Name: (Surname)
(First Name)
(Middle Nam
School:
Year: (Name)
(Curriculum Year) PERIODIC RTIN!S
SUBJECTS (Nati"nal #an$ua$e %& etc')
Final Ratin$
!radin$ Plan Used era$in$ ( ) Cumulatie ( )
cti"n Ta5en
Units Earned
FI#IPINO
*DI+,-.
*DI+,-.
EN!#IS/
*DI+,-.
*DI+,-.
MT/EMTICS
*DI+,-.
*DI+,-.
SCIENCE
*DI+,-.
*DI+,-.
Section: School Year: E9tracu cti
Chec
M0BYN *DI+,-.
*DI+,-.
Tec2n"l"$3 4 #ieli2""d Educ'
*DI+,-.
*DI+,-.
MPE/
*DI+,-.
*DI+,-.
Edu5as3"n sa Pa$1a1a2ala$a
*DI+,-.
*DI+,-.
CT (6t2 Year)
*DI+,-.
*DI+,-.
ralin$ Panli1unan Panli1unan
PRE+' TOT#
GENERAL AVERAGE
Accompl
Cum' Cum' TOT TOT# Jun'
Jul'
u$'
Se1t'
Oct'
N"'
Dec'
Jan'
Fe7'
Mar'
1r'
TOT#
Da3s "8 sc2""l
-
Da3s 1resent
-
Has advanced units in Lacks units in To be classified as
Secti"n
Total number of years in school to date (Curriculum 3ear)
Name: (Surname)
(First Name)
(Middle Nam
School:
Year: (Name)
(Curriculum Year)
SUBJECTS
PERIODIC RTIN!S
(Nati"nal #an$ua$e %& etc')
!radin$ Plan Used era$in$ ( ) Cumulatie ( )
Final Ratin$
cti"n Ta5en
Units Earned
FI#IPINO
*DI+,-.
*DI+,-.
EN!#IS/
*DI+,-.
*DI+,-.
MT/EMTICS
*DI+,-.
*DI+,-.
SCIENCE
*DI+,-.
*DI+,-.
*DI+,-.
*DI+,-.
Tec2n"l"$3 4 #ieli2""d Educ'
*DI+,-.
*DI+,-.
MPE/
*DI+,-.
*DI+,-.
Edu5as3"n sa Pa$1a1a2ala$a
*DI+,-.
*DI+,-.
CT (6t2 Year)
*DI+,-.
*DI+,-.
Section: School Year: E9tracu cti
Chec
M0BYN ralin$ Panli1unan Panli1unan
GENERAL AVERAGE
TOT#
Accompl
Cum' Cum' TOT TOT# Jun'
Jul'
u$'
Se1t'
Oct'
N"'
Dec'
Jan'
Fe7'
Mar'
1r'
TOT#
Da3s "8 sc2""l
-
Da3s 1resent
-
Has advanced units in Lacks units in To be classified as
Secti"n
Total number of years in school to date (Curriculum 3ear)
Name: (Surname)
(First Name)
(Middle Nam
School:
Year: (Name)
(Curriculum Year)
SUBJECTS
PERIODIC RTIN!S
(Nati"nal #an$ua$e %& etc')
!radin$ Plan Used era$in$ ( ) Cumulatie ( )
Final Ratin$
cti"n Ta5en
Units Earned
FI#IPINO
*DI+,-.
*DI+,-.
EN!#IS/
*DI+,-.
*DI+,-.
MT/EMTICS
*DI+,-.
*DI+,-.
SCIENCE
*DI+,-.
*DI+,-.
E9tracu cti
Chec
M0BYN *DI+,-.
*DI+,-.
Tec2n"l"$3 4 #ieli2""d Educ'
*DI+,-.
*DI+,-.
MPE/
*DI+,-.
*DI+,-.
Edu5as3"n sa Pa$1a1a2ala$a
*DI+,-.
*DI+,-.
CT (6t2 Year)
*DI+,-.
*DI+,-.
