DepEd Form 137 - E Republika ng Pilipinas

(Republic of the Philippines)

Kagawaran ng Edukasyon
(Department of Education)
LRN:_______________
Region II
DIVISION OF ISABELA

PALAGIANG TALAAN SA PAARALANG ELEMENTARYA

(ELEMENTARY SCHOOL PERMANENT RECORD)

I. Pangalan __________________________________________________________ Sangay: _______________ Paaralan: _________________

(Name) Apelyido Unang ngalan M.I. (Division) (School)
(Surname) (Given)
Kasarian:_______ Petsa ng Kapanganakan ___________________ Pook _____________________________ Petsa ng Pagpasok: ______________
(Sex) (Date of Birth) (Place) Bayan/Lalawigan/Lungsod (Date of Entrance)
(Town/Province/City)
Magulang/Tagapag-alaga ___________________________________________________________________________________________________________
(Parent/Guardian) Pangalan Tirahan Hanapbuhay
(Name) (Address) (Occupation)

II. PAG-UNLAD SA PAARALAN

(SCHOOL PROGRESS)
K TO 12 BASIC EDUCATION CURRICULUM

Grade I School_____________________________________ Grade II School __________________________________________

School Year _______________________________ School Year _____________________________________
Learning Areas 1 2 3 4 Learning Areas 1 2 3 4 Final
Final Rating Remarks Remarks
Rating
Mother Tongue Mother Tongue
Filipino Filipino
English English
Mathematics Mathematics
Araling Panlipunan Araling Panlipunan
Edukasyon sa Pagpapakatao Edukasyon sa Pagpapakatao
MAPEH MAPEH
Music Music
Art Art
Physical Education Physical Education
Health Health
General Average General Average
Teacher's Signature Teacher's Signature
Eligible for Admission to Grade ______________________________________ Eligible for Admission to Grade ______________________________________

Grade III School __________________________________________ Grade IV School __________________________________________

School Year _____________________________________ School Year _____________________________________

Learning Areas 1 2 3 4 Learning Areas 1 2 3 4 Final

Final Rating Remarks Remarks
Rating
Mother Tongue Filipino
Filipino English
English Mathematics
Mathematics Science
Science Araling Panlipunan
Araling Panlipunan Edukasyon sa Pagpapakatao
Edukasyon sa Pagpapakatao Edukasyong Pantahanan
MAPEH at Pangkabuhayan
Music MAPEH
Art Music
Physical Education Art
Health Physical Education
Health
General Average General Average
Teacher's Signature Teacher's Signature

Eligible for Admission to Grade ______________________________________ Eligible for Admission to Grade ______________________________________

Grade V School __________________________________________ Grade VI School __________________________________________

School Year _____________________________________ School Year _____________________________________

Learning Areas 1 2 3 4 Learning Areas 1 2 3 4 Final

Final Rating Remarks Remarks
Rating
Filipino Filipino
English English
Mathematics Mathematics
Science Science

Araling Panlipunan Araling Panlipunan

Edukasyong Pantahanan TLE - Technology and
at Pangkabuhayan Livelihood Education
Edukasyon sa Pagpapakatao Edukasyon sa Pagpapakatao
MAPEH MAPEH

General Average General Average

Teacher's Signature Teacher's Signature

Eligible for Admission to Grade ______________________________________ Eligible for Admission to Grade ______________________________________
___
III. REPORT ON LEARNER'S OBSERVED VALUES
Gr. One Sch. Yr. _________ Gr. Two Sch. Yr. ________ Gr. Three Sch. Yr. ______
CORE VALUES Behavior Statements
1 2 3 4 F. R. 1 2 3 4 F. R. 1 2 3 4 F. R.
Expresses ones' spiritual beliefs
while respecting the spiritual beliefs
of others.
Maka Diyos
Shows adherence to ethical
principles by upholding the truth.

Is sensitive to individual, social and

cultural differences.
Makatao
Demonstrates contributions toward
solidarity.

Cares for the environment and

Makakalikasan utilizes resources wisely, judiciously
and economically.
Demonstrates pride in being a
Filipino; exercises the rights and
responsibilities of a Filipino citizen.
Makabansa
Demonstrates appropriate behaviour
in carrying out activities in the
school, community and country.

Gr. Four Sch. Yr. _________ Gr. Five Sch. Yr. ________ Gr. Six Sch. Yr. ______
CORE VALUES Behavior Statements
1 2 3 4 F. R. 1 2 3 4 F. R. 1 2 3 4 F. R.
Expresses ones' spiritual beliefs
while respecting the spiritual beliefs
of others.
Maka Diyos
Shows adherence to ethical
principles by upholding the truth.

Is sensitive to individual, social and

cultural differences.
Makatao
Demonstrates contributions toward
solidarity.

Cares for the environment and

Makakalikasan utilizes resources wisely, judiciously
and economically.
Demonstrates pride in being a
Filipino; exercises the rights and
responsibilities of a Filipino citizen.
Makabansa
Demonstrates appropriate behaviour
in carrying out activities in the
school, community and country.

AO - Always Observed RO - Rarely Observed

SO - Sometimes Observed NO - Not Observed

IV. ATTENDANCE RECORD

No of Days No. of No. of School

Grade No of School Days Cause Times Cause
Absent Days Present
Tardy

CERTIFICATE OF TRANSFER

TO WHOM IT MAY CONCERN:

This is to certify that this is a true record of the Elementary School Permanet record of _____________________________
_________________________________. He/She is eligible for transfer and admission to Grade / Year ____________________

(Signature)

(Date)
(Designation)
Dry Seal