CATANDUANES STATE UNIVERSITY

SECONDARY SCHOLASTIC RECORD

FOR THE PRINCIPAL: (This official document is to be accomplished by the Principal/School Head and Guidance Counselor.)

1. Eligible to take the CEE are the following:

a. Senior students (e.g. Fourth Year, Grade 12, Senior 6) of DepEd-Accredited schools, secondary schools from SUCs or secondary schools

abroad (expecting to graduate at the end of the school year);

b. Graduates of DepEd-accredited schools and SUCs;

c. Those declared eligible for admission to college after passing the Philippine Educational Placement Test (PEPT).

NOTE: All applicants must have final grades for the First, Second and Third Years of the 4-year secondary school curriculum in

schools with DepEd-recognition/permit to operate said curriculum.

2. Please type or print legibly all information called for in this form. Do not abbreviate. Place X marks in the appropriate boxes.

3. Be sure that all grades (i.e., including failing marks) for the first, second and third years are indicated and that all entries are complete.

4. Countersign all erasures and corrections made.

5. If the applicant is a transferee or has taken some subjects from another school, then a signed and certified legible photocopy of the

Permanent Secondary School Records (F137) from the other school must be attached to this form containing all the grades earned therein.

Likewise, if the applicant needed more than 4 years to finish high school, a signed and certified photocopy of the F137 must be submitted.

NAME OF STUDENT: Print full name of the student.

LAST___________________________ FIRST _______________________________ MIDDLE _____________________

Signature of Examinee

HIGH SCHOOL (Where the student complete/is completing secondary level education)

Name of High School: (Do not abbreviate) _________________________________________________________________

High School Mailing Address: ___________________________________________________________________________

Telephone Number: _________________________________________ E-mail Address: ____________________________

GOOD MORAL CERTIFICATE

TO WHOM IT MAY CONCERN:

This is to certify that ________________________________, is a graduate/student (Name of Student)

of ________________________________________, School Year ___________.

(Name and Address of School)

This certifies that he/she is one of good moral character and integrity.

Records show that he/she has not been subjected to any disciplinary action.

Issued this ____ day of _______, 20_____ for enrolment purposes.

__________________________

School Head or Guidance Counselor

Expected Year of Graduation: _____ Total No. Of Expected Graduates: _____ Rank in the Graduating Class: _____

SUBJECTS

*Mark “E” if Elective

FIRST YEAR

SY _____ - _____

SECOND YEAR

SY _____ - _____

THIRD YEAR

SY _____ - _____

FOURTH YEAR

SY____-____

* Final

Grades Units Action

Taken

* Final

Grades Units Action

Taken

* Final

Grades Units Action

Taken

1ST

Grading

Period

2nd

Grading

Period

I. Filipino 1 1 1

II. English

Speech

Reading/Writing

2 2 2

III. Mathematics

Algebra/Statistics

Geometry/Trigonometry

3

3

3

IV. Science

Earth/

Environmental

Science

Biology/Zoology

Chemistry/Physics

4

4

4

V. Makabayan 5 5 5

VI. Araling

Panlipunan 6 6 6

VII. Tech. & Home

Economics

Practical Arts

Computer Education

7

7

7

VIII. Vocational and

Technical

Subjects

7 7 7

IX. Academic Subjects NOT LISTED ABOVE.

X. Summer Grades (If any)

GWA/Curr.Yr.

____ Affixed here is the school dry seal.

____ This school has no dry seal.

(Affix school dry seal here.)

___________

Date

I certify to the completeness and correctness of the

foregoing record.

_________________________ ________________ School Head’s Signature over Printed Name Official Designation