ATTENDANCE RECORD SF 9 - JHS

R
Republic of the Phlippines

NOVEMBER

DECEMBER
SEPTEMBE

FEBRUARY
OCTOBER

JANUARY
AUGUST

MARCH

TOTAL
APRIL
JUNE

JULY

Department of Education
Region I
School Division of
Days
No. of
Days
Present District
No. of
Days School
Absent

PARENT / GUARDIAN’S SIGNATURE

1st Quarter
LEARNER'S PROGRESS REPORT CARD
2nd Quarter
3rd Quarter Name:
4th Quarter Learner's Reference Number:
Certificate of Transfer Age: Sex:

Admitted to Grade: Grade: Section:

Section:
Eligibility for Admission to Grade:_
School Year:
Approved:
Dear Parent,
Principal Teacher This report card shows the ability and progress your child has
made in different learning areas as well as his/her core values.
Cancellation of Eligibility to Transfer The school welcomes you should you desire to know more
about your childs progress.
Admitted in:
Date:
Principal Principal Teacher
EPORT ON LEARNING PROGRESS AND ACHIEVEMEN
REPORT ON LEARNER'S OBSERVES VALUES

Quarter Ratin emark

Learning Areas
1 2 3 4 g R
Quarter
ore Value ehavior Statement
Filipino
1 2 3 4
Expresses one’s spiritual
English beliefs while respecting
1.
Mathematics the spiritual beliefs of
Science
Maka-
ethical principles by
Diyos
Araling Panlipunan (A upholding truth in all
undertakings.
Edukasyon sa
Pagpapakatao (EsP) In sensitive to individual,
social, and cultural
Edukasyong 2.Makat diffrences;
Pantahanan at ao Demonstrates
MAPEH contributions towards
Music solidarity.
Arts utilizes resources wisely,
Physical Kalikas judiciosly and
Education an economically.
Health being a Filipino;exercises
4. Maka- the rights and
General Average Bansa responsibilities of a
behavior in carrying out
activities in school,
Descriptors community and country.
Outstanding Grading Scale Remarks
Very Satisfactory 90-100 Passed Marking Non- Numerical Rating
Satisfactory 85-89 Passed AO Always Observed
Fairly Satisfactory 80-84 Passed SO Sometimes Observed
Did Not Meet Expecta 75-79 Passed RO Rarely Observed
Below 75 Failed NO Not Observed
 REPUBLIC OF THE PHILIPPINES SF10-SHS
DEPARTMENT OF EDUCATION

SENIOR HIGH SCHOOL STUDENT PERMANENT RECORD

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

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: School Address:

PEPT Passer** Rating: ALS A&E Passer*** Rating:
Others (Pls. Specify):

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 Learning System Accreditation and Equivalency Test for JHS
**PEPT - Philippine Educational Placement Test for JHS
SCHOLASTIC RECORD
SCHOOL: SCHOOL ID: GRADE LEVEL: SY: SEM:
TRACK/STRAND: SECTION:
Indicate if Subject is Quarter SEM FINAL ACTION
CORE, APPLIED, or
SUBJECTS GRADE TAKEN
SPECIALIZED

General Ave. for the Semester:

REMARKS:
Prepared by:
Certified True and Correct: Date Checked (MM/DD/YYYY):

Signature of Adviser over Printed Name Signature of Authorized Person over Printed Name, Designation

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

Indicate if Subject is REMEDIAL
SEM FINAL RECOMPUTED ACTION
CORE, APPLIED, or CLASS
SUBJECTS GRADE FINAL GRADE TAKEN
SPECIALIZED MARK

Name of Teacher/Adviser: Signature:

SCHOOL:
SCHOOL ID: GRADE LEVEL: SY: SEM:
TRACK/STRAND:
SECTION:
Indicate if Subject is Quarter SEM FINAL ACTION
CORE, APPLIED, or
SUBJECTS GRADE TAKEN
SPECIALIZED

General Ave. for the Semester:

REMARKS:
Prepared by:
Certified True and Correct: Date Checked (MM/DD/YYYY):

Signature of Adviser over Printed Name Signature of Authorized Person over Printed Name, Designation

