REPUBLIKA NG PILIPINAS

(Republic of the Philippines)

KAGAWARAN NG EDUKASYON
(Department of Education)

Rehiyon ___
Region ____

SANGAY NG MGA PAARALANG PANGLUNGSOD

Division of ____________________

DepEd FORM 137 - E

PALAGIANG TALAAN SA MABABANG PAARALAN

LRN: ________________________

(ELEMENTARY SCHOOL PERMANENT RECORD)

I.

Pangalan
(Name)
Apelyido
Kasarian
(Sex)

Unang ngalan

M.I.

Petsa ng Kapanganakan
(Date of Birth)

Purok
(District)

Paaralan
(School)
Pook
(Place) Bayan/Lalawigan/Lungsod
(Town/Province/City)

Petsa ng Pagpasok
(Date of Entrance)

Magulang/Tagapag-alaga
Pangalan
(Name)

Tirahan
(Address)

Hanapbuhay
(Occupation)

PAG-UNLAD SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PROGRESS)

II.

Grade I School _________________________________

School Year _________________

Learning Areas

Periodic Rating
2
3
4

Grade II School ________________________________

School Year _________________
FINAL
RATING

REMARKS

Learning Areas

Mother Tongue

Mother Tongue

Filipino

Filipino

English

English

Mathematics

Mathematics

Araling Panlipunan

Araling Panlipunan

EPP/TLE

EPP/TLE

MAPEH

MAPEH

Music

Music

Art

Art

Physical Education

Physical Education

Health
Edukasyon sa Pagpapakatao

FINAL
RATING

REMARKS

General Average

Eligible for Admission to Grade ____________

Eligible for Admission to Grade ____________

Grade III School ________________________________

School Year ________________

Periodic Rating
2
3
4

Grade IV School _______________________________

School Year ________________
FINAL
RATING

REMARKS

Learning Areas

Mother Tongue

Mother Tongue

Filipino

Filipino

English

English

Mathematics

Mathematics

Science

Science

Araling Panlipunan

Araling Panlipunan

EPP/TLE

EPP/TLE

MAPEH

MAPEH

Music

Music

Art

Art

Physical Education

Physical Education

Health
Edukasyon sa Pagpapakatao

Periodic Rating
2
3
4

FINAL
RATING

REMARKS

Health
Edukasyon sa Pagpapakatao

General Average

General Average

Eligible for Admission to Grade ____________

Eligible for Admission to Grade ____________

Grade V School ________________________________

School Year ________________

Learning Areas

Periodic Rating
2
3
4

Health
Edukasyon sa Pagpapakatao

General Average

Learning Areas

Periodic Rating
2
3
4

Grade VI School _______________________________

School Year ________________
FINAL
RATING

REMARKS

Learning Areas

Mother Tongue

Mother Tongue

Filipino

Filipino

English

English

Mathematics

Mathematics

Science

Science

Araling Panlipunan

Araling Panlipunan

EPP/TLE

EPP/TLE

MAPEH

MAPEH

Music

Music

Art

Art

Physical Education

Physical Education

Health
Edukasyon sa Pagpapakatao
General Average
Eligible for Admission to Grade _____________

Periodic Rating
2
3
4

FINAL
RATING

Health
Edukasyon sa Pagpapakatao
General Average
Eligible for Admission to Grade _____________

REMARKS

Grade V School ________________________________

Grade VI School ______________________________

School Year ________________

Learning Areas

School Year ________________

Periodic Rating
1
2
3
4

FINAL
RATING

Learning Areas

REMARKS

Mother Tongue

Mother Tongue

Filipino

Filipino

English

English

Mathematics

Mathematics

Science

Science

Araling Panlipunan

Araling Panlipunan

EPP/TLE

EPP/TLE

MAPEH

MAPEH

Music

Music

Art

Art

Physical Education

Physical Education

Health
Edukasyon sa Pagpapakatao

Periodic Rating
2
3
4

FINAL
RATING

REMARKS

Health
Edukasyon sa Pagpapakatao

General Average

General Average

Eligible for Admission to Grade ________

Eligible for Admission to Grade _______

Legend:
Beginning (B)
Developing (D)
Approaching Proficiency (AP)
Proficient (P)
Advance (A)

III.

74% and above

75-79%
80-84 %
85-89 %
90 % and above

CHARACTER BUILDING
Traits
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.

Gr. ___ Sch. Yr. _____________

1
2
3
4
F.R.

Gr. ___ Sch. Yr. ______________

1
2
3
4
F.R.

Gr. ___ Sch. Yr. _____________

1
2
3
4
F.R.

Gr. ___ Sch. Yr. _____________

1
2
3
4
F.R.

Gr. ___ Sch. Yr. ______________

1
2
3
4
F.R.

Honesty
Courtesy
Helpfulness and Cooperation
Resourcefulness and Creativity
Consideration for Others
Sportsmanship
Obedience
Self-Reliance
Industry
Cleanliness and Orderliness
Promptness and punctuality
Sense of Responsibility
Love of God
Love of Country
Traits

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.

Gr. ___ Sch. Yr. _____________

1
2
3
4
F.R.

Honesty
Courtesy
Helpfulness and Cooperation
Resourcefulness and Creativity
Consideration for Others
Sportsmanship
Obedience
Self-Reliance
Industry
Cleanliness and Orderliness
Promptness and punctuality
Sense of Responsibility
Love of God
Love of Country

Guidelines for Rating

A.

Outstanding
Good

B. Very

D.

Fair

E. Poor

.Good

ATTENDANCE RECORD
Grade

No. of
School
Days

No. of School
Days Absent

Cause

No. of
Times
Tardy

Cause

No. of School
Days Present

CERTIFICATE OF TRANSFER
TO WHOM IT MAY CONCERN:
This is to certify that this is a true record of the Elementary School Permanent Record of
_____________________________________________ .He/She is eligible for transfer and admission to Grade/Year ______________________
___________________________________
Signature
______________________
Date

____________________________________
Designation