Remarks on the health, character and habits of the student_____________________________________
_____________________________________________________________________________________________________________________________________________
FORM 137-A
Identification card issued BRIGHTLEAVES Copy of this record sent to
on________________________ Principal of __________________
HIGH SCHOOL, INC. School on____________________
__________________________ Zone VI, Iba, Zambales
____ ____________________________
Principal
Principal SECONDARY STUDENT’S PERMANENT RECORD
Name: ___________________________________________________________ Date of Birth: Year ___________ Month___________ Day_________
Place of Birth: Province __________________________________ Town_______________________________ Barrio__________________________
Parent or Guardian: ____________________________________________________________ Occupation ____________________________________
Address of Parent or Guardian: _________________________________________________________________________________________________
____________________
Intermediate course completed (School): _____________________________________________ Year____________ General Average______________
CLASSIFIED AS Total number of years in the school to date: ______
Principal I
_______ YEAR: ___________ School: ______________________________________________________ School Year: ___________ _______
CURRI- CLASS STANDING C.S. ACTION
CULUM SUBJECT
AVERAGE TAKEN
YEAR 1 2 3 4
Filipino
English
Mathematics
Science
Araling Panlipunan
Technology & Livelihood Educ. (TLE)
MAPEH
Music
Arts
Physical Education
Health
REMARKS
Edukasyon sa Pagpapakatao (EsP)
General Average
JUNE JULY AUG SEPT OCT NOV DEC JAN FEB MARCH APRIL TOTAL
Days of School
Days Present
CLASSIFIED AS Total number of years in the school to date: _______
________ YEAR: __________ School: ____________________________________________________________ School Year: ______________
CURRI- CLASS STANDING C.S. ACTION
CULUM SUBJECT
AVERAGE TAKEN
YEAR 1 2 3 4
Filipino
English
Mathematics
Science
Araling Panlipunan
Technology & Livelihood Educ. (TLE)
MAPEH
Music
Arts
Physical Education
Health
Edukasyon sa Pagpapakatao (EsP)
General Average
JUNE JULY AUG SEPT OCT NOV DEC JAN FEB MARCH APRIL TOTAL
Days of School
Days Present
CLASSIFIED AS Total number of years in the school to date: _______
________ YEAR: __________ School: __________________________________________ School Year: ______________
CURRI- CLASS STANDING C.S. ACTION
CULUM SUBJECT
AVERAGE TAKEN
YEAR 1 2 3 4
Filipino
English
Mathematics
Science
Araling Panlipunan
Technology & Livelihood Educ. (TLE)
MAPEH
Music
Arts
Physical Education
Health
Edukasyon sa Pagpapakatao (EsP)
General Average
JUNE JULY AUG SEPT OCT NOV DEC JAN FEB MARCH APRIL TOTAL
Days of School
Days Present
Note: - In the record for any given school year, all subjects actually taken by the students are to be listed in the column under subject. Under Curriculum
Year is indicated for each subject the year to which it corresponds in the school curriculum. To illustrate, a student may be taking in his second year I Algebra a
First curriculum year subject.
Name: ___________________________________________
CLASSIFIED AS Total number of years in the school to date: _______
________ YEAR: __________ School: __________________________________________ School Year: ______________
CURRI- ACTION
CLASS STANDING C.S.
_____________ eligible for admission to the_____________________ year as____________ a regular_______________ student and has no property responsibility in this school.
CULUM SUBJECT TAKEN
AVERAGE
YEAR 1 2 3 4
Filipino
__________________________________________
English
Mathematics
I certify that this is a true record of ____________________________________________________ This student is, on this_______________ day of_______________,
Science
Araling Panlipunan
Technology & Livelihood Educ. (TLE)
MAPEH
Music
Arts
Physical Education
Health
Edukasyon sa Pagpapakatao (EsP)
General Average
JUNE JULY AUG SEPT OCT NOV DEC JAN FEB MARCH APRIL TOTAL
Days of School
Days Present
CLASSIFIED AS Total number of years in the school to date: _______
________ YEAR: __________ School: __________________________________________ School Year: ______________
CURRI- CLASS STANDING C.S. ACTION
CULUM SUBJECT
AVERAGE TAKEN
YEAR 1 2 3 4
an irregular
General Average
JUNE JULY AUG SEPT OCT NOV DEC JAN FEB MARCH APRIL TOTAL
Days of School
Days Present
STANDARD INTELLIGENCE TESTS TAKEN
NAME AND FORM OF TEST DATE TAKEN SCORE RECEIVED PERCENTIE RANK
SUMMARY OF CREDITS ACHIEVED TOWARD GRADUATION
FIRST SECOND THIRD FOURTH
CURRICULUM YEAR CURRICULUM YEAR CURRICULUM YEAR CURRICULUM YEAR
YEAR YEAR YEAR YEAR
CREDITS CREDITS CREDITS CREDITS
SUBJECT COM- SUBJECT COM- SUBJECT COM- SUBJECT COM-
EARNED EARNED EARNED EARNED
PLETED PLETED PLETED PLETED
NOTE: - Under Summary of Credits Achieved toward Graduation are to be recorded all subjects required for the curriculum year by the Prescribed
course of study for the course taken. To illustrate, the course prescribed in the general course for the first year are: Literature, Composition, Algebra and United
States History and Government. A student obliged to repeat one of these subjects might not earn credits in the subject until two or three years after he enters the
high school.
