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    Form 137 Shs 2016 (A&d) Blank

    Uploaded by

    Sandy West
    This document contains a learner's permanent record from the Republic of the Philippines Department of Education. It includes the learner's personal information, eligibility for senior high school enrollment, scholastic record for grades 11 and 12, and grades for each subject in the Arts and Design track. The record shows the learner's performance in core, applied, and specialized subjects over four semesters.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd

    Form 137 Shs 2016 (A&d) Blank

    Uploaded by

    Sandy West
    28 views9 pages
    This document contains a learner's permanent record from the Republic of the Philippines Department of Education. It includes the learner's personal information, eligibility for senior high school enrollment, scholastic record for grades 11 and 12, and grades for each subject in the Arts and Design track. The record shows the learner's performance in core, applied, and specialized subjects over four semesters.

    Original Description:

    forms

    Original Title

    Form 137 Shs 2016 (a&d) Blank

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    This document contains a learner's permanent record from the Republic of the Philippines Department of Education. It includes the learner's personal information, eligibility for senior high school enrollment, scholastic record for grades 11 and 12, and grades for each subject in the Arts and Design track. The record shows the learner's performance in core, applied, and specialized subjects over four semesters.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    28 views9 pages

    Form 137 Shs 2016 (A&d) Blank

    Uploaded by

    Sandy West
    This document contains a learner's permanent record from the Republic of the Philippines Department of Education. It includes the learner's personal information, eligibility for senior high school enrollment, scholastic record for grades 11 and 12, and grades for each subject in the Arts and Design track. The record shows the learner's performance in core, applied, and specialized subjects over four semesters.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    You are on page 1of 9

    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: AURORA SENIOR HIGH SCHOOL SCHOOL ID: 342077
    TRACK/STRAND:ARTS AND DESIGN
    Indicate if Subject is
    CORE, APPLIED, or SUBJECTS
    SPECIALIZED
    Core Oral Communication
    Core Komunikasyon at Pananaliksik sa Wika at Kulturang Pilipino
    Core Contemporary Philippine Arts from the Regions
    Core General Mathematics
    Core Earth and Life Science*
    Core Reading and Writing
    Core Personal Development/Pansariling Kaunlaran
    Core Physical Education and Health
    Applied Empowerment Technologies

    REMARKS:
    Prepared by: Certified True and Correct:

    DANTE H. GUERRERO-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: AURORA SENIOR HIGH SCHOOL SCHOOL ID: 342077


    TRACK/STRAND:ARTS AND DESIGN
    Indicate if Subject is
    Indicate if Subject is
    CORE, APPLIED, or SUBJECTS
    SPECIALIZED
    Core Pagbasa at Pagsusuri ng Iba't Ibang Teksto Tungo sa Pananaliksik
    Core 21st Century Literature from the Philippines and the World
    Core Statistics and Probability
    Core Physical Education and Health
    Core Understanding Culture, Society and Politics
    Core Introduction to the Philosophy of the Human Person/Pambungad sa Pilosopiya ng Tao
    Core Media and Information Literacy
    Core Physical Science*
    Specialized Creative Industries I: Arts and Design Appreciation and Production

    REMARKS:
    Prepared by: Certified True and Correct:

    DANTE H. GUERRERO-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 FORM 137-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: 11 SY: 2016-2017 SEM: 1ST


    SECTION:
    Quarter SEM FINAL ACTION
    1ST 2ND GRADE TAKEN

    General Ave. for the Semester:

    Date Checked (MM/DD/YYYY):

    EGISTRAR I
    nted Name, Designation

    SCHOOL ID:
    REMEDIAL
    SEM FINAL RECOMPUTED ACTION
    CLASS
    GRADE FINAL GRADE TAKEN
    MARK

    Signature:

    GRADE LEVEL: 11 SY: 2016-2017 SEM: 2ND


    SECTION:
    Quarter SEM FINAL ACTION
    SEM FINAL ACTION
    3RD 4TH GRADE TAKEN

    General Ave. for the Semester:

    Date Checked (MM/DD/YYYY):

    EGISTRAR I
    nted Name, Designation

    SCHOOL ID:
    REMEDIAL
    SEM FINAL RECOMPUTED ACTION
    CLASS
    GRADE FINAL GRADE TAKEN
    MARK

    Signature:
    Page 2
    SCHOOL: AURORA SENIOR HIGH SCHOOL SCHOOL ID: 342077 GRADE
    TRACK/STRAND: ARTS AND DESIGN

    Indicate if Subject is CORE,


    SUBJECTS
    APPLIED, or SPECIALIZED

    Core Physical Education and Health


    Applied Practical Research 1
    Applied Inquiries, Investigations and Immersion
    Applied English for Academic and Professional Purposes
    Applied Entrepreneurship
    Specialized Creative Industries II: Performing Arts
    Specialized Physical and Personal Development in the Arts
    Specialized Apprenticeship and Exploration of Different Arts Field

    REMARKS:
    Prepared by: Certified True and Correct:

    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: AURORA SENIOR HIGH SCHOOL SCHOOL ID: 342077 GRADE


    TRACK/STRAND: ARTS AND DESIGN

    Indicate if Subject is CORE,


    SUBJECTS
    APPLIED, or SPECIALIZED

    Core Physical Education and Health


    Applied Practical Research 2
    Applied Filipino sa Piling Larang
    Specialized Integrating the Elements and Principles of Organization in the Arts
    Specialized Leadership and Managerment in Different Art Fields
    Specialized Developing Filipino Identity in the Arts
    Specialized Work Immersion/Research/Carrer Advocacy/Culminating Activity
    REMARKS:
    Prepared by: Certified True and Correct:

    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:
    Awards/Honors Received:
    Certified by: Place School Sea

    ROEL M. DOMINGO-Sec Sch. Principal II


    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):


    Form 137-SHS
    GRADE LEVEL: 12 SY: 2017-2018 SEM: 1ST
    SECTION:
    Quarter SEM FINAL ACTION
    1ST 2ND GRADE TAKEN

    General Ave. for the Semester:

    Date Checked (MM/DD/YYYY):

    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:
    Quarter SEM FINAL ACTION
    3RD 4TH GRADE TAKEN
    General Ave. for the Semester:

    Date Checked (MM/DD/YYYY):

    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:
    Form 137-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)


    Creative Industries I: Arts and Design Appreciation and Production
    Creative Industries II: Performing Arts
    Physical and Personal Development in the Arts
    Developing Filipino Identity in the Arts
    Integrating the Elements and Principles of Organization in the Arts
    Leadership and Managerment in Different Art Fields
    Apprenticeship and Exploration of Different Arts Field
    Work Immersion/Research/Carrer Advocacy/Culminating Activity

    OTHER SUBJECTS (Please write the list of subjects below)

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