Southern Isabela Academy, Inc.
SIA INC.
  Student Form
 
Republic of the Philippines
Department of Education
REGION II
DIVISION OF ISABELA
Southern Isabela Academy,Inc.
Centro 1, San Guillermo, 3308 Isabela
Form 137-A
SECONDARY STUDENT'S
PERMANENT RECORD
Name:___________________________________Date of Birth: Year:_______Month:___________ Day:_______Sex:_____
Place of Birth: Province:_____________Town:__________________________Barangay:___________________________
Parent or Guardian:___________________________________Occupation:______________________________________
Address of Parent or Guardian:_________________________________________________________________________
Intermediate Course Completed (School):______________________Year:_________Gen. Average____________________
                                                                             
CLASSIFIED AS Total number of years in school to date________________________________________________
FIRST YEAR School: SOUTHERN ISABELA ACADEMY, INC. School Year:__________________
CURRICULUM SUBJECT GRADING PERIODS FINAL  ACTION CREDITS
YEAR 1 2 3 4 AVERAGE TAKEN EARNED
I Filipino                                                
I English                                                
I Mathematics                                                
I Science                                                
I Makabayan                                                
I    Araling Panlipunan                                                
I    Tech. & Livelihood Educ.(TLE) w/ Comp.                                      
I    MAPEH                                                
I    Edukasyong Pagpapahalaga (EP)                                      
I Christian Education                                                
                                                                     
  General Average                                                
  JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR TOTAL
Days of School                                                
Days Present                                                
CLASSIFIED AS Total number of years in school to date________________________________________________
SECOND YEAR School: SOUTHERN ISABELA ACADEMY, INC. School Year:__________________
CURRICULUM SUBJECT GRADING PERIODS FINAL  ACTION CREDITS
YEAR 1 2 3 4 AVERAGE TAKEN EARNED
II Filipino                                                
II English                                                
II Mathematics                                                
II Science                                                
II Makabayan                                                
II    Araling Panlipunan                                                
II    Tech. & Livelihood Educ.(TLE) w/ Comp.                                      
II    MAPEH                                                
II    Edukasyong Pagpapahalaga (EP)                                      
II Christian Education                                                
                                                                     
  General Average                                                
  JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR TOTAL
Days of School                                                
Days Present                                                
-----
CLASSIFIED AS Total number of years in school to date________________________________________________
THIRD YEAR School: SOUTHERN ISABELA ACADEMY, INC. School Year:__________________
CURRICULUM SUBJECT GRADING PERIODS FINAL  ACTION CREDITS
YEAR 1 2 3 4 AVERAGE TAKEN EARNED
III Filipino                                                
III English                                                
III Mathematics                                                
III Science                                                
III Makabayan                                                
III    Araling Panlipunan                                                
III    Tech. & Livelihood Educ.(TLE) w/ Comp.                                      
III    MAPEH                                                
III    Edukasyong Pagpapahalaga (EP)                                      
III Christian Education                                                
                                                                       
                                                                           
  General Average                                                
  JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR TOTAL
Days of School                                                
Days Present                                                
CLASSIFIED AS Total number of years in school to date_______________________________________________
FOURTH YEAR School: SOUTHERN ISABELA ACADEMY, INC. School Year:__________________
CURRICULUM SUBJECT GRADING PERIODS FINAL  ACTION CREDITS
YEAR 1 2 3 4 AVERAGE TAKEN EARNED
IV Filipino                                                
IV English                                                
IV Mathematics                                                
IV Science                                                
IV Makabayan                                                
IV    Araling Panlipunan                                                
IV    Tech. & Livelihood Educ.(TLE) w/ Comp.                                      
IV    MAPEH                                                
     CAT-1                                                
IV    Edukasyong Pagpapahalaga (EP)                                      
IV Christian Education                                                
                                                                             
                                                                             
  General Average                                                
  JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR TOTAL
Days of School                                                
Days Present                                                
TRANSFER
I certify that this is a true record of __________________________________.  This student, on this______ 
of _________________, is eligible for admission to the_____________ year as a regular student, and has no property 
responsibility in this school.
ELENA C. DELA CRUZ
Principal
 
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SOUTHERN ISABELA ACADEMY, INCORPORATED
ALL RIGHTS RESERVED 2008
Designed by: JERRY AGBAYANI, JR., BSIT
 
 
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