DepED FORM 137 - A Learner Reference Number: 300528120036

Republic of the Philippines

DEPARTMENT OF EDUCATION
Region 02
Division of Santiago City
DIVISORIA HIGH SCHOOL
Divisoria, Santiago City

SECONDARY STUDENT'S PERMANENT RECORD

REYES, QUEEN JUSTINE P. Date of Birth: Year 2000 Month SEPTEMBER Day 12 Sex
(Surname) (Given Name) (M.I.)
Place of Birth: Province: ISABELA Town: SAN ISIDRO Barangay: RAMOS WEST
Parent or Guardian: MICHAEL REYES RAMOS WEST, SAN ISIDRO, ISABELA SALESMAN
(Name) (Address) (Occupation)
Elementary Course Completed: 6 School: RAMOS WEST ELEMENTAY SCHOOL School Year: 2011-2012 Gen. Ave.
RECORD OF STANDARD INTELLIGENCE AND ACHIEVEMENT TEST
Score Percentile
Name and Form of Test Name and Form of Test Score Received Percentile Rank
Received Rank

to be classified as GRADE 7 Total Number of Years in school to date 6

School: DIVISORIA HIGH SCHOOL School Year: 2012 - 2013 Grade & Section: 7 - EMERALD
QUARTER GRADES Units
LEARNING AREAS Final Grade Remarks
Earned
1 2 3 4
Filipino 7 83.75 Promoted
English 7 84.25 Promoted
Mathematics 7 83.50 Promoted
Science 7 83.50 Promoted
Araling Panlipunan 7 86.25 Promoted
Edukasyon sa Pagpapakatao (EsP) 7 87.00 Promoted
Edukasyong Pantahanan at
84.00 Promoted
Pangkabuhayan (EPP/TLE) 7
MAPEH 7 86.25 Promoted
Music 85.75
Arts 86.00
Physical Education (EP) 87.00
Health 85.00

General Average 84.813 Promoted

Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May
No of School Days
No. of Days Present
Has Advance Units in NONE
Lacks Units in NONE
To be Classified as GRADE 8 Total number of years in School to date 7
(Curriculum Year)
(SGD) MERRY GRACE R. SELMO
Class Adviser
School: DIVISORIA HIGH SCHHOL School Year: 2013 - 2014 Grade & Section: 8 - MOLAVE
QUARTER GRADES Units
LEARNING AREAS Final Grade Remarks
Earned
1 2 3 4
Filipino 8 83.25 Promoted
English 8 84.25 Promoted
Mathematics 8 81.00 Promoted
Science 8 85.50 Promoted
Araling Panlipunan 8 86.50 Promoted
Edukasyon sa Pagpapakatao (EsP) 8 88.25 Promoted
Edukasyong Pantahanan at
86.25 Promoted
Pangkabuhayan (EPP/TLE) 8
MAPEH 8 83.75 Promoted
Music 83.25
Arts 84.00
Physical Education (EP) 83.75
Health 83.25
 General Average 84.844 Promoted
Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May
No of School Days
No. of Days Present
Has Advance Units in NONE
Lacks Units in NONE
To be Classified as GRADE 9 Total number of years in School to date 8
(Curriculum Year)
(SGD) JEANNE J. LOPEZ
Class Adviser

NAME: REYES, QUEEN JUSTINE P.

(Surname) (First Name) (M. I.)
School: DIVISORIA HIGH SCHOOL School Year: 2014 - 2015 Grade & Section: 9 - CARNATION
QUARTER GRADES Units
LEARNING AREAS Final Grade Remarks
Earned
1 2 3 4
Filipino 9 86.0 Promoted
English 9 88 Promoted
Mathematics 9 83 Promoted
Science 9 83 Promoted
Araling Panlipunan 9 88 Promoted
Edukasyon sa Pagpapakatao (EsP) 9 88 Promoted
Edukasyong Pantahanan at
85 Promoted
Pangkabuhayan (EPP/TLE) 9
MAPEH 9 87 Promoted
Music 86
Arts 86
Physical Education (EP) 88
Health 87

General Average 86 Promoted

Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May
No of School Days
No. of Days Present
Has Advance Units in NONE
Lacks Units in NONE
To be Classified as GRADE 10 Total number of years in School to date 9
(Curriculum Year)
(SGD) MERLINA R. URIAN
Class Adviser

School: DIVISORIA HIGH SCHOOL School Year: 2015 - 2016 Grade & Section: 10 - DEL PILAR
QUARTER GRADES Units
LEARNING AREAS Final Grade Remarks
Earned
1 2 3 4
Filipino 10 91 Promoted
English 10 89 Promoted
Mathematics 10 81 Promoted
Science 10 89 Promoted
Araling Panlipunan 10 84 Promoted
Edukasyon sa Pagpapakatao (EsP) 10 86 Promoted
Edukasyong Pantahanan at
81 Promoted
Pangkabuhayan (EPP/TLE) 10
MAPEH 10 88 Promoted
Music 88
Arts 87
Physical Education (EP) 88
Health 89
CAT
86 Promoted
Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May
No of School Days
No. of Days Present
Has Advance Units in NONE
Lacks Units in NONE
To be Classified as GRADE 11 Total number of years in School to date 10
 (Curriculum Year)
(SGD) CLARISSA F. SOLIVEN
Class Adviser

CERTIFICATE OF TRANSFER
I CERTIFY that this is a true record of QUEEN JUSTINE P. REYES, this student is eligible for admission to GRADE 11 a
a regular student, and has no money or property responsibility in this school.

