DepEd Form 138 DepEd Form 138

Appendix C, DepEd Order No. 8, S. 2015 Appendix C, DepEd Order No. 8, S. 2015

Republic of the Philippines Republic of the Philippines

Department of Education Department of Education
Region VIII Region VIII
Division of Samar Division of Samar
SAN FERNANDO NATIONAL HIGH SCHOOL SAN FERNANDO NATIONAL HIGH SCHOOL
San Fernando, Basey, Samar San Fernando, Basey, Samar

Name LRN Name LRN

Age Sex Age Sex
Grade Section Grade Section

Enhanced Basic Enhanced Basic

School Year 2016 - 2017 Curriculum Education Curriculum School Year 2016 - 2017 Curriculum Education Curriculum

Dear Parent: Dear Parent:

This report card shows the ability and progress your This report card shows the ability and progress your
child has made in the different learning areas as well as child has made in the different learning areas as well as
his/her core values. his/her core values.
The school welcomes you should you desire to know The school welcomes you should you desire to know
more about you child's progress. more about you child's progress.

Class Adviser Class Adviser

ZALDY A. TABUGOCA ZALDY A. TABUGOCA
Secondary School Principal I Secondary School Principal I

Certificate of Transfer Certificate of Transfer

Admitted to Grad Section Admitted to Grad Section
Eligible for Admission to Gra Eligible for Admission to Gra

Approved: Approved:

ZALDY A. TABUGOCA ZALDY A. TABUGOCA

Secondary School Principal I Class Adviser Secondary School Principal I Class Adviser

Cancellation of Eligibility to Transfer Cancellation of Eligibility to Transfer

Admitted in: Admitted in:
Date Date

School Principal School Principal

REPORT ON ATTENDANCE REPORT ON ATTENDANCE

November

November
December

December
Septembe

Septembe
February

February
October

October
January

January
August

August

Month Month
TOTAL

TOTAL
March

March
April

April
June

June
July

July
r

No. of School No. of School

Days Days

No. of Days No. of Days

Present Present

No. of Days No. of Days

Absent Absent

PARENT / GUARDIAN'S SIGNATURE PARENT / GUARDIAN'S SIGNATURE

First Quarter First Quarter

Second Quarter Second Quarter

Third Quarter Third Quarter

 Fourth Quarter Fourth Quarter
REPORT ON LEARNING PROGRESS AND ACHIEVEMENT REPORT ON LEARNING PROGRESS AND ACHIEVEMENT
QUARTER Final QUARTER Final
LEARNING AREAS Remarks LEARNING AREAS Remarks
1 2 3 4 Grade 1 2 3 4 Grade

Filipino Filipino

English English
Mathematics Mathematics
Science Science
Araling Panlipunan ( Araling Panlipunan (
Edukasyon sa Edukasyon sa
Pagpapakatao Pagpapakatao
(EsP) (EsP)
Technology & Technology &
Livelihood Livelihood
Education (TLE) Education (TLE)

MAPEH MAPEH
Music Music
Arts Arts

PE PE
Health Health
General Average General Average

Descriptors Grading Scale Remarks Descriptors Grading Scale Remarks

Outstanding 90 - 100 Passed Outstanding 90 - 100 Passed
Very Satisfactory 85 - 89 Passed Very Satisfactory 85 - 89 Passed
Satisfactory 80 - 84 Passed Satisfactory 80 - 84 Passed
Fairly Satisfactory 75 - 79 Passed Fairly Satisfactory 75 - 79 Passed
Did Not Meet Expectation Below 75 Failed Did Not Meet Expectation Below 75 Failed

REPORT ON LEARNER'S OBSERVED VALUES REPORT ON LEARNER'S OBSERVED VALUES

Core Quarter Core Quarter
Behavior Statements Behavior Statements
Values 1 2 3 4 Values 1 2 3 4
Expresses one's Expresses one's
spiritual beliefs while spiritual beliefs while
respecting the respecting the
1. Maka- spiritual beliefs of 1. Maka- spiritual beliefs of
Diyos others. Diyos others.
Shows adherence to Shows adherence to
ethical principles by ethical principles by
upholding truth. upholding truth.
Is sensitive to Is sensitive to
individual, social, and individual, social, and
2. Makatao cultural difference. 2. Makatao cultural difference.

Demonstrates Demonstrates
contributions toward contributions toward
solidarity. solidarity.
Cares for the Cares for the
3. Maka- invironment and 3. Maka- invironment and
utilizes resources utilizes resources
kalikasan kalikasan
wisely, judiciously, and wisely, judiciously, and
economically. economically.

Demonstrates pride in Demonstrates pride in

being a Filipino; being a Filipino;
exercises the rights exercises the rights
and responsibilities of and responsibilities of
4. Maka- a Filipino citizen.
Demonstrates 4. Maka- a Filipino citizen.
Demonstrates
bansa appropriate behavior bansa appropriate behavior
in carrying out in carrying out
activities in the school, activities in the school,
community, and community, and
country. country.

