FORM 137-A

Identification card issued REPUBLIC OF THE PHILIPPINES Copy of this record sent to
on________________________ DEPARTMENT OF EDUCATION Principal of __________________
__________________________ BUREAU OF SECONDARY EDUCATION School on____________________
__________________________ ____________________________
SENIOR HIGH SCHOOL Principal
Principal
STUDENTS PERMANENT RECORD
____________________
School
Name: ___________________________________________________________________________________________________________________
Date of Birth: Year ________________________ Month_______________________ Day______________________ Sex_______________________
Place of Birth: Province __________________________________ Town_______________________________ Barrio_________________________
Parent or Guardian: ____________________________________________________________ Occupation ___________________________________
Address of Parent or Guardian: ________________________________________________________________________________________________
Junior High School Completed (School): _____________________________________________ Year____________ General Average____________
Curriculum: K to 12 Basic Education Curriculum No. of Years in Junior High School: ______________ LRN: ________________________

CLASSIFIED AS GRADE: _____________________________________________ SCHOOL: __________________________________________________________

SEMESTER: ________________________________ SECTION: ____________________________________ SCHOOL YEAR: ______________________________
ADVISER: ______________________________

QUARTER Final
GRADE SUBJECTS Remarks
Grade
1 2
Core Subjects

Applied and Specialized Subjects

General Average for the Semester

JUNE JULY AUG SEPT OCT NOV DEC JAN FEB MARCH APRIL TOTAL
Days of School
Days Present
CLASSIFIED AS GRADE: _________________________________________ SCHOOL: __________________________________________________________
SEMESTER: ________________________________ SECTION: ____________________________________ SCHOOL YEAR: ______________________________
ADVISER: ______________________________

QUARTER Final
GRADE SUBJECTS Remarks
Grade
3 4
Core Subjects

Applied and Specialized Subjects

General Average for the Semester

JUNE JULY AUG SEPT OCT NOV DEC JAN FEB MARCH APRIL TOTAL
Days of School
Days Present
CLASSIFIED AS GRADE: _________________________________________ SCHOOL: ____DEPED TAMBAYAN_________________________________________
SEMESTER: ________________________________ SECTION: ____________________________________ SCHOOL YEAR: ______________________________
ADVISER: ______________________________

QUARTER Final
GRADE SUBJECTS Remarks
Grade
1 2
Core Subjects

Applied and Specialized Subjects

General Average for the Semester

JUNE JULY AUG SEPT OCT NOV DEC JAN FEB MARCH APRIL TOTAL
Days of School
Days Present
CLASSIFIED AS GRADE: _________________________________________ SCHOOL: _____________________________________________________________
SEMESTER: ________________________________ SECTION: ____________________________________ SCHOOL YEAR: ______________________________
ADVISER: ______________________________

QUARTER Final
GRADE SUBJECTS Remarks
Grade
3 4
Core Subjects

Applied and Specialized Subjects

General Average for the Semester

JUNE JULY AUG SEPT OCT NOV DEC JAN FEB MARCH APRIL TOTAL
Days of School
Days Present
CLASSIFIED AS GRADE: _________________________________________ SCHOOL: __________________________________________________________
SEMESTER: ________________________________ SECTION: ____________________________________ SCHOOL YEAR: ______________________________
ADVISER: ______________________________

QUARTER Final
GRADE SUBJECTS Remarks
Grade
1 2
Core Subjects

Applied and Specialized Subjects

General Average for the Semester

JUNE JULY AUG SEPT OCT NOV DEC JAN FEB MARCH APRIL TOTAL
Days of School
Days Present
CLASSIFIED AS GRADE: _________________________________________ SCHOOL: _____________________________________________________________
SEMESTER: ________________________________ SECTION: ____________________________________ SCHOOL YEAR: ______________________________
ADVISER: ______________________________

QUARTER Final
GRADE SUBJECTS Remarks
Grade
3 4
Core Subjects

Applied and Specialized Subjects

General Average for the Semester

JUNE JULY AUG SEPT OCT NOV DEC JAN FEB MARCH APRIL TOTAL
Days of School
Days Present