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SF 10 -JHS
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Republic of the PhilippinesTRUE
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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 INFORMATIONPAGUIO
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LAST NAME:BELLEZA
FIRST NAME: ____________________
ERMIE
NAME EXTN. (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 Completer
General 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 Passer Rating: _________
ALS A&E Passer
Rating______________
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:ITARAN NATIONAL HIGH SCHOOLSchool ID301828DistrictPOLANGUIDivisionALBAYRegionV-BICOL
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Classified as Grade:
7Section:SUNFLOWER
School Year
2017-2018
Name of adviserJULIE R. PAGUIO
Signature
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LEARNING AREASQuarterly RatingFINALREMARKS
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1234RATING
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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#DIV/0!
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Remedial Classes
Conducted from (mm/dd/yyyy)
to (mm/dd/yyyy
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School:School IDDistrictDivisionRegion
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Classified as Grade:
Section:DAISY
School Year
Name of adviser
Signature
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LEARNING AREASQuarterly RatingFINALREMARKS
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1234RATING
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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#DIV/0!
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Remedial Classes
Conducted from (mm/dd/yyyy)
to (mm/dd/yyyy
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Learning AreasFinal RatingRemedial Class MarkRecomputed Final GradeRemarks
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CERTIFICATION
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I CERTIFY that this is a true record of
with 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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Date
Name of Principal/School Head over Printed Name
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