ralin$ Panli1unan Panli1unan
Section: School Year:
GENERAL AVERAGE
TOT#
Accompl
Cum' Cum' TOT TOT# Jun'
Jul'
u$'
Se1t'
Oct'
N"'
Dec'
Jan'
Fe7'
Mar'
1r'
TOT#
Da3s "8 sc2""l
-
Da3s 1resent
-
Has advanced units in Lacks units in To be classified as
Total number of years in school to date (Curriculum 3ear)
Secti"n
DepEd. Form 137-A
Republ! o" #$e %$lpp&e' Dep(r#me o" Edu!(#o& DIFFUN NATIONAL HIGH SCHOOL Diffun, Quirino
SECONDARY STUDENT'S PERMANENT RECORD Name (Surname)
(First Name)
Date of irth! Year $lace of birth: $rovince $arent or &uardian
"onth To%n
(Middle
Day
Se# arrio
(Name)
(ddress)
'lementary course completed
School
(Occu
Year
(eneral Ave:
RECORD OF STANDARD INTELLIGENCE AND ACHIEVEMENT TESTS Date Ta5en
Name 4 F"rm "8 Test
Sc"re Receied
Percentile Ran5
Date Ta5en
Name 4 F"rm "8 Test
School:
Year: (Name)
Sc"re Receied
Section: (Curriculum Year)
Total number of years to complete 'lementary Course
School Year: PERIODIC RTIN!S
SUBJECTS (Nati"nal #an$ua$e %& etc')
Final Ratin$
!radin$ Plan Used era$in$ ( ) Cumulatie ( )
cti"n Ta5en
Units Earned
FI#IPINO
*DI+,-.
*DI+,-.
EN!#IS/
*DI+,-.
*DI+,-.
MT/EMTICS
*DI+,-.
*DI+,-.
SCIENCE
*DI+,-.
*DI+,-.
*DI+,-.
*DI+,-.
Tec2n"l"$3 4 #ieli2""d Educ'
*DI+,-.
*DI+,-.
E9tracu cti
Chec
M0BYN ralin$ Panli1unan
MPE/
*DI+,-.
*DI+,-.
Edu5as3"n sa Pa$1a1a2ala$a
*DI+,-.
*DI+,-.
CT (6t2 Year)
*DI+,-.
*DI+,-.
GENERAL AVERAGE
TOT#
Accompl
Cum' TOT# Jun'
Jul'
u$'
Se1t'
Oct'
N"'
Dec'
Jan'
Fe7'
Mar'
1r'
TOT#
Da3s "8 sc2""l
-
Da3s 1resent
-
Has advanced units in Lacks units in To be classified as
Secti"n
Total number of years in school to date (Curriculum 3ear)
Name: (Surname)
(First Name)
(Middle Nam
School:
Year: (Name)
(Curriculum Year) PERIODIC RTIN!S
SUBJECTS (Nati"nal #an$ua$e %& etc')
Final Ratin$
!radin$ Plan Used era$in$ ( ) Cumulatie ( )
cti"n Ta5en
Units Earned
FI#IPINO
*DI+,-.
*DI+,-.
EN!#IS/
*DI+,-.
*DI+,-.
MT/EMTICS
*DI+,-.
*DI+,-.
SCIENCE
*DI+,-.
*DI+,-.
E9tracu cti
Chec
M0BYN *DI+,-.
*DI+,-.
Tec2n"l"$3 4 #ieli2""d Educ'
*DI+,-.
*DI+,-.
MPE/
*DI+,-.
*DI+,-.
Edu5as3"n sa Pa$1a1a2ala$a
*DI+,-.
*DI+,-.
CT (6t2 Year)
*DI+,-.
*DI+,-.
ralin$ Panli1unan
Section: School Year:
GENERAL AVERAGE
TOT#
Accompl
Cum' TOT# Jun'
Jul'
u$'
Se1t'
Oct'
N"'
Dec'
Jan'
Fe7'
Mar'
1r'
TOT#
Da3s "8 sc2""l
-
Da3s 1resent
-
Has advanced units in Lacks units in To be classified as
Total number of years in school to date (Curriculum 3ear)
% Items in 1arent2eses under Su7:ect re8er t" t2e su7:ects studied acc"rdin$ t" 3ear sc2eduled in t2e curriculum'& a First Year su7:ect s2"uld 7e 8"ll";ed 7 t2e R"man Numeral I< Sec"nd Year& T2ird Year and F"urt2 Year su7:ects s2"uld 7e 8"ll";ed 73 II& III& I+& res1ectiel3'
Secti"n
)
rricular ities
* ) ed by
f o y a d ished by
diser
s i h t n o + e l b i & i l e s i t n e d u t s s i h T l .
)
rricular ities
ed by
R E F S N A R T
ished by
diser
)
rricular ities
ed by
ished by
diser
f o d r o c e r e u r t a s i s i h t t a h t y f i t r e c /
o o h c s s i h t n i y t i l i b i s n o p s e r y t r e p o r p r o y e n o m o n s a h d n a t n e d u t s r a l u & e r r i n a r a l u & e r s a r a e Y , , , , , , e h t o t n o s i s r s k i a m m d e a 0 r o f
Name)
ati"n)
Percentile Ran5
rricular ities
ed by
ished by
diser
)
rricular ities
ed by
ished by
diser