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: MALE Date of SHS Admission (MM/DD/YYYY): 08/22/2022
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: PILI NATIONAL HIGH SCHOOL School Address: PILI, MAGALLANES, SORSOGON
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: PILI NATIONAL HIGH SCHOOL SCHOOL ID: 302231 GRADE LEVEL: 11 SY: 2020-2021 SEM: 1ST
TRACK/STRAND: ACADEMIC TRACK/GENERAL ACADEMIC STRAND SECTION: HADES
Indicate if Subject is Quarter
CORE, APPLIED, or SUBJECTS SEM FINAL ACTION
SPECIALIZED GRADE TAKEN
1ST 2ND
Core CS1 Oral Communication
Core CS2 Komunikasyon at Pananaliksik sa Wika at Kulturang Pilipino
Core CS3 Media and Information Literacy
Core CS4 General Mathematics
Core CS5 Earth and Life Science*
Core CS6 Physical Education and Health
Applied AS1 Filipino sa Piling Larang
Applied AS2 Entrepreneurship
Specialized GAS1 Introduction to World Religion and Belief System
General Ave. for the Semester:
REMARKS:
Prepared by: Certified True and Correct: Date Checked (MM/DD/YYYY):
KRISTINE P. DEFEO CYRIL E. DEL VALLE, P-I
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: PILI NATIONAL HIGH SCHOOL SCHOOL ID: 302231 GRADE LEVEL: 11 SY: 2021-2022 SEM: 2ND
TRACK/STRAND: ACADEMIC TRACK/GENERAL ACADEMIC STRAND SECTION: HADES
Indicate if Subject is Quarter
CORE, APPLIED, or SUBJECTS SEM FINAL ACTION
SPECIALIZED GRADE TAKEN
3RD 4TH
Core CS7 Reading and Writing Skills
Core CS8 Pagbasa at Pagsusuri ng Iba't-ibang Teksto tungo sa Pananaliksik
Core CS9 21st Century Literature from the Philippines and the World
Core CS10 Statistics and Probability
Core CS11 Physical Science*
Core CS6 Physical Education and Health
Applied AS3 Practical Research 1
Applied AS4 Empowerment Technologies
Specialized GAS2 Creative Writing
General Ave. for the Semester:
REMARKS:
Prepared by: Certified True and Correct: Date Checked (MM/DD/YYYY):
KRISTINE P. DEFEO CYRIL E. DEL VALLE, P-I
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 SF10-SHS
SCHOOL: SCHOOL ID GRADE LEVEL: SY: SEM:
TRACK/STRAND: SECTION: HERMES
Indicate if Subject is CORE, Quarter SEM FINAL ACTION
APPLIED, or SPECIALIZED SUBJECTS GRADE TAKEN
Core CS6 Physical Education and Health
Core CS12 Contemporary Philippine Arts from the Regions
Core CS13 Introduction to the Philosophy of the Human Person
Core CS14 Understanding Culture, Society and Politics
Core CS15 Personal Development
Applied AS5 Practical Research 2
Applied AS7 Inquiries, Investigations and Immersion
Specialized GAS3 Philippine Politics and Governance
Specialized GAS4 Food and Beverage Services 1
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:
Indicate if Subject is CORE, SUBJECTS SEM FINAL REMEDIAL
CLASS RECOMPUTED ACTION
APPLIED, or SPECIALIZED GRADE MARK FINAL GRADE TAKEN
Name of Teacher/Adviser: Signature:
SCHOOL: PILI NATIONAL HIGH SCHOOL SCHOOL ID: 302231 GRADE LEVEL: 12 SY: 2022-2023 SEM: 2ND
TRACK/STRAND: ACADEMIC TRACK/GENERAL ACADEMIC STRAND SECTION: HERMES
Indicate if Subject is CORE, Quarter SEM FINAL ACTION
APPLIED, or SPECIALIZED SUBJECTS GRADE TAKEN
3RD 4TH
Core CS6 Physical Education and Health
Applied AS6 English for Academic and Professional Purposes
Specialized GAS5 Organization and Management
Specialized GAS6 Applied Economics
Specialized GAS7 Disaster Readiness and Risk Reduction
Specialized GAS8 Food and Beverage Services 2
Specialized GAS9 Work Immersion
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:
Indicate if Subject is CORE, SUBJECTS SEM FINAL REMEDIAL
CLASS RECOMPUTED ACTION
APPLIED, or SPECIALIZED GRADE MARK FINAL GRADE TAKEN
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
CS1 Oral Communication
CS2 Komunikasyon at Pananaliksik sa Wika at Kulturang Pilipino
CS3 Media and Information Literacy
CS4 General Mathematics
CS5 Earth and Life Science*
CS6 Physical Education and Health
CS7 Reading and Writing Skills
CS8 Pagbasa at Pagsusuri ng Iba't-ibang Teksto tungo sa Pananaliksik
CS9 21st Century Literature from the Philippines and the World
CS10 Statistics and Probability
CS11 Physical Science*
CS12 Contemporary Philippine Arts from the Regions
CS13 Introduction to the Philosophy of the Human Person
CS14 Understanding Culture, Society and Politics
CS15 Personal Development
*STEM students will take these instead:
CS5 Earth Science
CS11 Disaster Readiness and Risk Reduction
Subject substitutions, if any:
APPLIED SUBJECTS
AS1 Filipino sa Piling Larang
AS2 Entrepreneurship
AS3 Practical Research 1
AS4 Empowerment Technologies
AS5 Practical Research 2
AS6 English for Academic and Professional Purposes
AS7 Inquiries, Investigations and Immersion
SPECIALIZED SUBJECTS (Please write the list of subjects below)
GAS1 Introduction to World Religion and Belief System
GAS2 Creative Writing
GAS3 Philippine Politics and Governance
GAS4 Food and Beverage Services 1
GAS5 Organization and Management
GAS6 Applied Economics
GAS7 Disaster Readiness and Risk Reduction
GAS8 Food and Beverage Services 2
GAS9 Work Immersion
OTHER SUBJECTS (Please write the list of subjects below)
