
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Physical Education
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Health
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General Average
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Remedial ClassesConducted from (mm/dd/yyyy)to (mm/dd/yyyy)
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u
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Learning AreasFinal RatingRemedial Class MarkRecomputed
Final Grade
Remarks
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School:School ID:District:Division:Region:
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Classified as Grade:Section:School Year:Name of Adviser/Teacher:Signature:
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LEARNING AREASQuarterly RatingFINAL
RATING
REMARKS
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1234
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Filipino
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English
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Mathematics
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Science
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Araling Panlipunan (AP)
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Edukasyon sa Pagpapakatao (EsP)
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Technology and Livelihood Education (TLE)
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MAPEH
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Music
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Arts
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Physical Education
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Health
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General Average
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Remedial ClassesConducted from (mm/dd/yyyy)to (mm/dd/yyyy)
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u
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Learning AreasFinal RatingRemedial Class MarkRecomputed
Final Grade
Remarks
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CERTIFICATION
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I CERTIFY that this is a true record ofwith LRN
and that he/she is eligible for admission to Grade
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Name of School:School ID:Last School Year Attended:
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DateSignature of Principal/School Head over Printed Name(Affix School Seal Here)
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