Marking Non-numerical Rating Marking Non-numerical Rating

AO Always Observed AO Always Observed
SO Sometimes Observed SO Sometimes Observed
RO Rarely Observed RO Rarely Observed
NO Not Observed NO Not Observed
 Form 137-A Republic of the Philippines Copy of this record sent
to Principal of
Department of Education _____________________________
School on_____________________
Region VIII _____________________________
Division of Samar Principal

OSMEA NATIONAL HIGH SCHOOL

Osmea, Marabut, Samar

SECONDARY STUDENT'S PERMANENT RECORD

Name: Learner's Reference Number (LRN):

Date of Birth: Place of Birth:
Parent or Guardian: Occupation:
Address of Parent or Guardian:
Elementary Course Completed (School): School Year:
Total Number of Years in School to Complete Elementary Course: General Average:

RECORD OF STANDARD INTELLIGENCE AND ACHIEVEMENT TEST

Name and Form of Test Score Received Percentile Rank Name and Form of Test Score Received Percentile Rank

CLASSIFIED AS Total Number of Years in School to Date 7

GRADE 7 School OSMEA NATIONAL HIGH SCHOOL School Year 2015-2016

CURRICULUM GRADING PERIOD FINAL Credits Action

SUBJECT
GRADE/YEAR 1 2 3 4 RATING Earned Taken
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)
Tech. & Livelihood Education (TLE)
Music, Arts, Physical Educ.& Health (MAPEH)
Music
Arts
Physical Education
Health

General Average
JUNE JULY AUG SEP OCT NOV DEC JAN FEB MAR APR TOTAL
Days of Schoo
Days Present
Adviser: Checked by:

CLASSIFIED AS Total Number of Years in School to Date

GRADE School School Year

CURRICULUM GRADING PERIOD FINAL Credits Action

SUBJECT
GRADE/YEAR 1 2 3 4 RATING Earned Taken
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)
Tech. & Livelihood Education (TLE)
Music, Arts, Physical Educ.& Health (MAPEH)
Music
Arts
Physical Education
Health
 General Average
JUNE JULY AUG SEP OCT NOV DEC JAN FEB MAR APR TOTAL
Days of Schoo
Days Present
Adviser: Checked by:
 Form 137-A Republic of the Philippines Copy of this record sent
to Principal of
Department of Education _____________________________
School on_____________________
Region VIII _____________________________
Division of Samar Principal

OSMEA NATIONAL HIGH SCHOOL

Osmea, Marabut, Samar

SECONDARY STUDENT'S PERMANENT RECORD

Name: Learner's Reference Number (LRN):

Date of Birth: Place of Birth:
Parent or Guardian: Occupation:
Address of Parent or Guardian:
Elementary Course Completed (School): School Year:
Total Number of Years in School to Complete Elementary Course: General Average:

RECORD OF STANDARD INTELLIGENCE AND ACHIEVEMENT TEST

Name and Form of Test Score Received Percentile Rank Name and Form of Test Score Received Percentile Rank

CLASSIFIED AS Total Number of Years in School to Date 7

GRADE 7 School OSMEA NATIONAL HIGH SCHOOL School Year 2015-2016

CURRICULUM GRADING PERIOD FINAL Credits Action

SUBJECT
GRADE/YEAR 1 2 3 4 RATING Earned Taken
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)
Tech. & Livelihood Education (TLE)
Music, Arts, Physical Educ.& Health (MAPEH)
Music
Arts
Physical Education
Health

General Average
JUNE JULY AUG SEP OCT NOV DEC JAN FEB MAR APR TOTAL
Days of Schoo
Days Present
Adviser: Checked by:

CLASSIFIED AS Total Number of Years in School to Date

GRADE School School Year

CURRICULUM GRADING PERIOD FINAL Credits Action

SUBJECT
GRADE/YEAR 1 2 3 4 RATING Earned Taken
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)
Tech. & Livelihood Education (TLE)
Music, Arts, Physical Educ.& Health (MAPEH)
Music
Arts
Physical Education
Health
 General Average
JUNE JULY AUG SEP OCT NOV DEC JAN FEB MAR APR TOTAL
Days of Schoo
Days Present
Adviser: Checked by:
CLASSIFIED AS Total Number of Years in School to Date
GRADE School School Year

CURRICULUM GRADING PERIODS Final Credits Action

SUBJECT
GRADE/YEAR 1 2 3 4 Rating Earned Taken
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)
Tech. & Livelihood Education (TLE)
Music, Arts, Physical Educ.& Health (MAPEH)
Music
Arts
Physical Education
Health

General Average
JUNE JULY AUG SEP OCT NOV DEC JAN FEB MAR APR TOTAL
Days of Schoo
Days Present
Adviser: Checked by:

CLASSIFIED AS Total Number of Years in School to Date

GRADE School School Year

CURRICULUM GRADING PERIODS Final Credits Action

SUBJECT
GRADE/YEAR 1 2 3 4 Rating Earned Taken
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)
Tech. & Livelihood Education (TLE)
Music, Arts, Physical Educ.& Health (MAPEH)
Music
Arts
Physical Education
Health

General Average
JUNE JULY AUG SEP OCT NOV DEC JAN FEB MAR APR TOTAL
Days of Schoo
Days Present
Adviser: Checked by:

SUMMARY OF CREDITS ACHIEVED TOWARD GRADUATION

FIRST CURRICULUM YEAR SECOND CURRICULUM YEAR THIRD CURRICULUM YEAR FOURTH CURRICULUM YEAR
Year Credits Year Credits Year Credits Year Credits
Subject Subject Subject Subject
Completed Earned Completed Earned Completed Earned Completed Earned

CERTIFICATE OF TRANSFER
To Whom It May Concern:
 THIS IS TO CERTIFY that this is a true record of _________________________________________. This student, is on this
_________ day of ______________________ eligible for admission to the _______________________year as __________________ student,
and has no property responsibility in this school.

School Head