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: JUDGE FELICIANO BELMONTE SR. HIGH SCHOOL SCHOOL ID:
TRACK/STRAND:FOOD BEVERAGE AND SERVICES
Indicate if Subject is
CORE, APPLIED, or SUBJECTS
SPECIALIZED
Core Oral Communication in Context
Core Komunikasyon at Pananaliksik sa Wika at kulturang Pilipino
Core General Mathematics
Core Physical Education and Health
Core 21st Century Literature from the Philippines and the World
Core Earth and Life Science
Core Media and Information Literacy
Specialized Bread and Pastry
REMARKS:
Prepared by: Certified True and Correct:
AMIEL RAY C. NAYAN, REGISTRA
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: JUDGE FELICIANO BELMONTE SR. HIGH SCHOOL SCHOOL ID:
TRACK/STRAND:FOOD BEVERAGE AND SERVICES
Indicate if Subject is
Indicate if Subject is
CORE, APPLIED, or SUBJECTS
SPECIALIZED
Core Reading and Writing Skills
Core Pagbasa at Pagsusuri ng Iba't-ibang Teksto Tungo sa Pananaliksik
Core Understanding Culture, Society and Politics
Core Statistics and Probability
Core Physical Education and Health
Core Personal Development / Pansariling Kaunlaran
Applied Practical Research 1
Applied English for Academic and Professional Purposes
Specialized Bread and Pastry
REMARKS:
Prepared by: Certified True and Correct:
AMIEL RAY C. NAYAN, REGISTRA
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: 1ST
SECTION:
Quarter SEM FINAL ACTION
1ST 2ND GRADE TAKEN
General Ave. for the Semester:
Date Checked (MM/DD/YYYY):
GISTRAR I
nted Name, Designation
SCHOOL ID:
REMEDIAL
SEM FINAL RECOMPUTED ACTION
CLASS
GRADE FINAL GRADE TAKEN
MARK
Signature:
GRADE LEVEL: SY: SEM: 2ND
SECTION:
Quarter SEM FINAL ACTION
SEM FINAL ACTION
3RD 4TH GRADE TAKEN
General Ave. for the Semester:
Date Checked (MM/DD/YYYY):
GISTRAR I
nted Name, Designation
SCHOOL ID:
REMEDIAL
SEM FINAL RECOMPUTED ACTION
CLASS
GRADE FINAL GRADE TAKEN
MARK
Signature:
Page 2
SCHOOL: JUDGE FELICIANO BELMONTE SR. HIGH SCHOOL SCHOOL ID: GRADE
TRACK/STRAND: FOOD BEVERAGE AND SERVICES
Indicate if Subject is CORE,
SUBJECTS
APPLIED, or SPECIALIZED
Core Introduction to the Philosophy of the Human Person
Core Contemporary Philippine Arts from the Regions
Core Physical Education and Health
Core Physical Science
Applied Practical Research 2
Applied Filipino sa Piling Larangan
Specialized FBS
REMARKS:
Prepared by: Certified True and Correct:
AMIEL RAY C. NAYAN, REGISTRAR I
Signature of Adviser over Printed Name Signature of Authorized Person over Printed Name, D
REMEDIAL CLASSES Conducted from (MM/DD/YYYY): (MM/DD/YYYY): SCHOOL:
Indicate if Subject is CORE,
SUBJECTS
APPLIED, or SPECIALIZED
Name of Teacher/Adviser:
SCHOOL: JUDGE FELICIANO BELMONTE SR. HIGH SCHOOL SCHOOL ID: GRADE
TRACK/STRAND: FOOD BEVERAGE AND SERVICES
Indicate if Subject is CORE,
SUBJECTS
APPLIED, or SPECIALIZED
Core Physical Education and Health
Applied Empowerment Technologies
Applied Entrepreneurship
Applied Inquiries, Investigation and Immersion
Specialized Cookery
Specialized Work Immersion
REMARKS:
Prepared by: Certified True and Correct:
JOANN M. DE LEON AMIEL RAY C. NAYAN, REGISTRAR I
Signature of Adviser over Printed Name Signature of Authorized Person over Printed Name, D
REMEDIAL CLASSES Conducted from (MM/DD/YYYY): (MM/DD/YYYY): SCHOOL:
Indicate if Subject is CORE,
SUBJECTS
APPLIED, or SPECIALIZED
Name of Teacher/Adviser:
Track/Strand Accomplished: FOOD BEVERAGE AND SERVICES
Awards/Honors Received:
Certified by: Place School Sea
ZAIDA M. PADULLO
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 of the School Head shall be considered valid for all legal purposes. Any erasure or alteration
made on this copy should be validated by the School Head.
If the student transfers to another school, the originating school should produce one (1) certified true copy of this
permanent record for 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 copy for the Division Office.
REMARKS: (Please indicate the purpose for which this permanent record will be used)
Date Issued (MM/DD/YYYY):
SF10-SHS
GRADE LEVEL: 12 SY: 2017-2018 SEM: 1ST
SECTION: MACAPAGAL
Quarter SEM FINAL ACTION
1ST 2ND GRADE TAKEN
General Ave. for the Semester:
Date Checked (MM/DD/YYYY):
ISTRAR I
ed Name, Designation
SCHOOL ID:
REMEDIAL
SEM FINAL RECOMPUTED ACTION
CLASS
GRADE FINAL GRADE TAKEN
MARK
Signature:
GRADE LEVEL: 12 SY: 2017-2018 SEM: 2ND
SECTION: MACAPAGAL
Quarter SEM FINAL ACTION
3RD 4TH GRADE TAKEN
General Ave. for the Semester:
Date Checked (MM/DD/YYYY):
ISTRAR I
ed Name, Designation
SCHOOL ID:
REMEDIAL
SEM FINAL RECOMPUTED ACTION
CLASS
GRADE FINAL GRADE TAKEN
MARK
Signature:
SHS General Average:
Date of SHS Graduation (MM/DD/YYYY):
chool Seal Here:
SF10-SHS
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)
