SF10-ES Republic of the Philippines

Department of Education

Learner Permanent Record for Elementary School (SF10

(Formerly Form 137)

LEARNER'S PERSONAL INFORMATION

LAST NAME: FIRST NAME: NAME EXTN. (Jr,I,II)

Learner Reference Number (LRN): Birthdate (mm/dd/yyyy): ###

ELIGIBILITY FOR ELEMENTARY SCHOOL ENROLMENT
Credential Presented for Grade 1: Kinder Progress Report ECCD Checklist
Name of School: School ID: Address of School:
Other Credential Presented
PEPT Passer Rating: Date of Examination/Assessment (mm/dd/yyyy):
Name and Address of Testing Center:
SCHOLASTIC RECORD

School: School ID: School:

District: Division Region: District: Division
Classified as Grade: Section: School Year: Classified as Grade: Sectio
Name of Adviser/Teacher: Signature: Name of Adviser/Teacher:
Quarterly Rating Final
LEARNING AREAS Remarks Learning Areas
1 2 3 4 Rating

Mother Tongue Mother Tongue

Filipino Filipino
English English

Mathematics Mathematics
Science Science
Araling Panlipunan Araling Panlipunan

EPP / TLE EPP / TLE

MAPEH MAPEH

Music Music
Arts Arts
Physical Education Physical Education
Health Health
Eduk. sa Pagpapakatao Eduk. sa Pagpapakatao

*Arabic Language *Arabic Language

*Islamic Values Education *Islamic Values Education
General Average General Average
Remedial Classes Conducted from: to Remedial Classes Condu
Remedial Class Recomputed
Learning Areas Final Rating Remarks Learning Areas Fina
Mark Final Grade

School: School ID: School:

District: Division Region: District: Division
Classified as Grade: Section: School Year: Classified as Grade: Sectio
Name of Adviser/Teacher: Signature: Name of Adviser/Teacher:

Quarterly Rating Final

LEARNING AREAS Remarks Learning Areas
1 2 3 4 Rating

Mother Tongue Mother Tongue

Filipino Filipino

English English
Mathematics Mathematics

Science Science
Araling Panlipunan Araling Panlipunan
EPP / TLE EPP / TLE

MAPEH MAPEH
Music Music
Arts Arts
Physical Education Physical Education
Health Health
Eduk. sa Pagpapakatao Eduk. sa Pagpapakatao
*Arabic Language *Arabic Language

*Islamic Values Education *Islamic Values Education

General Average General Average

Remedial Classes Conducted from: to Remedial Classes Condu

Remedial Class Recomputed
Learning Areas Final Rating Remarks Learning Areas Fina
Mark Final Grade
SF10-ES)

,I,II) MIDDLE NAME:

Sex:
MENT
Kindergarten Certificate of Completion

Others (Pls. Specify):

Remark:

School ID:
Division: Region:
Section: School Year:
Signature:
Quarterly Rating Final
eas Remarks
1 2 3 4 Rating
Conducted from: to
Remedial Class Recomputed
Final Rating Remarks
Mark Final Grade

School ID:
Division: Region:
Section: School Year:
Signature:

Quarterly Rating Final

eas Remarks
1 2 3 4 Rating

Conducted from: to
Remedial Class Recomputed
Final Rating Remarks
Mark Final Grade

SFRT 2017
SF10-ES
SCHOLASTIC RECORD
School: ______________________________________ School ID: School: _______________
District: ______________________ Division: ________________ Region: District: _______________
Classified as Grade: ______ Section: __________ School Year: Classified as Grade: _____
Name of Adviser/Teacher: ______________________ Signature: Name of Adviser/Teacher: _

Quarterly Rating Final

LEARNING AREAS Remarks Learning
1 2 3 4 Rating

Mother Tongue Mother Tongue

Filipino Filipino
English English
Mathematics Mathematics
Science Science
Araling Panlipunan Araling Panlipunan
EPP / TLE EPP / TLE
MAPEH MAPEH
Music Music
Arts Arts
Physical Education Physical Education
Health Health
Eduk. sa Pagpapakatao Eduk. sa Pagpapakatao
*Arabic Language *Arabic Language
*Islamic Values Education *Islamic Values Educati
General Average General Average
Remedial Classes Date Conducted: to Remedial Classes
Remedial Class Recomputed
Learning Areas Final Rating Remarks Learning Areas
Mark Final Grade

School: ______________________________________ School ID: School: _______________

District: ______________________ Division: ________________ Region: District: _______________
Classified as Grade: ______ Section: __________ School Year: Classified as Grade: _____
Name of Adviser/Teacher: ______________________ Signature: Name of Adviser/Teacher: _

Quarterly Rating Final

Learning Areas Remarks Learning
1 2 3 4 Rating

Mother Tongue Mother Tongue

Filipino Filipino
English English
Mathematics Mathematics
Science Science
Araling Panlipunan Araling Panlipunan
EPP / TLE EPP / TLE
MAPEH MAPEH
Music Music
Arts Arts
Physical Education Physical Education
Health Health
Eduk. sa Pagpapakatao Eduk. sa Pagpapakatao
*Arabic Language *Arabic Language
*Islamic Values Education *Islamic Values Educati
General Average General Average
Remedial Classes Date Conducted: to Remedial Classes
Remedial Class Recomputed
Learning Areas Final Rating Remarks Learning Areas
Mark Final Grade

For Transfer Out /Elementary School Completer Only

CERTIFICATION
I CERTIFY that this is a true record of with LRN
School Name: School ID Division:

Date Signature of Principal/School Head over Printed Name

CERTIFICATION
I CERTIFY that this is a true record of with LRN
School Name: School ID Division:

Date Signature of Principal/School Head over Printed Name

CERTIFICATION
I CERTIFY that this is a true record of with LRN
School Name: School ID Division:
 Date Signature of Principal/School Head over Printed Name
May add Certification Box if needed
 Page 2 of ________
ECORD
chool: ______________________________________ School ID:
District: ______________________ Division: ________________ Region:
Classified as Grade: ______ Section: __________ School Year:
Name of Adviser/Teacher: ______________________ Signature:

Quarterly Rating Final

Learning Areas Remarks
1 2 3 4 Rating

Mother Tongue
ilipino
nglish
Mathematics
cience
raling Panlipunan
PP / TLE
MAPEH
Music
Arts
Physical Education
Health
duk. sa Pagpapakatao
*Arabic Language
*Islamic Values Education
General Average
Remedial Classes Date Conducted: to
Remedial Recomputed
Learning Areas Final Rating Remarks
Class Mark Final Grade

chool: ______________________________________ School ID:

District: ______________________ Division: ________________ Region:
Classified as Grade: ______ Section: __________ School Year:
Name of Adviser/Teacher: ______________________ Signature:

Quarterly Rating Final

Learning Areas Remarks
1 2 3 4 Rating

Mother Tongue
ilipino
 nglish
Mathematics
cience
raling Panlipunan
PP / TLE
MAPEH
Music
Arts
Physical Education
Health
duk. sa Pagpapakatao
*Arabic Language
*Islamic Values Education
General Average
Remedial Classes Date Conducted: to
Remedial Recomputed
Learning Areas Final Rating Remarks
Class Mark Final Grade

CATION
and that he/she is eligible for addmision to Grade .
Last School Year Attended:

er Printed Name (Affix School Seal here)

CATION
and that he/she is eligible for addmision to Grade .
Last School Year Attended:

er Printed Name (Affix School Seal here)

CATION
and that he/she is eligible for addmision to Grade .
Last School Year Attended:
er Printed Name (Affix School Seal here)
SFRT Revised 2017