ST. THERESITAS HIGH SCHOOL OF PINUKPUK,INC.

Junction, Pinukpuk, Kalinga

SECONDARY STUDENTS PERMANENT FORM
NAME:
Gender:
Date of Birth:Year:
Month:
Day:_____ _
Place of Birth: Province:
Municipality:
Barangay:
Parent/Guardian:
Occupation:
Address of Parent/Guardian:
School Intermediate Course completed:
Total no. Of years to complete elementary course:
Average:
Learners Reference No.(LRN)
Classified as:GRADE 7 School:St. Theresitas High School of Pinukpuk, Inc. School Year:
PERIODICAL RATINGS
Average
ST
ND
RD
TH
1
2
3
4
SUBJECTS
NV DV NV DV
NV
DV
NV DV NV DV

Units
Earn
ed

Action
Taken

Religion/Values Education
English
Filipino
Science
Mathematics
MAKABAYAN
Araling Panlipunan
T.L.E w/ Computer
T.L.E
Computer

M.A.P.E.H.
Music
Arts
Physical Education
Health
R.H.G.P. (Revitilized Homeroom Guidance Program)

Conduct
AVERAGE
MONTH

June

July

Aug. Sept. Oct Nov. Dec.

.

Jan.

Feb.

Mar

Apr

Total

Days of School
Days Present
Times Tardy
Classified as:GRADE 8 School:St. Theresitas High School of Pinukpuk, Inc. School Year:

SUBJECTS

1ST
NV DV

PERIODICAL RATINGS
2ND
3RD
4TH
NV DV
NV
DV
NV DV

Average
NV

DV

Units
Earn
ed

Action
Taken

Religion/Values Education
English
Filipino
Science
Mathematics
MAKABAYAN
Araling Panlipunan
T.L.E w/ Computer
T.L.E
Computer

M.A.P.E.H.
Music
Arts
Physical Education
Health
R.H.G.P. (Revitilized Homeroom Guidance Program)

Conduct
AVERAGE
MONTH

June

July

Aug. Sept. Oct Nov. Dec.

.

Jan.

Feb.

Mar

Apr

Days of School
Days Present
Times Tardy
Classified as:GRADE 9 School:St. Theresitas High School of Pinukpuk, Inc. School Year:

Total

PERIODICAL RATINGS
1
2ND
3RD
4TH
NV DV NV DV
NV
DV
NV DV

SUBJECTS

Average

ST

NV

DV

Units
Earn
ed

Action
Taken

Religion/Values Education
English
Filipino
Science
Mathematics
MAKABAYAN
Araling Panlipunan
T.L.E w/ Computer
T.L.E
Computer

M.A.P.E.H.
Music
Arts
Physical Education
Health
R.H.G.P. (Revitilized Homeroom Guidance Program)

Conduct
AVERAGE
MONTH

June

July

Aug. Sept. Oct Nov. Dec.

.

Jan.

Feb.

Mar

Apr

Total

Days of School
Days Present
Times Tardy
Classified as:GRADE 10 School:St. Theresitas High School of Pinukpuk, Inc. School Year:
PERIODICAL RATINGS
1
2ND
3RD
4TH
NV DV NV DV
NV
DV
NV DV

SUBJECTS

Average

ST

NV

DV

Units
Earn
ed

Action
Taken

Religion/Values Education
English
Filipino
Science
Mathematics
MAKABAYAN
Araling Panlipunan
T.L.E w/ Computer
T.L.E
Computer

M.A.P.E.H.
Music
Arts
Physical Education
Health
R.H.G.P. (Revitilized Homeroom Guidance Program)

Conduct
MONTH

June

July

Aug. Sept. Oct Nov. Dec.

.

Jan.

Feb.

Mar

Apr

Total

Days of School
Days Present
Times Tardy
I certify that this is a true record of
Education. He/she is eligible for
responsibility in this school.
Date:
Not Valid without the school seal

as per requirement of the Department of

as regular/irregular student and has no property

Principal