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

 Indicate if Subject is REMEDIAL
SEM FINAL RECOMPUTED ACTION
CORE, APPLIED, or CLASS
SUBJECTS GRADE FINAL GRADE TAKEN
SPECIALIZED MARK

Name of Teacher/Adviser: Signature:

 Page 2 SF10-SHS
SCHOOL: SCHOOL ID: GRADE LEVEL: SY: SEM:
TRACK/STRAND: SECTION:

Indicate if Subject is CORE, Quarter SEM FINAL ACTION

APPLIED, or SPECIALIZED SUBJECTS GRADE TAKEN

General Ave. for the Semester:

REMARKS:
Prepared by: Certified True and Correct: Date Checked (MM/DD/YYYY):

Signature of Adviser over Printed Name Signature of Authorized Person over Printed Name, Designation

REMEDIAL CLASSES Conducted from (MM/DD/YYYY): o (MM/DD/YYYY): SCHOOL: SCHOOL ID:

REMEDIAL
Indicate if Subject is CORE, SEM FINAL RECOMPUTED ACTION
CLASS
APPLIED, or SPECIALIZED SUBJECTS GRADE FINAL GRADE TAKEN
MARK

Name of Teacher/Adviser: Signature:

SCHOOL:
SCHOOL ID: GRADE LEVEL: SY: SEM:
TRACK/STRAND:
SECTION:

Indicate if Subject is CORE, Quarter SEM FINAL ACTION

APPLIED, or SPECIALIZED SUBJECTS GRADE TAKEN

General Ave. for the Semester:

REMARKS:
Prepared by:
Certified True and Correct: Date Checked (MM/DD/YYYY):

Signature of Adviser over Printed Name Signature of Authorized Person over Printed Name, Designation

REMEDIAL CLASSES Conducted from (MM/DD/YYYY): o (MM/DD/YYYY): SCHOOL: SCHOOL ID:

REMEDIAL
Indicate if Subject is CORE, SEM FINAL RECOMPUTED ACTION
CLASS
APPLIED, or SPECIALIZED SUBJECTS GRADE FINAL GRADE TAKEN
MARK

Name of Teacher/Adviser: Signature:

Track/Strand Accomplished: SHS General Average:

Awards/Honors Received: Date of SHS Graduation (MM/DD/YYYY):
Certified by: Place School Seal Here:

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
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)

 School Form 1 School Register for Senior High School (SF1-SHS)
School Name
School ID District Division Region
Semester
School Year Grade Level Track and Strand
Section
Course (For TVL Only)
COMPLETE ADDRESS PARENTS GUARDIAN
Contact
(if learner is not Living with Parent)

Sex (M/F)
NAME Mother's Maiden Name Name Number of REMARKS
BIRTHDATE Religious Municipality/ Father's Name Parent/
(Last Name, First Name, (Last Name, First (Last Name, First (Please refer to the legend)
LRN Name Extension, Middle (mm/dd/yyyy) AGE Affiliation House No./ City (Last Name, First Name, Name
Name, Name Name, Name Relationship Guardian
Street/ Sitio/
Barangay Province Extension, Middle Name)
Name) Extension, Middle Extension, Middle
Purok
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40

<=== TOTAL MALE

1
2
3
4
5
6
7
8
9
10
11

SFRT 2017
SFRT 2017
 GUARDIAN
COMPLETE ADDRESS PARENTS Contact
(if learner is not Living with Parent)

Sex (M/F)
NAME Mother's Maiden Name Name
Number of REMARKS
BIRTHDATE Religious Municipality/ Father's Name Parent/
(Last Name, First Name, (Last Name, First (Last Name, First (Please refer to the legend)
LRN Name Extension, Middle (mm/dd/yyyy) AGE Affiliation House No./ City (Last Name, First Name, Name
Relationship Guardian
Street/ Sitio/
Barangay Province Extension, Middle Name)
Name, Name Name, Name
Name) Extension, Middle Extension, Middle
Purok
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40

<=== TOTAL FEMALE

<=== COMBINED
Legend: List and Code of Indicators under REMARKS column
Prepared By:

