REPU

DEPA

SENIOR HIGH SCHO

LEARN
LAST NAME: FIRST NAME:
LRN: Date of Birth (MM/DD/YYYY):

ELIGIBILITY
High School Completer* Gen. Ave: Junior High School Completer
Date of Graduation/Completion (MM/DD/YYYY): Name of School:
PEPT Passer** Rating: ALS A&E Passer*** Rating:
Date of Examination/Assessment (MM/DD/YYYY): Name and A
*High School Completers are students who graduated from secondary school under the old curriculum
**PEPT - Philippine Educational Placement Test for JHS
SCHO
SCHOOL: ALCOY NATIONAL HIGH SCHOOL SCHO
TRACK/STRAND: GENERAL ACADEMIC STRAND (GAS)

Indicate if Subject is CORE,

SUBJECTS
APPLIED, or SPECIALIZED

Core General Mathematics

Core Contemporary Philippine Arts from the Regions
Core Statistics and Probability
Core Oral Communication
Core Komunikasyon at Pananaliksik sa Wika at Kulturang Pilipino
Core Understanding Culture, Society and Politics
Core Pagbasa at Pagsusuri ng Iba't Ibang Teksto Tungo sa Pananaliksik
Core 21st Century Literature from the Philippines and the World
Core Physical Education and Health

REMARKS:
Prepared by: Certified True and Correct:

Signature of Adviser over Printed Name Signature of

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

Indicate if Subject is CORE,

SUBJECTS
APPLIED, or SPECIALIZED
Name of Teacher/Adviser:

SCHOOL: ALCOY NATIONAL HIGH SCHOOL SCHO

TRACK/STRAND: GENERAL ACADEMIC STRAND (GAS)

Indicate if Subject is CORE,

SUBJECTS
APPLIED, or SPECIALIZED

Core Introduction to the Philosophy of the Human Person/Pambungad sa Pilosopiya ng Tao

Core Earth Science
Core Personal Development/Pansariling Kaunlaran
Core Physical Science*
Core Media and Information Literacy
Core Reading and Writing
Core Physical Education and Health
Applied English for Academic and Professional Purposes
Applied Practical Research 1

REMARKS:
Prepared by: Certified True and Correct:

Signature of Adviser over Printed Name Signature of

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

Indicate if Subject is CORE,

SUBJECTS
APPLIED, or SPECIALIZED

Name of Teacher/Adviser:
 REPUBLIC OF THE PHILIPPINES
DEPARTMENT OF EDUCATION

GH SCHOOL STUDENT PERMANENT RECORD

LEARNER'S INFORMATION
MIDDLE NAME:
Sex: Date of SHS Admission (MM/DD/YYYY):

ELIGIBILITY FOR SHS ENROLMENT

Gen. Ave:
School Address:
Others (Pls. Specify):
Name and Address of Community Learning Center:
***ALS A&E - Alternative Learning System Accreditation and Equivalency Test for JHS

SCHOLASTIC RECORD
SCHOOL ID: 302917 GRADE LEVEL: 11 SY: 2016 - 2017
S) SECTION: FAITH
Quarter
CTS SEM FINAL GRADE
1ST 2ND

General Ave. for the Semester: 0

ct: Date Checked (MM/DD/YYYY):

Signature of Authorized Person over Printed Name, Designation

SCHOOL: SCHOOL

SEM FINAL REMEDIAL RECOMPUTED

CTS
GRADE CLASS MARK FINAL GRADE
 Signature:

SCHOOL ID: 302917 GRADE LEVEL: 11 SY: 2016 - 2017

S) SECTION: FAITH
Quarter
CTS SEM FINAL GRADE
3RD 4TH
ya ng Tao

General Ave. for the Semester: 0

ct: Date Checked (MM/DD/YYYY):

Signature of Authorized Person over Printed Name, Designation

SCHOOL: SCHOOL

SEM FINAL REMEDIAL RECOMPUTED

CTS
GRADE CLASS MARK FINAL GRADE

Signature:
 FORM 137-SHS

SEM: 1ST

AL GRADE ACTION TAKEN

0 FAILED

SCHOOL ID:

MPUTED
ACTION TAKEN
GRADE
 SEM: 2ND

AL GRADE ACTION TAKEN

0 FAILED

SCHOOL ID:

MPUTED
ACTION TAKEN
GRADE
 Page 2
SCHOOL: SCHOOL ID
TRACK/STRAND:

Indicate if Subject is CORE, APPLIED,

SUBJECTS
or SPECIALIZED

REMARKS:
Prepared by: Certified True and Correct:

Signature of Adviser over Printed Name Signature of Aut

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

Indicate if Subject is CORE, APPLIED,

SUBJECTS
or SPECIALIZED

Name of Teacher/Adviser:

SCHOOL: SCHOOL ID
TRACK/STRAND:

Indicate if Subject is CORE, APPLIED,

SUBJECTS
or SPECIALIZED
REMARKS:
Prepared by: Certified True and Correct:

Signature of Adviser over Printed Name Signature of Aut

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

Indicate if Subject is CORE, APPLIED,

SUBJECTS
or SPECIALIZED

Name of Teacher/Adviser:

Track/Strand Accomplished:
Awards/Honors Received:
Certified by:

Signature of School Head over Printed Name Date

NOTE:

This permanent record or a photocopy of this permanent record that bears the seal of the school and the original signature in ink o
Head shall be considered valid for all legal purposes. Any erasure or alteration made on this copy should be validated by the Scho
If the student transfers to another school, the originating school should produce one (1) certified true copy of this permanent record
safekeeping. The receiving school shall continue filling up the original form.
Upon graduation, the school from which the student graduated should keep the original form and produce one (1) certified true cop
Division Office.

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

Date Issued (MM/DD/YYYY):

 SCHOOL ID: GRADE LEVEL: SY:
SECTION:
Quarter
JECTS SEM FINAL GRADE

General Ave. for the Semester: 0

rect: Date Checked (MM/DD/YYYY):

Signature of Authorized Person over Printed Name, Designation

SCHOOL: SCHOOL ID

SEM FINAL REMEDIAL RECOMPUTED

JECTS
GRADE CLASS MARK FINAL GRADE

Signature:

SCHOOL ID: GRADE LEVEL: SY:

SECTION:
Quarter
JECTS SEM FINAL GRADE
 General Ave. for the Semester: 0

rect: Date Checked (MM/DD/YYYY):

Signature of Authorized Person over Printed Name, Designation

SCHOOL: SCHOOL ID

SEM FINAL REMEDIAL RECOMPUTED

JECTS
GRADE CLASS MARK FINAL GRADE

Signature:

SHS General Avera

Date of SHS Graduation (MM/DD/YYYY):
Place School Seal Here:

gnature in ink of the School

ed by the School Head.
ermanent record for

ertified true copy for the

 Form 137-SHS
SEM:

AL GRADE ACTION TAKEN

0 FAILED

SCHOOL ID:

MPUTED
ACTION TAKEN
GRADE

SEM:

AL GRADE ACTION TAKEN

0 FAILED

SCHOOL ID:

MPUTED
ACTION TAKEN
GRADE

General Average: 0
/DD/YYYY):
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:

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)

OTHER SUBJECTS (Please write the list of subjects below)

Form 137-SHS