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Form 10

This document is a student's permanent record from their senior high school containing their biographical information, academic eligibility, and scholastic record. It lists the student's name, identification number, date of birth, and admission details. It also outlines their academic performance for the first and second semesters of their 11th grade year, including the courses taken, grades received, and any remedial classes. The record is certified by the student's adviser and school principal.
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© © All Rights Reserved
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Download as XLSX, PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
44 views

Form 10

This document is a student's permanent record from their senior high school containing their biographical information, academic eligibility, and scholastic record. It lists the student's name, identification number, date of birth, and admission details. It also outlines their academic performance for the first and second semesters of their 11th grade year, including the courses taken, grades received, and any remedial classes. The record is certified by the student's adviser and school principal.
Copyright
© © All Rights Reserved
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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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: ALPUERTO ZOZOBRADO(AZ) EDUCATIONAL CENTER INC. SCHOOL ID: 409764 GRADE LEVEL: 11 SY: 2023-2024 SEM: 1ST
TRACK/STRAND: SECTION: ST. AGNES OF ASSISI
Indicate if Subject is Quarter SEM FINAL ACTION
CORE, APPLIED, or SUBJECTS
1ST 2ND GRADE TAKEN
SPECIALIZED
Core Oral Communication
Core Komunikasyon at Pananaliksik sa Wika at Kulturang Pilipino
Core Introduction to the Philosophy of the Human Person/Pambungad sa Pilosopiya ng Tao
Core Physical Education and Health
Core 21st Century Literature from the Philippines and the World
Core Earth and Life Science*
Core General Mathematics
Specialized Bread and Pastry Production

General Ave. for the Semester: #DIV/0! #DIV/0!


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

MARIA LILIBETH A. LAÑOJAN CASIANO S. GICALE, SCHOOL PRINCIPAL


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 SUBJECTS CLASS
GRADE FINAL GRADE TAKEN
SPECIALIZED MARK

Name of Teacher/Adviser: Signature:

SCHOOL: ALPUERTO ZOZOBRADO(AZ) EDUCATIONAL CENTER INC. SCHOOL ID: 409764 GRADE LEVEL: 11 SY: 2023-2024 SEM: 2ND
TRACK/STRAND: SECTION: ST. AGNES OF ASSISI
Indicate if Subject is Quarter SEM FINAL ACTION
CORE, APPLIED, or SUBJECTS
3RD 4TH GRADE TAKEN
SPECIALIZED
Core Reading and Writing
Core Pagbasa at Pagsusuri ng Iba't Ibang Teksto Tungo sa Pananaliksik
Core Disaster Readiness and Risk Reduction
Core Understanding Culture, Society and Politics
Applied Practical Research 1
Core Physical Education and Health
Core Statistics and Probability
Specialized Food and Beverage Services
HG1B Homeroom Guidance

General Ave. for the Semester: #DIV/0! #DIV/0!


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

MARIA LILIBETH A. LAÑOJAN CASIANO S. GICALE, SCHOOL PRINCIPAL


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 SUBJECTS CLASS
GRADE FINAL GRADE TAKEN
SPECIALIZED MARK

Name of Teacher/Adviser: Signature:


Page 2 SF10-SHS
SCHOOL: ALPUERTO ZOZOBRADO(AZ) EDUCATIONAL CENTER INC. SCHOOL ID: 409764 GRADE LEVEL: 11 SY: 2022-2023 SEM: 1ST
TRACK/STRAND: SECTION:

Indicate if Subject is CORE, Quarter SEM FINAL ACTION


SUBJECTS
APPLIED, or SPECIALIZED 1ST 2ND GRADE TAKEN

General Ave. for the Semester: #DIV/0! #DIV/0!


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:


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


SUBJECTS
APPLIED, or SPECIALIZED GRADE TAKEN

General Ave. for the Semester: #DIV/0! #DIV/0!


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:


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

Name of Teacher/Adviser: Signature:

Track/Strand Accomplished: SHS General Average: #DIV/0!


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)


### Business Math
### Organization Management
###
###
###
###
###
###
###

OTHER SUBJECTS (Please write the list of subjects below)


###
###
###

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