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: ARAB FIRST NAME: ZAM-ZAM AN-NUUR NAME EXTN. (Jr,I,II). M

Learner Reference Number (LRN): _ 129561130002 Birthdate (mm/dd/yyyy): NAME EXTN. (Jr,I,II)
ELIGIBILITY FOR ELEMENTARY SCHOOL ENROLMENT
Credential Presented for Grade 1: Kinder Progress Report ECCD Checklist ✘ Kinderga
Name of School: School ID: Address of School:
Other Credential Presented
PEPT Passer Rating: _________ Date of Examination/Assessment (mm/dd/yyyy): ____________ Others
Name and Address of Testing Center:____________________________________________________ Remark:
SCHOLASTIC RECORD

School: WIRELESS ELEM School ID: 129561 School: WIRELESS EL

District: DAVAO CENTRAL Division: DAVAO CITY Region: XI District: DAVAO CENTRA
Classified as Grade: I Section: __________ School Year: 2014-15 Classified as Grade: II Section
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 Prom EPP / TLE
MAPEH oted 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 f

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

Prom
oted
School: _____ WIRELESS ELEM School ID: 129561 School: WIRELESS E
District: ____ DAVAO CENTRAL Division: DAVAO CITY Region: XI District: DAVAO CENTRA
Classified as Grade: III Section: __________ School Year: 2016-17 Classified as Grade: IV Section: DIAMOND

Name of Adviser/Teacher: _____________________ Signature: Name of Adviser/Teacher: MELANIE

Quarterly Rating Final

Learning Areas Remarks Learning Areas
1 2 3 4 Rating

Mother Tongue 79 83 83 84 82.00 PASSED Mother Tongue

Filipino 79 78 80 82 80.00 PASSED Filipino
English 77 79 80 81 79.00 PASSED English
Mathematics 78 77 79 80 79.00 PASSED Mathematics
Science 79 76 82 83 80.00 PASSED Science
Araling Panlipunan 79 77 81 82 80.00 PASSED Araling Panlipunan
EPP / TLE EPP / TLE
MAPEH 81 85 80 86 83.00 PASSED MAPEH
Music 82 85 79 85 83.00 PASSED Music
Arts 81 85 82 86 84.00 PASSED Arts
Physical Education 81 86 79 85 83.00 PASSED Physical Education
Health 80 83 79 86 82.00 PASSED Health
Eduk. sa Pagpapakatao 83 83 83 87 84.00 PASSED Eduk. sa Pagpapakatao
*Arabic Language *Arabic Language
*Islamic Values Education *Islamic Values Education
General Average 80 81 81 83 81 PROMOTED General Average
Remedial Classes Date Conducted: to Remedial Classes Date Conduc
Remedial Class Recomputed Final
Learning Areas Final Rating Remarks Learning Areas
Mark Final Grade Rating
ool

N. (Jr,I,II). MIDDLE NAMEBEREBER

Jr,I,II) Sex: M

Kindergarten Certificate of Completion

Others (Pls. Specify): _________________________

Remark:____________________________________

SS EL School ID: 129561

CENTRAL Region: XI
Section:
School__________
Year: 2015-16
____Signature:
Quarterly
Rating Final
Remarks
1 2 3 4 Rating

81 80 80 80 80.00 PASSED

80 79 79 78 79.00 PASSED

79 78 78 78 78.00 PASSED

80 79 78 78 79.00 PASSED

80 80 80 79 80.00 PASSED

81 81 81 81 81.00 PASSED

82 82 82 82 82.00 PASSED

80 80 80 80 80.00 PASSED

80 80 80 80 80.00 PASSED

80 80 80 80 80.00 PASSED

81 82 82 82 82.00 PASSED

80 80 80 79 80.00 PROMOTED

ducted from: to
Remedia Recomput
nal l Class ed Final Remarks
ting Mark Grade

SS E School ID: 129561

CENTRAL Region: XI
School
DIAMOND Year: 2017-18
ANIE Signature:
Quarterly
Rating Final Remar
Rating ks
1 2 3 4

75 76 76 81 77.00 PASSED
78 78 77 81 79.00 PASSED
78 83 77 76 79.00 PASSED
 75 79 76 79 77.00 PASSED
76 77 80 80 78.00 PASSED
83 91 77 77 81.00 PASSED
53 81 81 81 74.00 FAILED
82 82 79 83 82.00 PASSED

76 85 78 80 82.00 PASSED

0 76 85 82 82.00 PASSED

BEREBER
82 82 79 81.00 PASSED

84 86 78 78 82.00 PASSED

75 81 78 79 78.00 PROMOTED

e Conducted: to
Remedia Recomput
nal l Class ed Final Remarks
ting Mark Grade

SFRT 2017
SF10-ES
SCHOLASTIC RECORD
School: ___________________________ School ID: School: ____________________________ Scho
District: ______________________ Division: _____ Region: District: ______________________ Division: _____
Classified as Grade: ______ Section: __ School Year: Classified as Grade: ______ Section: ___ School
Name of Adviser/Teacher: ____________ Signature: Name of Adviser/Teacher: _____________Signatur

Quarterly Rating Final Quarterly R

LEARNING AREAS Remarks Learning Areas
1 2 3 4 Rating 1
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:

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

School: ______________________________ School ID: School: _______________________________ Scho

District: ______________________ Division: _________ Region: District: ______________________ Division: _________
Classified as Grade: ______ Section: ______ School Year: Classified as Grade: ______ Section: _______ Schoo
Name of Adviser/Teacher: ________________Signature: Name of Adviser/Teacher: _________________Signature

Quarterly Rating Final Quarterly R

Learning Areas Remarks Learning Areas
1 2 3 4 Rating 1

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:
Remedial Class Recomputed Remedia
Learning Areas Final Rating Remarks Learning Areas Final Rating
Mark Final Grade Class Ma

For Transfer Out /Elementary School Completer Only

CERTIFICATION

I CERTIFY that this is a tru ARAB ZAM-ZAM AN-NUUR BEREBER with LRN 129561130002 and that he/she i
School Name: __________________________________ School ID ________________ Division: ___________ Last School Year Attended: _________________________

____________________________________ MARCELINO C. CABANA ,JR.Ph.D

Date Name of Principal/School Head over Printed Name

CERTIFICATION
I CERTIFY that this is a true record of ___________________________________ with LRN ___________________ and that he/she is elig
School Name: __________________________________ School ID ________________ Division: ___________ Last School Year Attended:

____________________________________
Date Name of Principal/School Head over Printed Name
 Page 2 of ________

School ID:
on: _____ Region:
School Year:
Signature:

uarterly Rating Final

Rating Remarks
2 3 4

to
Recompute
Remedial d Final Remarks
Class Mark Grade

School ID:
_________ Region:
School Year:
Signature:

Quarterly Rating Final

Ratin Remarks
2 3 4 g
 to
Recompute
Remedial
Class Mark dGrade
Final Remarks

that he/she is eligible for admission to Grade FIVE

_________

(Affix School Seal here)

/she is eligible for admission to Grade ________.

r Attended: _________________________

(Affix School Seal here)