LEARNER'S INFORMATION
LAST NAME: ________________________FIRST NAME: ____________________ NAME EXTN. (Jr,I,II): _______ MIDDLE NAME: ___
Learner Reference Number (LRN): ______________ Birthdate (mm/dd/yyyy): _____________________ Sex: _____________
SCHOLASTIC RECORD
School: ______________________ School ID: ________ District: ___________________ Division: _______________
Classified as Grade: ____ Section: ___ School Year: _____ Name of Adviser/Teacher: ________________ Signa
Quarterly Rating FINAL
LEARNING AREAS REM
1 2 3 4 RATING
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)
Technology and Livelihood Education (TLE)
MAPEH
Music
Arts
Physical Education
Health
General Average
Remedial Classes Conducted from (mm/dd/yyyy) ____________________ to (mm/dd/yyyy) __________________
Recomputed Final
Learning Areas Final Rating Remedial Class Mark Rem
Grade
General Average
CERTIFICATION
I CERTIFY that this is a true record of _________________________with LRN ______________ and that he/she is eligible for admissi
Name of School: ____________________________________ School ID: __________________ Last School Year Attended: ________
________________________
Date Name of Principal/School Head over Printed Name (Affix School Seal he
JHS)
REMARKS
____________
Remarks
REMARKS
___________
Remarks
Classified as Grade: ____ Section: ___ School Year: _____ Name of Adviser/Teacher: ________________ Signatu
General Average
Remedial Classes Conducted from (mm/dd/yyyy) ____________________ to (mm/dd/yyyy) _______________
Recomputed Final
Subject Final Rating Remedial Class Mark Remark
Grade
Classified as Grade: ____ Section: ___ School Year: _____ Name of Adviser/Teacher: ________________ Signatu
LEARNING AREAS QUARTER FINAL REMAR
1 2 3 4 RATING
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)
Technology and Livelihood Education (TLE)
MAPEH
Music
Arts
Physical Education
Health
General Average
Remedial Classes Conducted from (mm/dd/yyyy) ____________________ to (mm/dd/yyyy) ______________
Recomputed Final
Learning Areas Final Rating Remedial Class Mark Remark
Grade
School: ______________________ School ID: ________ District: ___________________ Division: _______________
Classified as Grade: ____ Section: ___ School Year: _____ Name of Adviser/Teacher: ________________ Signatu
Quarterly Rating FINAL
LEARNING AREAS REMAR
1 2 3 4 RATING
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)
Technology and Livelihood Education (TLE)
MAPEH
Music
Arts
Physical Education
Health
General Average
Remedial Classes Conducted from (mm/dd/yyyy) ____________________ to (mm/dd/yyyy) ______________
Recomputed Final
Learning Areas Final Rating Remedial Class Mark Remark
Grade
I CERTIFY that this is a true record of _____________________________with LRN ________________ and that he/she is eligible for a
Name of School: ____________________________________ School ID __________________ Last School Year Attended: _________
_____________________
Date Name of Principal/School Head over Printed Name (Affix School Seal here)
(May add Certification box if needed)
Pag 2 of ________
__________________ Region: ____
REMARKS
____________
Remarks
y) _______________
Remarks
__________________ Region: ____
_________ Signature: ________
REMARKS
y) _______________
Remarks