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SF10-ES
Republic of the Philippines
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Department of Education
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Learner's Permanent Academic Record for Elementary School (SF10-ES)
(Formerly Form 137)
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LEARNER'S PERSONAL INFORMATION
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LAST NAME:
FIRST NAME:
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 ELEMENTARY SCHOOL ENROLMENT
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Credential Presented for Grade 1:
Kinder Progress Report
ECCD Checklist
Kindergarten Certificate of Completion
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Name of School:
School ID:
Address of School:
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Other Credential Presented
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PEPT Passer Rating: _________
Date of Examination/Assessment (mm/dd/yyyy): ____________
Others (Pls. Specify): _________________________
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Name and Address of Testing Center:____________________________________________________ Remark:____________________________________
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SCHOLASTIC RECORD
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School: ______________________________________
School ID:
School: ______________________________________
School ID:
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District: ______________________ Division: ________________
Region:
District: ______________________ Division: ________________
Region:
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Classified as Grade: ______ Section: __________
School Year:
Classified as Grade: ______ Section: __________
School Year:
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Name of Adviser/Teacher: ______________________
Signature:
Name of Adviser/Teacher: ______________________
Signature:
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LEARNING AREASQuarterly RatingFinal RatingRemarksLearning AreasQuarterly RatingFinal RatingRemarks
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12341234
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Mother TongueMother Tongue
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FilipinoFilipino
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EnglishEnglish
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MathematicsMathematics
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ScienceScience
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Araling PanlipunanAraling Panlipunan
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EPP / TLEEPP / TLE
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MAPEHMAPEH
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MusicMusic
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ArtsArts
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Physical EducationPhysical Education
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HealthHealth
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Eduk. sa PagpapakataoEduk. sa Pagpapakatao
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*Arabic Language*Arabic Language
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*Islamic Values Education*Islamic Values Education
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General AverageGeneral Average
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Remedial ClassesConducted from: toRemedial ClassesConducted from: to
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Learning AreasFinal RatingRemedial Class MarkRecomputed Final GradeRemarksLearning AreasFinal RatingRemedial Class MarkRecomputed Final GradeRemarks
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School: ______________________________________
School ID:
School: ______________________________________
School ID:
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District: ______________________ Division: ________________
Region:
District: ______________________ Division: ________________
Region:
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Classified as Grade: ______ Section: __________
School Year:
Classified as Grade: ______ Section: __________
School Year:
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Name of Adviser/Teacher: ______________________
Signature:
Name of Adviser/Teacher: ______________________
Signature:
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Learning AreasQuarterly RatingFinal RatingRemarksLearning AreasQuarterly RatingFinal RatingRemarks
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12341234
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Mother TongueMother Tongue
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FilipinoFilipino
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EnglishEnglish
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MathematicsMathematics
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ScienceScience
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Araling PanlipunanAraling Panlipunan
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EPP / TLEEPP / TLE
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MAPEHMAPEH
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MusicMusic
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ArtsArts
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Physical EducationPhysical Education
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HealthHealth
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Eduk. sa PagpapakataoEduk. sa Pagpapakatao
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*Arabic Language*Arabic Language
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*Islamic Values Education*Islamic Values Education
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General AverageGeneral Average
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Remedial ClassesDate Conducted: toRemedial ClassesDate Conducted: to
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Learning AreasFinal RatingRemedial Class MarkRecomputed Final GradeRemarksLearning AreasFinal RatingRemedial Class MarkRecomputed Final GradeRemarks
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SFRT 2017
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