REPUBLIC OF THE PHILIPPINES FORM 137-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: OUR LADY OF TRIUMPH INSTITUTE OF TECHNOLOGY, INC.- PAGADIAN CITY SCHOOL ID: 409384 GRADE LEVEL: 11 SY: 2025-2026 SEM: 1ST
TRACK/STRAND: TVL TRACK/ HOME ECONOMICS SECTION:
Indicate if Subject is Quarter
CORE, APPLIED, or SUBJECTS SEM FINAL ACTION
SPECIALIZED GRADE TAKEN
1ST 2ND
Core Oral Communication
Core Earth and Life Science*
Core Komunikasyon at Pananaliksik sa Wika at Kulturang Pilipino
Core General Mathematics
Core Understanding Culture, Society and Politics
Core Physical Education and Health
Core Contemporary Philippine Arts from the Regions
Applied Filipino sa Piling Larang
Applied English for Academic and Professional Purposes
Specialized Bread and Pastry Production NC II
Specialized Food and Beverage Services NC II
Other_Subjects Conduct
General Ave. for the Semester:
REMARKS:
Prepared by: Certified True and Correct: Date Checked (MM/DD/YYYY):
DARWIN S. BARAYAN, LPT, MM, 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 SEM FINAL REMEDIAL RECOMPUTED ACTION
CORE, APPLIED, or SUBJECTS GRADE CLASS FINAL GRADE TAKEN
SPECIALIZED MARK
Name of Teacher/Adviser: Signature:
SCHOOL: OUR LADY OF TRIUMPH INSTITUTE OF TECHNOLOGY, INC.- PAGADIAN CITY SCHOOL ID: 409384 GRADE LEVEL: 11 SY: 2025-2026 SEM: 2ND
TRACK/STRAND: TVL TRACK/ HOME ECONOMICS SECTION:
Indicate if Subject is Quarter
CORE, APPLIED, or SUBJECTS SEM FINAL ACTION
SPECIALIZED GRADE TAKEN
3RD 4TH
Core Reading and Writing
Core Pagbasa at Pagsusuri ng Iba't Ibang Teksto Tungo sa Pananaliksik
Core Personal Development/Pansariling Kaunlaran
Core 21st Century Literature from the Philippines and the World
Core Physical Education and Health
Core Statistics and Probability
Applied Practical Research 1
Specialized Housekeeping NC II
Specialized Bartending 1
Other_Subjects Conduct
General Ave. for the Semester:
REMARKS:
Prepared by: Certified True and Correct: Date Checked (MM/DD/YYYY):
DARWIN S. BARAYAN, LPT, MM, 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 SEM FINAL REMEDIAL RECOMPUTED ACTION
CORE, APPLIED, or SUBJECTS GRADE CLASS FINAL GRADE TAKEN
SPECIALIZED MARK
Name of Teacher/Adviser: Signature:
Page 2 Form 137-SHS
SCHOOL: OUR LADY OF TRIUMPH INSTITUTE OF TECHNOLOGY, INC.- PAGADIAN CITY SCHOOL ID: 409384 GRADE LEVEL: 12 SY: 2026-2027 SEM: 1ST
TRACK/STRAND: TVL TRACK/ HOME ECONOMICS SECTION:
Indicate if Subject is CORE, Quarter SEM FINAL ACTION
APPLIED, or SPECIALIZED SUBJECTS GRADE TAKEN
1ST 2ND
Core Introduction to the Philosophy of the Human Person/Pambungad sa Pilosopiya ng Tao
Core Media and Information Literacy
Core Physical Education and Health
Applied Empowerment Technologies
Applied Practical Research 2
Specialized Front Office 1
Specialized Bartending 2
Other_Subjects Conduct
General Ave. for the Semester:
REMARKS:
Prepared by: Certified True and Correct: Date Checked (MM/DD/YYYY):
DARWIN S. BARAYAN, LPT, MM
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:
Indicate if Subject is CORE, SEM FINAL REMEDIAL RECOMPUTED ACTION
APPLIED, or SPECIALIZED SUBJECTS GRADE CLASS FINAL GRADE TAKEN
MARK
Name of Teacher/Adviser: Signature:
SCHOOL: OUR LADY OF TRIUMPH INSTITUTE OF TECHNOLOGY, INC.- PAGADIAN CITY SCHOOL ID: 409384 GRADE LEVEL: 12 SY: 2026-2027 SEM: 2ND
TRACK/STRAND: TVL TRACK/ HOME ECONOMICS SECTION:
Indicate if Subject is CORE, Quarter SEM FINAL ACTION
APPLIED, or SPECIALIZED SUBJECTS GRADE TAKEN
3RD 4TH
Core Physical Science*
Core Physical Education and Health
Applied Entrepreneurship
Applied Inquiries, Investigations and Immersion
Specialized Front Office 2
Specialized Work Immersion
Other_Subjects Conduct
General Ave. for the Semester:
REMARKS:
Prepared by: Certified True and Correct: Date Checked (MM/DD/YYYY):
DARWIN S. BARAYAN, LPT, MM
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:
Indicate if Subject is CORE, SEM FINAL REMEDIAL RECOMPUTED ACTION
APPLIED, or SPECIALIZED SUBJECTS GRADE CLASS 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:
DARWIN S. BARAYAN, LPT, MM
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)
SCHOOL RECORD!
Date Issued (MM/DD/YYYY):
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:
Introduction to World Religious and Belief System
Physical Education and Health 4
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)
Bread and Pastry Production NC II
Food and Beverage Services NC II
Housekeeping NC II
Bartending 1
Bartending 2
Front Office 1
Front Office 2
Work Immersion
OTHER SUBJECTS (Please write the list of subjects below)
Conduct
