SF10-ES Republic of the Philippines

Department of Education

Learner Permanent Record for Elementary School (SF10-ES)

(Formerly Form 137)

LEARNER'S PERSONAL INFORMATION

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

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

ELIGIBILITY FOR ELEMENTARY SCHOOL ENROLMENT
Credential Presented for Grade 1: ✘ Kinder Progress Report ✘ ECCD Checklist Kindergarten Certificate of Completion
Name of School: Piglisan Elementary School School ID: 105285 Address of School: Piglisan, Cuyapo, Nueva Ecija
Other Credential Presented
PEPT Passer Rating: _________ Date of Examination/Assessment (mm/dd/yyyy): ____________ Others (Pls. Specify): __________ bnn
Name and Address of Testing Center:____________________________________________________ Remark:____________________________________
SCHOLASTIC RECORD

School: Piglisan Elementary School School ID: 105285 School: __Piglisan Elementary School School ID: 105285
District: SDO Cuyapo West Annex Division: Nueva Ecija Region: III District:SDO Cuyapo West Annex Division: ________________
Nueva Ecija Region: lll
Classified as Grade: 1 Section: Love School Year: 2021-2022 Classified as Grade: ll Section: Sunflower School Year: 2022-2023
Name of Adviser/Teacher: SHERYL R. OBILLO Signature: Name of Adviser/Teacher: AURORA R. OCASION Signature:
Quarterly Rating Final Quarterly Rating Final
LEARNING AREAS Remarks Learning Areas Remarks
1 2 3 4 Rating 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 Conducted from: to

Learning Areas Final Rating Remedial Class Recomputed Final Remarks Learning Areas Final Rating Remedial Recomputed Remarks
Mark Grade Class Mark Final Grade

School: Piglisan Elementary School School ID: 105285 School: _____________________________________ School ID:
District: _SDO Cuyapo West Annex Division: Nueva Ecija Region: lll District: ______________________ Division: ________________ Region:
Classified as Grade: lll Section: Lagundi School Year: 2023-2024 Classified as Grade: ______ Section: __________ School Year:
Name of Adviser/Teacher: IMELDA M. HAILAR Signature: Name of Adviser/Teacher: ______________________Signature:

Quarterly Rating Final Quarterly Rating Final

Learning Areas Remarks Learning Areas Remarks
1 2 3 4 Rating 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 Date Conducted: to Remedial Classes Date Conducted: to
Remedial Class Recomputed Final Remedial Recomputed
Learning Areas Final Rating Mark Grade Remarks Learning Areas Final Rating Class Mark Final Grade Remarks

SFRT 2017
SF10-ES Page 2 of ________
SCHOLASTIC RECORD
School: ______________________________________ School ID: School: ______________________________ School ID:
District: ______________________ Division: ________________ Region: District: ______________________ Division: _________ Region:
Classified as Grade: ______ Section: __________ School Year: Classified as Grade: ______ Section: _____ School Year:
Name of Adviser/Teacher: ______________________ Signature: Name of Adviser/Teacher: _______________ Signature:

Quarterly Rating Final Quarterly Rating Final

LEARNING AREAS Remarks Learning Areas Remarks
1 2 3 4 Rating 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 Date Conducted: to Remedial Classes Date Conducted: to
Remedial Class Recomputed Remedial Recomputed
Learning Areas Final Rating Remarks Learning Areas Final Rating Remarks
Mark Final Grade Class Mark Final Grade

School: ______________________________________ School ID: School: ______________________________ School ID:

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

Quarterly Rating Final Quarterly Rating Final

Learning Areas Remarks Learning Areas Remarks
1 2 3 4 Rating 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 Date Conducted: to Remedial Classes Date Conducted: to
Learning Areas Final Rating Remedial Class Recomputed Remarks Learning Areas Final Rating Remedial Recomputed Remarks
Mark Final Grade Class Mark Final Grade

For Transfer Out /Elementary School Completer Only

CERTIFICATION
I CERTIFY that this is a true record of ___________________________________ with LRN ___________________ and that he/she is eligible for admission to Grade ________.
School Name: __________________________________ School ID ________________ Division: ___________ Last School Year Attended: _________________________

____________________________________
Date Name of Principal/School Head over Printed Name (Affix School Seal here)

CERTIFICATION
I CERTIFY that this is a true record of ___________________________________ with LRN ___________________ and that he/she is eligible for admission to Grade ________.
School Name: __________________________________ School ID ________________ Division: ___________ Last School Year Attended: _________________________

____________________________________
Date Name of Principal/School Head over Printed Name (Affix School Seal here)

CERTIFICATION
I CERTIFY that this is a true record of ___________________________________ with LRN ___________________ and that he/she is eligible for admission to Grade ________.
School Name: __________________________________ School ID ________________ Division: ___________ Last School Year Attended: _________________________

____________________________________
Date Name of Principal/School Head over Printed Nam (Affix School Seal here)
May add Certification Box if needed SFRT Revised 2017