REPUBLIC OF THE PHILIPPINES

DEPARTMENT OF EDUCATION

SENIOR HIGH SCHOOL STUDENT PERMA

LEARNER'S INFORMATION
LAST NAME: FIRST NAME:
LRN: Date of Birth (MM/DD/YYYY): Sex:

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:
PEPT Passer** Rating: ALS A&E Passer*** Rating: Others (Pls. Spec
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 Lea
**PEPT - Philippine Educational Placement Test for JHS
SCHOLASTIC RECORD
SCHOOL: SCHOOL ID:
TRACK/STRAND:
Indicate if Subject is
CORE, APPLIED, or SUBJECTS
SPECIALIZED
Core Earth and Life Science*
Core Oral Communication
Core Komunikasyon at Pananaliksik sa Wika at Kulturang Pilipino
Core Introduction to the Philosophy of the Human Person/Pambungad sa Pilosopiya ng Tao
Core General Mathematics
Core 21st Century Literature from the Philippines and the World
Core Physical Education and Health
Applied Empowerment Technologies
Specialized Philippine Politics and Governance

REMARKS:
Prepared by: Certified True and Correct:

LEA B. FAMULAGAN
Signature of Adviser over Printed Name Signature of Authorized Person over Printed Name

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

Indicate if Subject is
CORE, APPLIED, or SUBJECTS
SPECIALIZED

Name of Teacher/Adviser:

SCHOOL: SCHOOL ID:

TRACK/STRAND:
Indicate if Subject is
 Indicate if Subject is
CORE, APPLIED, or SUBJECTS
SPECIALIZED

REMARKS:
Prepared by: Certified True and Correct:

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

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

Indicate if Subject is
CORE, APPLIED, or SUBJECTS
SPECIALIZED

Name of Teacher/Adviser:
 PPINES SF10-SHS
CATION

PERMANENT RECORD

MIDDLE NAME:
Sex: Date of SHS Admission (MM/DD/YYYY):

NT

School Address:
Pls. Specify):
Center:
rnative Learning System Accreditation and Equivalency Test for JHS

GRADE LEVEL: SY: SEM:

SECTION:
Quarter SEM FINAL ACTION
GRADE TAKEN

General Ave. for the Semester:

Date Checked (MM/DD/YYYY):

nted Name, Designation

SCHOOL ID:
REMEDIAL
SEM FINAL RECOMPUTED ACTION
CLASS
GRADE FINAL GRADE TAKEN
MARK

Signature:

GRADE LEVEL: SY: SEM:

SECTION:
Quarter SEM FINAL ACTION
 SEM FINAL ACTION
GRADE TAKEN

General Ave. for the Semester:

Date Checked (MM/DD/YYYY):

nted Name, Designation

SCHOOL ID:
REMEDIAL
SEM FINAL RECOMPUTED ACTION
CLASS
GRADE FINAL GRADE TAKEN
MARK

Signature: