Copy of this record sent to

SF10-SHS REPUBLIC OF THE PHILIPPINES principal of______________________

Identification card issued
on _______________________
_________________________
LAST NAME:
LRN:
DEPARTMENT OF EDUCATION School on _______________________
________________________________
SANTA BARBARA NATIONAL COMPREHENSIVE HIGH SCHOOL Principal
Santa Barbara, Iloilo
SENIOR HIGH SCHOOL STUDENT PERMANENT RECORD
LEARNER'S INFORMATION
FIRST NAME: MIDDLE NAME:
Date of Birth (MM/DD/YYYY): Sex: Date of SHS Admission (MM/DD/YYYY): 06/05/2017

ELIGIBILITY FOR SHS ENROLMENT

High School Completer* Gen. Ave: ⁄ Junior High School Completer Gen. Ave:
Date of Graduation/Completion (MM/DD/YYYY): Name of School: School Address:
PEPT Passer** Rating: ALS A&E Passer*** Rating: Others (Pls. Specify):
Date of Examination/Assessment (MM/DD/YYYY): Name and Address of Community Learning Center:
*High School Completers are students who graduated from secondary school under the old curriculum ***ALS A&E - Alternative Learning System Accreditation and Equivalency Test for JHS
**PEPT - Philippine Educational Placement Test for JHS
SCHOLASTIC RECORD
SCHOOL: Santa Barbara National Comprehensive High School SCHOOL ID: 343493 GRADE LEVEL: 11 SY: 2017-2018 SEM: 1ST
TRACK/STRAND: Academics- Humanities and Social Sciences SECTION: B
Indicate if Subject is Quarter SEM FINAL ACTION
CORE, APPLIED, or SUBJECTS
1ST 2ND GRADE TAKEN
SPECIALIZED
Core Subjects
Core Oral Communication
Core Komunikasyon at Pananaliksik sa Wika at Kulturang Filipino
Core 21st Century Literature from the Philippines and the World
Core General Mathematics
Core Earth and Life Science (Earth Science for STEM)
Core Physical Education and Health 1

Applied and Specialized Subjects

Applied English for Academic and Professional Purposes
Applied Empowerment Technologies
Specialized Introduction to World Religions and Belief Systems
General Ave. for the Semester: 0 FAILED
REMARKS:
Prepared by: Certified True and Correct: Date Checked (MM/DD/YYYY):

Signature of Adviser over Printed Name Signature of Authorized Person over Printed Name, Designation

REMEDIAL CLASSES Conducted from (MM/DD/YYYY): to (MM/DD/YYYY): SCHOOL: SCHOOL ID:

Indicate if Subject is REMEDIAL
SEM FINAL RECOMPUTED ACTION
CORE, APPLIED, or SUBJECTS CLASS
GRADE FINAL GRADE TAKEN
SPECIALIZED MARK

Name of Teacher/Adviser: Signature:

SCHOOL: Santa Barbara National Comprehensive High School SCHOOL ID: 343493 GRADE LEVEL: 11 SY: 2016-2017 SEM: 2ND
TRACK/STRAND: Academics- Humanities and Social Sciences SECTION: B
Indicate if Subject is Quarter SEM FINAL ACTION
CORE, APPLIED, or SUBJECTS
3RD 4TH GRADE TAKEN
SPECIALIZED
Core Subjects
Core Reading and Writing
Core Pagbasa at Pagsusuri ng Iba't Ibang Teksto Tungo sa Pananaliksik
Core Statistics and Probability
Core Physical Education and Health 2
Core Personal Development
Core Understanding Culture, Society, and Politics

Applied and Specialized Subjects

Applied Practical Research 1
Specialized Disciplines and Ideas in the Social Sciences

General Ave. for the Semester:

REMARKS:
Prepared by: Certified True and Correct: Date Checked (MM/DD/YYYY):

Signature of Adviser over Printed Name Signature of Authorized Person over Printed Name, Designation

REMEDIAL CLASSES Conducted from (MM/DD/YYYY): to (MM/DD/YYYY): SCHOOL: SCHOOL ID:

Indicate if Subject is REMEDIAL
SEM FINAL RECOMPUTED ACTION
CORE, APPLIED, or SUBJECTS CLASS
GRADE FINAL GRADE TAKEN
SPECIALIZED MARK

Name of Teacher/Adviser: Signature:

 SCHOOL: SCHOOL ID: GRADE LEVEL: SY: SEM:
TRACK/STRAND: SECTION:
Indicate if Subject is Quarter SEM FINAL ACTION
CORE, APPLIED, or SUBJECTS
GRADE TAKEN
SPECIALIZED
Core Subjects

Applied and Specialized Subjects

General Ave. for the Semester:

REMARKS:

Prepared by: Certified True and Correct: Date Checked (MM/DD/YYYY):

Signature of Adviser over Printed Name Signature of Authorized Person over Printed Name, Designation
REMEDIAL CLASSES nducted from (MM/DD/YYYY): o (MM/DD/YYYY): SCHOOL: SCHOOL ID:

Indicate if Subject is SEM FINAL GRADE RECOMPUTED ACTION

CORE, APPLIED, or SUBJECTS
FINAL GRADE TAKEN
SPECIALIZED

Name of Teacher/Adviser: Signature:

SCHOOL: SCHOOL ID: GRADE LEVEL: SY: SEM:
TRACK/STRAND: SECTION:

Indicate if Subject is Quarter

SEM FINAL ACTION
CORE, APPLIED, or SUBJECTS
GRADE TAKEN
SPECIALIZED
Core Subjects

Applied and Specialized Subjects

General Ave. for the Semester:

REMARKS:
Prepared by: Certified True and Correct: Date Checked (MM/DD/YYYY):

Signature of Adviser over Printed Name Signature of Authorized Person over Printed Name, Designation

REMEDIAL CLASSES nducted from (MM/DD/YYYY): to (MM/DD/YYYY): SCHOOL: SCHOOL ID:

Indicate if Subject is REMEDIAL

SEM FINAL RECOMPUTED ACTION
CORE, APPLIED, or SUBJECTS CLASS
GRADE FINAL GRADE TAKEN
SPECIALIZED MARK

Name of Teacher/Adviser: Signature:

Track/Strand Accomplished SHS General Average:
Awards/Honors Received: Date of SHS Graduation (MM/DD/YYYY):
Certified by: Place School Seal Here:

LOURDES A. MONTEFRIO, D.S. Ed.

Principal III Date
NOTE:

REMARKS: (please indicate the purpose for which this permanent record will be used)

Copy for _____________________________________________

Date Issued (MM/DD/YYYY):

 Form 137-SHS
ANNEX: LIST OF SUBJECTS TAKEN
Please check the subjects passed by the student
CORE SUBJECTS
Oral Communication
Reading and Writing
Komunikasyon at Pananaliksik sa Wika at Kulturang Pilipino
Pagbasa at Pagsusuri ng Iba't Ibang Teksto Tungo sa Pananaliksik
21st Century Literature from the Philippines and the World
Contemporary Philippine Arts from the Regions
Media and Information Literacy
General Mathematics
Statistics and Probability
Earth and Life Science*
Physical Science*
Personal Development/Pansariling Kaunlaran
Understanding Culture, Society and Politics
Introduction to the Philosophy of the Human Person/Pambungad sa Pilosopiya ng Tao
Physical Education and Health (spread out in 4 semesters)
*STEM students will take these instead:
Earth Science
Disaster Readiness and Risk Reduction
Subject substitutions, if any:
Oral Communications in Context
Reading and Writing Skills

APPLIED SUBJECTS
English for Academic and Professional Purposes
Practical Research 1
Practical Research 2
Filipino sa Piling Larang
Empowerment Technologies
Entrepreneurship
Inquiries, Investigations and Immersion

SPECIALIZED SUBJECTS (Please write the list of subjects below)

Err:520
Err:520
Err:520
Shielded Metal Arc Welding
Carpentry
Creative Writing

OTHER SUBJECTS (Please write the list of subjects below)

1 JUAN
2 POSONG
3 JUNIOR