REPUBLIC OF THE PHILIPPINES FORM 137-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: Date of SHS Admission (MM/DD/YYYY):

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: School Address:
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: SAINT BERNARD COLLEGE SCHOOL ID: 411033 GRADE LEVEL: 11 SY: SEM: 1ST
TRACK/STRAND: HOME ECONOMICS - CAREGIVING SECTION:
Indicate if Subject is Quarter SEM FINAL ACTION
CORE, APPLIED, or SUBJECTS
1ST 2ND GRADE TAKEN
SPECIALIZED
Core Oral Communication
Core Komunikasyon at Pananaliksik sa Wika at Kulturang Pilipino
Core General Mathematics
Core Earth and Life Science*
Core Personal Development/Pansariling Kaunlaran
Core Introduction to the Philosophy of the Human Person/Pambungad sa Pilosopiya ng Tao
Core Physical Education and Health
Specialized Caregiving 1
Specialized Caregiving 2

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): to (MM/DD/YYYY): SCHOOL: SCHOOL ID:

Indicate if Subject is REMEDIAL
SEM FINAL RECOMPUTED ACTION
CORE, APPLIED, or SUBJECTS CLASS
GRADE FINAL GRADE TAKEN
SPECIALIZED MARK

Name of Teacher/Adviser: Signature:

SCHOOL: SAINT BERNARD COLLEGE SCHOOL ID: 411033 GRADE LEVEL: 11 SY: SEM: 2ND
TRACK/STRAND: HOME ECONOMICS - CAREGIVING SECTION:
Indicate if Subject is Quarter SEM FINAL ACTION
CORE, APPLIED, or SUBJECTS
3RD 4TH GRADE TAKEN
SPECIALIZED
Core Reading and Writing
Core Pagbasa at Pagsusuri ng Iba't Ibang Teksto Tungo sa Pananaliksik
Core Statistics and Probability
Core Physical Education and Health
Applied English for Academic and Professional Purposes
Applied Practical Research 1
Applied Empowerment Technologies
Specialized Caregiving 3
Specialized Caregiving 4

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): to (MM/DD/YYYY): SCHOOL: SCHOOL ID:

Indicate if Subject is REMEDIAL
SEM FINAL RECOMPUTED ACTION
CORE, APPLIED, or SUBJECTS CLASS
GRADE FINAL GRADE TAKEN
SPECIALIZED MARK

Name of Teacher/Adviser: Signature:

 Page 2 Form 137-SHS
SCHOOL: SAINT BERNARD COLLEGE SCHOOL ID: 4`11033 GRADE LEVEL: 12 SY: SEM: 1ST
TRACK/STRAND: HOME ECONOMICS - CAREGIVING SECTION:

Indicate if Subject is CORE, Quarter SEM FINAL ACTION

SUBJECTS
APPLIED, or SPECIALIZED 1ST 2ND GRADE TAKEN

Core 21st Century Literature from the Philippines and the World
Core Physical Science*
Core Physical Education and Health
Applied Practical Research 2
Applied Filipino sa Piling Larang
Applied Entrepreneurship
Specialized Caregiving 3
Specialized Caregiving 4

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): to (MM/DD/YYYY): SCHOOL: SCHOOL ID:

REMEDIAL
Indicate if Subject is CORE, SEM FINAL RECOMPUTED ACTION
SUBJECTS CLASS
APPLIED, or SPECIALIZED GRADE FINAL GRADE TAKEN
MARK

Name of Teacher/Adviser: Signature:

SCHOOL: SAINT BERNARD COLLEGE SCHOOL ID: 411033 GRADE LEVEL: 12 SY: SEM: 2ND
TRACK/STRAND: HOME ECONOMICS - CAREGIVING SECTION:

Indicate if Subject is CORE, Quarter SEM FINAL ACTION

SUBJECTS
APPLIED, or SPECIALIZED 3RD 4TH GRADE TAKEN

Core Contemporary Philippine Arts from the Regions

Core Media and Information Literacy
Core Understanding Culture, Society and Politics
Core Physical Education and Health
Applied Practical Research 2
Other_Subjects Work Immersion/Bus.Enterprise Simulation/Career Advocacy
Specialized Caregiving 3
Specialized Caregiving 4

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): to (MM/DD/YYYY): SCHOOL: SCHOOL ID:

REMEDIAL
Indicate if Subject is CORE, SEM FINAL RECOMPUTED ACTION
SUBJECTS CLASS
APPLIED, or SPECIALIZED GRADE FINAL GRADE TAKEN
MARK

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):

 Form 137-SHS
ANNEX: LIST OF SUBJECTS TAKEN
Please check the subjects passed by the student
CORE SUBJECTS
Oral Communication
Reading and Writing
Komunikasyon at Pananaliksik sa Wika at Kulturang Pilipino
Pagbasa at Pagsusuri ng Iba't Ibang Teksto Tungo sa Pananaliksik
21st Century Literature from the Philippines and the World
Contemporary Philippine Arts from the Regions
Media and Information Literacy
General Mathematics
Statistics and Probability
Earth and Life Science*
Physical Science*
Personal Development/Pansariling Kaunlaran
Understanding Culture, Society and Politics
Introduction to the Philosophy of the Human Person/Pambungad sa Pilosopiya ng Tao
Physical Education and Health (spread out in 4 semesters)
*STEM students will take these instead:
Earth Science
Disaster Readiness and Risk Reduction
Subject substitutions, if any:

APPLIED SUBJECTS
English for Academic and Professional Purposes
Practical Research 1
Practical Research 2
Filipino sa Piling Larang
Empowerment Technologies
Entrepreneurship
Inquiries, Investigations and Immersion

SPECIALIZED SUBJECTS (Please write the list of subjects below)

Caregiving 1
Caregiving 2
Caregiving 3
Caregiving 4
Caregiving 5
Caregiving 6
Caregiving 7
Cagegiving 8

OTHER SUBJECTS (Please write the list of subjects below)

Work Immersion /Bus. Enterprise Silmulation/Career Advocacy