DepEd Form 137-E Republika ng Pilipinas

(Republic of the Philippines)

Kagawaran ng Edukasyon
(Department of Education)
KAWANIHAN NG EDUKASYONG ELEMENTARYA
(BUREAU OF ELEMENTARY EDUCATION)
Rehiyon III
(Region)
LRN: __________________
PALAGIANG TALAAN SA MABABANG PAARALAN
(ELEMENTARY SCHOOL PERMANENT RECORD)

Pangalan Sangay: Paaralan:

(Name) Apelyido Unang Pangalan M.I. (Division) (School)

Kasarian: Petsa ng Kapanganakan: Pook Petsa ng Pagpasok

(Sex) (Date of Birth) (Place) Bayan/Lalawigan/Lungsod

Magulang/Tagapag-alaga
(Parent / Guardian) Pangalan Tirahan Hanapbuhay
(Name) (Address) (Occupation)

PALAGIANG TALAAN SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PROGRESS)
Grade I - School Grade II - School
School Year School Year

Periodic Rating Final Periodic Rating Final

Learning Areas Rating
Remarks Learning Areas Rating
Remarks
1 2 3 4 1 2 3 4
Mother Tongue Mother Tongue
Filipino Filipino
English English
Mathematics Mathematics
Araling Panlipunan Araling Panlipunan
MAPEH MAPEH
*Music *Music
* Art * Art
* Physical Education * Physical Education
* Health * Health
Eduk. sa Pagpapakatao Eduk. sa Pagpapakatao
General Average General Average
Eligible for Admission to Grade Eligible for Admission to Grade

Grade III - School Grade IV - School

School Year School Year

Periodic Rating Final Periodic Rating Final

Learning Areas Rating
Remarks Learning Areas Rating
Remarks
1 2 3 4 1 2 3 4
Mother Tongue Filipino
Filipino English
English Mathematics
Mathematics Science
Science Araling Panlipunan
Araling Panlipunan EPP / TLE
MAPEH MAPEH
*Music *Music
* Art * Art
* Physical Education * Physical Education
* Health * Health
Eduk. sa Pagpapakatao Eduk. sa Pagpapakatao
General Average General Average
Eligible for Admission to Grade Eligible for Admission to Grade

Grade V - School Grade VI - School

School Year School Year

Periodic Rating Final Periodic Rating Final

Learning Areas Rating
Remarks Learning Areas Rating
Remarks
1 2 3 4 1 2 3 4
Filipino Filipino
English English
Mathematics Mathematics
Science Science
Araling Panlipunan Araling Panlipunan
EPP / TLE EPP / TLE
MAPEH MAPEH
*Music *Music
* Art * Art
* Physical Education
* Health
Eduk. sa Pagpapakatao
General Average
Eligible for Admission to Grade
* Physical Education
* Health
Eduk. sa Pagpapakatao
General Average
Eligible for Admission to Grade
c of the Philippines)
ran ng Edukasyon
ment of Education)
DUKASYONG ELEMENTARYA
LEMENTARY EDUCATION)
Rehiyon III
(Region)

N SA MABABANG PAARALAN
HOOL PERMANENT RECORD)

N SA MABABANG PAARALAN
Y SCHOOL PROGRESS)

Remarks

Remarks

Remarks
REPORT ON LEARNER'S OBSERVED VALUES
Gr. 1 S. Y. ______ Gr. 2 S. Y. ______ Gr. 3 S. Y. ______
Core Values 1 2 3 4 1 2 3 4 1 2 3 4
Expresses one's spiritual beliefs
respecting the spiritual beliefs of
1. Maka Diyos
Shows adherence to ethical princ
upholding truth
Is sensitive to individual, socia
2. Makatao diffrences.
Demonstrate contributions towa
3. Maka Cares for the environment and uti
Kalikasan wisely, judiciously, and economic
Demonstrate appropriate behavior
4. Maka out activities in the school, com
Bansa country.
Demonstrate appropriate behav
out activities in the school,

Gr. 4 S. Y. ______ Gr. 5 S. Y. ______ Gr. 6 S. Y. ______

Core Values 1 2 3 4 1 2 3 4 1 2 3 4
Expresses one's spiritual beliefs
1. Maka Diyos respecting the spiritual beliefs of
Shows adherence to ethical princ
upholding truth
2. Makatao Is sensitive to individual, socia
diffrences.
Demonstrate contributions towa
3. Maka Cares for the environment and uti
Kalikasan wisely, judiciously, and economic
Demonstrate appropriate behavior
4. Maka out activities in the school, com
Bansa
Bansa country.
Demonstrate appropriate behav
out activities in the school,
AO - Always Observed RO - Rarely Observed
SO - Sometimes Observed NO - Not Observed

ATTENDANCE RECORD
No. of
No of
No. of School No. of Times School
Grade School Days Cause Cause
Days Tardy Days
Absent
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 elilgible for transfer and admission to Grade ____________.

Signature

Date Designation