Beginning of the
Indicator Code Required Information Indicator Code Required Information REGISTERED End of the Semester
Semester
Transferred T/O CCT Recipient CCT CCT Control/reference
Out number & Effectivity Date
Balik Aral B/A Name of school last MALE
attended & Year
Signature of Adviser over Printed Name
Transferred T/I Specify Exceptionality of the
In LWE
Learner With Learner
FEMALE
Name of School, Date of 1st Exceptionality Specify Level & Effectivity
ACL Beginning of the Semester Date: End of the Semester Date:
Attendance and Date of Last Accelerated Date
Attendance if Transferred Out TOTAL

SFRT 2017
 School Form 2 Daily Attendance Report of Learners for Senior High School (SF2-SHS)
School Name School ID District Division Region

Semester Section
School Year Course/s Grade Level Track and Strand
(only for TVL) Month of
DATE
NAME Total for the Month
(Last Name, First Name, Name Extension, Middle
No. REMARKS
Name) M T W TH F S M T W TH F S M T W TH F S M T W TH F S M T W TH F S ABSENT TARDY 1. If No Longer in School (NLS), state reason, please refer to legend number. 2. If TRANSFERRED
IN/OUT, write the name of School. 3. If SHIFTING IN/OUT, write the name of Track/Strand/Program).

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

16.

17.

<=== MALE | TOTAL Per Day ===>

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.
 DATE
NAME Total for the Month
(Last Name, First Name, Name Extension, Middle
No. REMARKS
Name) M T W TH F S M T W TH F S M T W TH F S M T W TH F S M T W TH F S ABSENT TARDY 1. If No Longer in School (NLS), state reason, please refer to legend number. 2. If TRANSFERRED
IN/OUT, write the name of School. 3. If SHIFTING IN/OUT, write the name of Track/Strand/Program).

15.

16.

17.

18.

19.

20.

21.

22.

23.

24.

25.

26.

27.

<=== FEMALE | TOTAL Per Day ===>

Combined TOTAL Per Day

No. of Days of Classes:

GUIDELINES: 1. CODES FOR CHECKING ATTENDANCE Month: Summary
1. The attendance shall be accomplished daily. Refer to the codes for checking learners' attendance (blank) - Present; (x) - Absent; Tardy (half shaded = Upper for
M F TOTAL
2. To compute the following: Late Comer, Lower for Cutting Classes)

a. Percentage of Enrolment = Registered Learners as of end of the month x 100 2. REASONS/CAUSES FOR NO LONGER IN SCHOOL
Enrolment as of 1st Friday of the school year (NLS)

Total Daily Attendance

b.
Average Daily Attendance = a. Domestic-Related Factors
Number of School Days in reporting month
a.1. Had to take care of siblings
a.2. Early marriage/pregnancy
Average daily attendance a.3. Parents' attitude toward schooling
c.
Percentage of Attendance for the month = x 100
Registered Learners as of end of the month a.4. Family problems
3. Every end of the month, the Class Adviser will submit this form to the Office of the Principal for recording of summary table into School Form 4. Once signed No Longer in School (NLS)
by the School Head, this form should be returned to the Class Adviser.
4. The Class Adviser will provide neccessary interventions including but not limited to home visitation to learner/s who were absent for 5 consecutive days Transferred Out
and/or those at risk of dropping out. b. Individual-Related Factors
Transferred In
5. Attendance performance of learners will be reflected in the SF9-SHS of every grading period. b.1. Illness
b.2. Overage Shifting Out
b.4. Drug Abuse
b.5. Poor Academic Performance Shifting In
b.6. Lack of Interest/Distractions
b.7. Hunger/Malnutrition

I certify that this report is true and correct:

c. School-Related Factors
c.1. Teacher Factor
c.2. Physical Condition of Classroom
c.3. Peer Influence
Signature of Class Adviser over Printed Name

d. Geographic/Environmental
d.1. Distance between home and school
d.2. Armed conflict (incl. tribal wars & clan feuds) Attested By:
d.3. Calamities/Disasters

