SF10-JHS Republic of the Philippines

Department of Education
Region 02
Division of Nueva Vizcaya
BAMBANG NATIONAL HIGH SCHOOL
Bambang

SENIOR HIGH SCHOOL STUDENT PERMANENT RECORD

LEARNER'S INFORMATION
LAST NAME: FIRST NAME: NAME EXTN.(Jr, I,II) MIDDLE NAME:
Learner Reference Number (LRN): Birthdate (mm/dd/yyyy):
ELIGIBILITY FOR SHS ENROLMENT
High School Completer* Junior High School Completer General Average:
Date of Graduation/Completion (MM/DD/YYYY): Name of School:
Adrress of School:
Other credentials presented:
PEPT Passer** Rating: ALS A&E Passer*** Rating: Others (pls. specify):
Date of Examination/Assessment (mm/dd/yyyy): Name & Address of Community Learning Center:
* High School Completers are students who graduated from secondary school under the old curriculum
**PEPT-Philippine Educational Placement Test for JHS *** ALS A&E- Alternative Learning System Accreditation & Equivalency Test for JHS
SCHOLASTIC RECORD
School: School ID: Grade Level:
School Year: SEM:
TRACK/STRAND: Adviser:
QUARTER
Indicate if Subject is CORE, SEM FINAL
SUBJECTS
APPLIED OR SPECIALIZED 1st 2nd GRADE

GENERAL AVERAGE for the Semester

Remedial Classes Conducted from (mm/dd/yyy): to (mm/dd/yyyy):
Learning Areas Final Rating Remedial Class Mark Recomputed final grade

School: School ID: Grade Level:

School Year: SEM:
TRACK/STRAND: Adviser:

Indicate if Subject is CORE, QUARTER SEM FINAL

SUBJECTS
APPLIED OR SPECIALIZED 1st 2nd GRADE

GENERAL AVERAGE for the Semester

Remedial Classes Conducted from (mm/dd/yyy): to (mm/dd/yyyy):
Learning Areas Final Rating Remedial Class Mark Recomputed final grade
Name:
School: School ID: Grade Level:
School Year: SEM:
TRACK/STRAND: Adviser:

Indicate if Subject is CORE, QUARTER SEM FINAL

SUBJECTS
APPLIED OR SPECIALIZED 1st 2nd GRADE

GENERAL AVERAGE for the Semester

Remedial Classes Conducted from (mm/dd/yyy): to (mm/dd/yyyy):
Learning Areas Final Rating Remedial Class Mark Recomputed final grade

School: School ID: Grade Level:

School Year: SEM:
TRACK/STRAND: Adviser:
QUARTER
Indicate if Subject is CORE, SEM FINAL
SUBJECTS
APPLIED OR SPECIALIZED 1st 2nd GRADE

GENERAL AVERAGE for the Semester

Remedial Classes Conducted from (mm/dd/yyy): to (mm/dd/yyyy):
Learning Areas Final Rating Remedial Class Mark Recomputed final grade

For Transfer Out/JHS Completer Only

CERTIFICATION
I CERTIFY that this is a true record of _______________________________________ with LRN ____________________________
and that he/she is eligible for admission to Grade ____ as a (regular /irregular) student and has no money or property
responsibility in this school.

Name of School: School ID: School Year last attended:

Note:

Not valid without seal IGNACIO D. DUMANGENG, JR., PhD.

Secondary School Principal IV
IDDLE NAME:
Sex:

neral Average:

ivalency Test for JHS

ACTION TAKEN

Remarks

ACTION TAKEN

Remarks
 ACTION TAKEN

Remarks

ACTION TAKEN

Remarks

_______________________
 or property

ast attended:

NG, JR., PhD.

Principal IV
 June July Aug. Sept. Oct. Nov. Dec. Jan.
Days of School
Days Present
Times Tardy
Feb. Mar. Apr. May TOTAL