REMARKS: She is of Good Moral Character

Copy of this record sent to principal/registrar of NEW ERA UNIVERSITY INTEGRATED SCHOOL, Quezon City on June
10, 2016 for school reference purposes.
Prepared by:
DARIUS C. JULIO
Clerk/Data Encoder ELOISA L. DIZON, PhD.
Principal II
(Not valid without
school seal)
 300528120036

BER Day 12 Sex FEMALE

RAMOS WEST
SALESMAN
(Occupation)
Gen. Ave. 86.17%

Percentile Rank

6
7 - EMERALD
Extra-
Curricular
Activities

Total
200
199

7
GD) MERRY GRACE R. SELMO
Class Adviser
8 - MOLAVE
Extra-
Curricular
Activities
 Total
201
197

8
SGD) JEANNE J. LOPEZ
Class Adviser

(M. I.)
9 - CARNATION
Extra-
Curricular
Activities

Total
201
201

SGD) MERLINA R. URIAN

Class Adviser

10 - DEL PILAR
Extra-
Curricular
Activities

Total
201
194

10
SGD) CLARISSA F. SOLIVEN
Class Adviser

dmission to GRADE 11 as

L, Quezon City on June

OISA L. DIZON, PhD.

Principal II
DepED FORM 137 - A LRN:
Republic of the Philippines
DEPARTMENT OF EDUCATION
Region 02
Division of Santiago City
DIVISORIA HIGH SCHOOL
Divisoria, Santiago City

SECONDARY STUDENT'S PERMANENT RECORD

Date of Birth: Year _____ Month _______ Day ___ Sex ______
(Surname) (Given Name) (M.I.)
Place of Birth: Province: Town: Barangay:
Parent or Guardian:
(Name) (Address) (Occupation)
Elementary Course Completed: ___ School: _____________________________ School Year: _________ Gen. Ave. _____
RECORD OF STANDARD INTELLIGENCE AND ACHIEVEMENT TEST
Score Percentile
Name and Form of Test Name and Form of Test Score Received Percentile Rank
Received Rank

to be classified as Total Number of Years in school to date

School: School Year: Section:
QUARTER GRADES Units
LEARNING AREAS Final Grade Remarks
Earned
1 2 3 4
Filipino 7
English 7
Mathematics 7
Science 7
Araling Panlipunan 7
Edukasyon sa Pagpapakatao (EsP) 7
Edukasyong Pantahanan at
Pangkabuhayan (EPP/TLE) 7
MAPEH 7
Music
Arts
Physical Education (EP)
Health

Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May
No of School Days
No. of Days Present
Has Advance Units in
Lacks Units in
To be Classified as Total number of years in School to date
(Curriculum Year)
Class Adviser
School: School Year: Section:
QUARTER GRADES Units
LEARNING AREAS Final Grade Remarks
Earned
1 2 3 4
Filipino 8
English 8
Mathematics 8
Science 8
Araling Panlipunan 8
Edukasyon sa Pagpapakatao (EsP) 8
Edukasyong Pantahanan at
Pangkabuhayan (EPP/TLE) 8
MAPEH 8
Music
Arts
Physical Education (EP)
Health
 Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May
No of School Days
No. of Days Present
Has Advance Units in
Lacks Units in
To be Classified as Total number of years in School to date
(Curriculum Year)
Class Adviser

NAME:
(Surname) (First Name) (M. I.)
School: School Year: Section:
QUARTER GRADES Units
LEARNING AREAS Final Grade Remarks
Earned
1 2 3 4
Filipino 9
English 9
Mathematics 9
Science 9
Araling Panlipunan 9
Edukasyon sa Pagpapakatao (EsP) 9
Edukasyong Pantahanan at
Pangkabuhayan (EPP/TLE) 9
MAPEH 9
Music
Arts
Physical Education (EP)
Health

Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May
No of School Days
No. of Days Present
Has Advance Units in
Lacks Units in
To be Classified as Total number of years in School to date
(Curriculum Year)

Class Adviser

School: School Year: Section:

QUARTER GRADES Units
LEARNING AREAS Final Grade Remarks
Earned
1 2 3 4
Filipino 10
English 10
Mathematics 10
Science 10
Araling Panlipunan 10
Edukasyon sa Pagpapakatao (EsP) 10
Edukasyong Pantahanan at
Pangkabuhayan (EPP/TLE) 10
MAPEH 10
Music
Arts
Physical Education (EP)
Health
CAT

Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May
No of School Days
No. of Days Present
Has Advance Units in
Lacks Units in
To be Classified as Total number of years in School to date
 (Curriculum Year)

Class Adviser

CERTIFICATE OF TRANSFER

I CERTIFY that this is a true record of ___________________________________, this student is eligible, on thi
_________ day of __________________________20_____, for admission to the _________________________ as a
regular/an irregular student, and has no money or property responsibility in this school.

REMARKS: __________________________________________________________________________________________

Copy of this record sent to principal/registrar of ___________________________________________________________

____________________________20____.

ELOISA L. DIZON, PhD.

Principal II
(Not valid without
school seal)
_ Day ___ Sex ______

(Occupation)
Gen. Ave. _____

Percentile Rank

Extra-
Curricular
Activities

Total

Class Adviser

Extra-
Curricular
Activities
 Total

Class Adviser

(M. I.)

Extra-
Curricular
Activities

Total

Class Adviser

Extra-
Curricular
Activities

Total
 Class Adviser

student is eligible, on this

________________ as a

____________________

_____________________

OISA L. DIZON, PhD.

Principal II