Signature of School Head over Printed Name

 DATE
NAME Total for the Month
(Last Name, First Name, Name Extension, Middle
No. REMARKS
Name) M T W TH F S M T W TH F S M T W TH F S M T W TH F S M T W TH F S ABSENT TARDY 1. If No Longer in School (NLS), state reason, please refer to legend number. 2. If TRANSFERRED
IN/OUT, write the name of School. 3. If SHIFTING IN/OUT, write the name of Track/Strand/Program).

b. Transferred to School Abroad

c. Transferred to International School
d. Transferred to ALS
 School Form 3 Books Issued and Returned for Senior High School (SF3-SHS)
School Name Semester Section
School ID School District Division Region
Year Grade Level Track and Strand

Course/s (only for TVL)

Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle

NAME REMARKS/ACTION TAKEN

(Last Name, First Name, Name Extension,
No. Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) (Please refer to the codes below)
Middle Name)
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
35.
36.
37.
38.
39.
 Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle

NAME REMARKS/ACTION TAKEN

(Last Name, First Name, Name Extension,
No. Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) (Please refer to the codes below)
Middle Name)
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned

40.
TOTAL MALE ===>
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
35.
36.
37.
38.
TOTAL FEMALE ===>
COMBINED ===>

GUIDELINES: In case of lost/unreturned books, please provide information with the following code:
Prepared By:
1. Title of Books Issued to each learner must be recorded by the Class Adviser.
A. In Column Date Returned, codes are: FM=Force Majeure, TDO: Transferred/Dropout, NEG=Negligence
2. The Date of Issuance and the Date of Return shall be reflected in the form.
B. In Column Remark/Action Taken, codes are: LLTR=Secured Letter from Learner duly signed by parent/guardian (for code
3. The Total Number of Copies issued shall be reflected in the form.
FM), TLTR=Teacher prepared letter/report duly noted by School Head for submission to School Property Custodian (for code
4. The Total Number of Copies of Books Returned shall be reflected in the form.
TDO), PTL=Paid by the Learner (for code NEG). References: DO No.23, s.2001, DO No.25, s.2003, DO No.14, s.2012.
 Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle Book / ModuleTitle

NAME REMARKS/ACTION TAKEN

(Last Name, First Name, Name Extension,
No. Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) Date (mm/dd/yy) (Please refer to the codes below)
Middle Name)
Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned Issued Returned

5. All textbooks being used must be included. Additional copies of this form may be used if needed. Signature of Class Adviser over Printed Name
 School Form 4 Monthly Learners' Movement and Attendance for Senior High School (SF4-SHS)
School District Division Region

Name Semester School Year For the Month of

School

ID
ATTENDANCE DROPPED OUT TRANSFERRED OUT TRANSFERRED IN SHIFTED OUT SHIFTED IN

REGISTERED (A) (A+B) (A) (A+B) (A) (A+B) (A) (A+B) (A) (A+B)
LEARNERS Cumulative Cumulative Cumulative Cumulative Cumulative Cumulative Cumulative Cumulative Cumulative Cumulative
(As of End of Daily % for the Number as (B) Total for Number as of Number as (B) Total for Number as Number as (B) Total for Number as of Number as (B) Total for Number as of Number as (B) Total for Number as of
the Month) Average Month of Previous the Month End of the of Previous the Month of End of the of Previous the Month End of the of Previous the Month End of the of Previous the Month End of the
TRACK STRAND Month Month Month Month Month Month Month Month Month Month

M F T M F T M F T M F T M F T M F T M F T M F T M F T M F T M F T M F T M F T M F T M F T M F T M F T M F T

TOTAL FOR GRADE 11

TOTAL FOR GRADE 12

GRAND TOTAL

Prepared and Submitted By:

Signature of School Head over Printed Name
 School Form 5A End of Semester and School Year Status of Learners for Senior High School (SF5A-SHS)

School Name School District Division Region

ID
Semester Grade Level Section
School Year
Track and Strand
Course/s (only for TVL)

END OF
BACK SUBJECT/S
SEMESTER
LEARNER'S NAME List down subjects where learner obtained a rating END OF SCHOOL
STATUS
(Last Name, First Name, Name Extension, Middle Name) below 75%) YEAR STATUS
No. LRN (Complete/ Incomplete)
(Regular/ Irregular)

MALE
SUMMARY TABLE 1ST SEM

STATUS MALE FEMALE TOTAL

COMPLETE

INCOMPLETE

TOTAL
SUMMARY TABLE 2ND SEM

STATUS MALE FEMALE TOTAL

COMPLETE

INCOMPLETE

TOTAL

SUMMARY TABLE (End of the School Year Only)

STATUS MALE FEMALE TOTAL

REGULAR

IRREGULAR

TOTAL

FEMALE
 END OF
BACK SUBJECT/S SEMESTER
LEARNER'S NAME List down subjects where learner obtained a rating END OF SCHOOL
STATUS
(Last Name, First Name, Name Extension, Middle Name) below 75%) YEAR STATUS
No. LRN (Complete/ Incomplete)
(Regular/ Irregular)

Prepared By:

Signature of Class Adviser over Printed Name

Certified Correct By:

Signature of School Head over Printed Name

Reviewed By:

Signature of Division Representative over Printed Name

GUIDELINES:
This form shall be accomplished after each semester in a school year, leaving the End of School Year Status Column and Summary Table for End of School Year Status blank/unfilled at the end of the 1st Semester. These data
elements shall be filled up only after the 2nd semester or at the end of the School Year.

INDICATORS:
End of Semester Status
Complete - number of learners who completed/satisfied the requirements in all subject areas (with grade of at least 75%)
Incomplete - number of learners who did not meet expectations in one or more subject areas, regardless of number of subjects failed (with grade less than 75%)
Note: Do not include learners who are No Longer in School ( NLS )

End of School Year Status

Regular - number of learners who completed/satisfied requirements in all subject areas both in the 1st and 2nd semester
Irregular - number of learners who were not able to satisfy/complete requirements in one or both semesters
 School Form 5B List of Learners with Complete SHS Requirements (SF5B-SHS)
School ID District Division Region
School Name
School Year Section
Semester
Course/s (only for TVL)
Track and Strand

Completed SHS
in 2 SYs? (Y/N)
National
No. LRN LEARNER'S FULL NAME Certification Level
(Last Name, First Name, Name Extension, Middle Name) Attained
(only if applicable)

MALE

SUMMARY TABLE A
STATUS MALE FEMALE TOTAL
Learners who
completed SHS
Program within 2
SYs or 4
semesters
Learners who
completed SHS
Program in more
than 2 SYs or 4
semesters
TOTAL

SUMMARY TABLE B
STATUS MALE FEMALE TOTAL
NC III
NC II
NC I
TOTAL
Note: NCs are recorded here for documentation but is not a requirement for graduation.
 Completed SHS
in 2 SYs? (Y/N)
National
No. LRN LEARNER'S FULL NAME Certification Level
(Last Name, First Name, Name Extension, Middle Name) Attained
(only if applicable)

GUIDELINES:
1. This form should be accomplished by the Class Adviser at End of School
Year.
2. It should be compiled and checked by the School Head and passed to the
Division Office before graduation.

FEMALE
Reviewed By:

Signature of Class Adviser over Printed Name

Certified Correct & Submitted By:

Signature of School Head over Printed Name

Reviewed By:

Signature of Division Representative over Printed Name

 School Form 6 Summarized Report of Learner Status as of End of Semester and School Year for Senior High School (SF6-SHS)

School Name
School ID District Division Region
Semester
School Year
END OF SCHOOL YEAR
END OF SEMESTER STATUS
(Fill up only at the end of the second semester.)

COMPLETE INCOMPLETE TOTAL REGULAR IRREGULAR TOTAL

GRADE LEVEL
MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL MALE FEMALE TOTAL

GRADE 11
TRACK/STRAND/COURSE

SUB TOTAL
GRADE 12
TRACK/STRAND/COURSE

SUB TOTAL
TOTAL

Prepared and Submitted By: Reviewed & Validated By: Noted

By:

Signature of Division Superintendent over Printed Name

Signature of School Head over Printed Name Signature of Division Representative over Printed Name
GUIDELINES:
1. After receiving and validating the report on Status of Learners submitted by the Class Adviser, the School Head shall compute the grade level total per track/strand/course and school total.
2. This report shall be forwarded to the Division Office by the end of the semester.
3. Column for
End of
School
Year shall
be
accomplish
ed at the
end of SY
or every
after the
2nd
semester
4. Protocols of
validation &
submission
are under
the
discretion
of the
Schools
Division
Superinten
dent.
 School Form 7 School Personnel Basic Profile and Assignment for Senior High School (SF7-SHS)
School Name School ID District Division Region
Semester School Year
(A) Nationally-Funded Teaching & Teaching Related Items (B) Nationally-Funded Non-Teaching Items (C ) Other Appointments and Funding Sources

Appointment: Number of Incumbent

(Contractual,
Title of Plantilla Position Title of Plantilla Position Title of Designation Fund Source
Number of Number of Substitute,
(as it appears in the appointment (as it appears in the appointment (as it appears in the contract/document: Teacher, (SEF, PTA, NGO's
Incumbent Incumbent Volunteer, Others Teaching Non-Teaching
document/PSIPOP) document/PSIPOP) Clerk, Security Guard, Driver etc.) etc.)
specify)

Remarks:
EDUCATIONAL QUALIFICATION Daily Program (time duration)
*For Detailed Items, Indicate
Nature of
Appointment/ name of school/office,
Grade and
*For IP - Ethnicity)
Employment Major/ Sections
Employee Name of School Personnel Subjects Taught, Advisory Total Actual *For additional loads from JHS-
Status Specialization/ (Enumerate DAY
No. (or Tax (Arrange by Position, Class & Other Ancillary Teaching please indicate the number of
Sex Fund Position/ (Regular/ sections
(M/T/W/ From
Identification Descending) Degree/ Specialized Minor Assignments taught) To Minutes per teaching minutes per week)
Source Designation Probationary/ TH/F) (00:00)
Number - Postgraduate Training Attended (00:00) Week
T.I.N.) Part Time)
First Semester:

Second Semester:

Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:

Second Semester:

Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:

Second Semester:

Advisory:
 Remarks:
EDUCATIONAL QUALIFICATION Daily Program (time duration)
Nature of *For Detailed Items, Indicate
Appointment/ name of school/office,
Grade and
Employment *For IP - Ethnicity)
Major/ Sections
Employee Name of School Personnel Subjects Taught, Advisory Total Actual *For additional loads from JHS-
Status (Enumerate DAY
No. (or Tax (Arrange by Position, Specialization/ Class & Other Ancillary Teaching please indicate the number of
Sex Fund Position/ (Regular/ sections
(M/T/W/ From
Identification Descending) Degree/ Specialized Minor Assignments taught) To Minutes per teaching minutes per week)
Source Designation Probationary/ TH/F) (00:00)
Number - Postgraduate Training Attended (00:00) Week
T.I.N.) Part Time)
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:

Second Semester:

Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:

Second Semester:

Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day
First Semester:

Second Semester:

Advisory:
Ancillary Assignment/s:
Ave. Minutes per Day

GUIDELINES:
1. This form shall be accomplished at the beginning of each semester by the School Head and is submitted to the Division Office. In case of movement of teachers and other
personnel during the semester, an updated SHSF-7 must be submitted to the Division Office at the end of the semester.

2. All school personnel, regardless of position/nature of appointment should be included in this form and should be listed from the highest rank to the lowest. Signature of School Head over Printed Name
3. Please reflect subjects being taught including advisory class or ancillary assignment (if any). Other administrative duties must also be reported.
4. Daily Program Column is for teaching personnel only. Updated as of:

School Form 7, Page of

SF 8

Department of Education
School Form 8 Learner's Basic Health and Nutrition Report for Senior High School (SF8-SHS)
(For All Grade Levels)

School Name
District Division Region

School ID Grade Section Track/Strand (SHS) School Year

Learner's Name Nutritional Status

Birthdate Weight Height Height² Height for
No. LRN (Last Name, First Name, Name Age BMI BMI Remarks
(MM/DD/YYYY) (kg) (m) (m²) Age (HFA)
Extension, Middle Name) (kg/m²) Category
MALE

FEMALE

SFRT 2017
 Learner's Name Nutritional Status
Birthdate Weight Height Height² Height for
No. LRN (Last Name, First Name, Name Age BMI BMI Remarks
(MM/DD/YYYY) (kg) (m) (m²) Age (HFA)
Extension, Middle Name) (kg/m²) Category

SUMMARY TABLE
Nutritional Status Height for Age (HFA)
Summary Table Summary Table
SEX Severely
Severely Wasted Wasted Normal Overweight Obese TOTAL Stunted Normal Tall Total
Stunted
MALE
FEMALE
TOTAL

Date of Assessment: Conducted/Assessed By: Certified Correct By: Reviewed By:

SFRT 2017

SFRT 2017
 SF9-SHS LRN
REPORT ON ATTENDANCE
DE Republic of the Philippines ION
Jun Jul Aug Sept Oct Nov Dec Jan Feb Mar Apr Total PARTMENT OF EDUCAT
I
No. of Region
School
Days DIVISION OF XXXXXXX
Division
No. of DEPED NATIONAL HIGH SCHOOL
Days School
Present

No. of
Days
Name :
Absent Last Name First Name Middle Name
PARENT / GUARDIAN’S SIGNATURE Age : 16 Sex: Male
1st Quarter Grade : 11 Section: A
2nd Quarter Curriculum: K to 12 Basic Education Curriculum
3rd Quarter School Year: 2019-2020
4th Quarter Track/ Strand: Academic/ Science, Technology, Engineering, Mathematics (STEM)

Certificate of Transfer
Dear Parent/Guardian,
Admitted to Grade: _ Section:
This report card shows the ability and progress your child has
Eligibility for Admission to Grade:
made in the different learning areas as well as his/her core values.
Approved:
School Head Adviser The school welcomes you should you desire to know more about
your child’s progress.

Cancellation of Eligibility to Transfer RICHARD R. RAQUEÑO

Adviser
Admitted in:
Date:
Principal
School Head IV
 LEARNER’S PROGRESS REPORT CARD REPORT ON LEARNER’S OBSERVED VALUES
First Semester
Quarter
Subjects Semester Quarter
1 2 Final Grade Core Values Behavior Statements
1 2 3 4
Core Subjects
Expresses one’s spiritual beliefs
Oral Communication while respecting the spiritual SO
beliefs of others
Komunikasyon at Pananaliksik sa Wika at 1. Maka-Diyos
Kulturang Pilipino Shows adherence to ethical
Introduction to the Philosophy of the Human Person principles by upholding truth in all SO
/Pambungad sa Pilosopiya ng Tao undertakings

Physical Education and Health 1 Is sensitive to individual, social and

cultural differences; resists SO
General Mathematics stereotyping people
2. Makatao
Earth Science Demonstrates contributions
toward solidarity SO
Applied and Specialized Subjects Cares for the environment and
3. Makakalikasan utilizes resources wisely, SO
Empowerment Technologies judiciously and economically

Pre-Calculus Demonstrates pride in being a

Filipino; exercises the rights and SO
General Chemistry 1 responsibilities of a Filipino citizen

General Average for the Semester 4. Makabansa

Demonstrates appropriate
Second behavior in carrying out activities SO
Semester in the school, community and
country
Quarter
Subjects Semester
3 4 Final Grade
Observed Values
Core Subjects Marking Non-numerical Rating
Reading and Writing AO Always Observed
Pagbasa at Pagsusuri ng Iba’t-Ibang Teksto Tungo SO Sometimes Observed
sa Pananaliksik
RO Rarely Observed
Personal Development/ Pansariling Kaunlaran
NO Not Observed
Physical Education and Health 2
Statistics
Learner and Probability
Progress and Achievement
Disaster Readiness and Risk Reduction Descriptors Grading Scale Remarks
Applied and Specialized Subjects Outstanding 90-100 Passed
Practical Research 1 Very Satisfactory 85-89 Passed
Basic Calculus Satisfactory 80-84 Passed

General Chemistry 2 Fairly Satisfactory 75-79 Passed

Iniwasto ni: Did Not Meet Expectation Below 75 Failed
General
Average
for the
Semester
SF 10 -JHS

Republic of the Philippines

Department of Education
Learner's Permanent Academic Record for Junior High School (SF10-JHS)
(Formerly Form 137)
LEARNER'S INFORMATION
LAST NAME: FIRST NAME: NAME EXTN. (Jr,I,II): MIDDLE NAME:
Learner Reference Number (LRN): Birthdate (mm/dd/yyyy): Sex:

ELIGIBILITY FOR JHS ENROLMENT

Elementary School Completer General Average: Citation: (If Any)
Name of Elementary School: School ID: Adress of School:
Other Credential Presented
PEPT Passer Rating: ALS A & E Passer Rating: Others (Pls. Specify):
Date of Examination/Assessment (mm/dd/yyyy): Name and Address of Testing Center:

SCHOLASTIC RECORD
School: School ID: District: Division: Region:
Classified as Grade: Section: School Year: Name of Adviser/Teacher: Signature:
Quarterly Rating FINAL
LEARNING AREAS REMARKS
1 2 3 4 RATING
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)
Technology and Livelihood Education (TLE)
MAPEH
Music
Arts
Physical Education
Health

General Average

Remedial Classes Conducted from (mm/dd/yyyy) to (mm/dd/yyyy)

Recomputed Final
Learning Areas Final Rating Remedial Class Mark Remarks
Grade

School: School ID: District: Division: Region:

Classified as Grade: Section: School Year: Name of Adviser/Teacher: Signature:
QUARTER FINAL
LEARNING AREAS REMARKS
1 2 3 4 RATING
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)
Technology and Livelihood Education (TLE)
MAPEH
Music
Arts
Physical Education
Health

General Average

Remedial Classes Conducted from (mm/dd/yyyy) to (mm/dd/yyyy)

Recomputed Final
Learning Areas Final Rating Remedial Class Mark Remarks
Grade

CERTIFICATION

I CERTIFY that this is a true record of_with LRNand that he/she is eligible for admission to Grade. Name of School:School ID:Last School Year Attended:

Date Name of Principal/School Head over Printed Name (Affix School Seal here)
SF 10-JHS Pag 2 of
School: School ID: District: Division: Region:

Classified as Grade: Section: School Year: NameQUARTER

of Adviser/Teacher: FINAL Signature:
LEARNING AREAS REMARKS
1 2 3 4 RATING
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)
Technology and Livelihood Education (TLE)
MAPEH
Music
Arts
Physical Education
Health

General Average
Remedial Classes Conducted from (mm/dd/yyyy) to (mm/dd/yyyy)
Subject Final Rating Remedial Class Mark Recomputed Final Remarks

School: School ID: District: Division: Region:

Classified as Grade: Section: School Year: NameQUARTER

of Adviser/Teacher: FINAL Signature:
LEARNING AREAS REMARKS
1 2 3 4 RATING
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)
Technology and Livelihood Education (TLE)
MAPEH
Music
Arts
Physical Education
Health

General Average

Remedial Classes Conducted from (mm/dd/yyyy) to (mm/dd/yyyy)

Learning Areas Final Rating Remedial Class Mark Recomputed Final Remarks

School: School ID: District: Division: Region:

Classified as Grade: Section: School Year: Name of Adviser/Teacher: Signature:
Quarterly Rating FINAL
LEARNING AREAS REMARKS
1 2 3 4 RATING
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)
Technology and Livelihood Education (TLE)
MAPEH
Music
Arts
Physical Education
Health

General Average

Remedial Classes Conducted from (mm/dd/yyyy) to (mm/dd/yyyy)

Learning Areas Final Rating Remedial Class Mark Recomputed Final Remarks

For Transfer Out /JHS Completer

Only
CERTIFICATION

I CERTIFY that this is a true record of _with LRN and that he/she is eligible for admission to Grade .
Name of School: School IDLast School Year Attended:

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