137 - e New Asres

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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)
Region IV-A CALABARZON
SANGAY NG LUNGSOD NG LUCENA
(DIVISION OF LUCENA CITY)
LRN
PALAGIANG TALAAN SA MABABANG PAARALAN
(ELEMENTARY SCHOOL PERMANENT RECORD)

I. Pangalan Sangay Paaralan


(Name) Apelyido Unang Ngalan M.I. (Division) (School)
Kasarian Petsa ng Kapanganakan Pook Petsa ng Pagpasok
(Sex) (Date of Birth) (Place) Bayan/Lalawigan/Lugsod (Date of Entrance)
(Town/Province/City)
Magulang/Tagapag-alaga
Pangalan Tirahan Hanapbuhay
(Name) (Address) (Occupation)
II. PAG-UNLAD SA MABABANG PAARALAN
(ELEMENTARY SCHOOL PROGRESS)

Grade I - School Grade II - School


School Year School Year
Periodic Rating Final Periodic Rating Final
Learning Areas R Learning Areas R
1 2 3 4 Rating 1 2 3 4 Rating
Filipino P Filipino
English A English
Mathematics S Mathematics
Araling Panlipunan (AP) S Araling Panlipunan (AP)
MAPEH E MAPEH
* Music D * Music
*Art *Art
*Physical Education *Physical Education
*Health *Health
Mother Tongue Mother Tongue
Edukasyon sa Pagpapakatao Edukasyon sa Pagpapakatao EsP
General Average General Average
Eligible for Admission to Grade Eligible for Admission to Grade

Grade III - School Grade IV - School ANDRES S. RAVENA ELEM. SCH.


School Year School Year
Periodic Rating Final Periodic Rating Final
Learning Areas R Learning Areas R
1 2 3 4 Rating 1 2 3 4 Rating
Filipino Filipino
English English
Mathematics Mathematics
Araling Panlipunan (AP) Science
MAPEH Araling Panlipunan (AP)
* Music Edukasyong Pantahanan at
*Art Pangkabuhayan (EPP)
*Physical Education MAPEH
*Health *Music
Mother Tongue *Art
Edukasyon sa Pagpapakatao *Physical Education
General Average *Health
Eligible for Admission to Grade Edukasyon sa Pagpapakatao
General Average
Eligible for Admission to Grade

Grade V - School ANDRES S. RAVENA ELEM. SCH. Grade VI - School ANDRES S. RAVENA ELEM. SCH.
School Year School Year
Periodic Rating Final Periodic Rating Final
Learning Areas R Learning Areas R
1 2 3 4 Rating 1 2 3 4 Rating
Filipino Filipino
English English
Mathematics Mathematics
Science Science
Araling Panlipunan (AP) Araling Panlipunan (AP)
Edukasyong Pantahanan at Edukasyong Pantahanan at
Pangkabuhayan (EPP) Pangkabuhayan (EPP)
MAPEH MAPEH
*Music *Music
*Art *Art
*Physical Education *Physical Education
*Health *Health
Edukasyon sa Pagpapakatao Edukasyon sa Pagpapakatao
General Average General Average
Eligible for Admission to Grade Eligible for Admission to Grade
III. REPORT ON LEARNER'S OBSERVES VALUES
CORE BEHAVIOR Gr.I Sch. Yr. Gr.II Sch. Yr. Gr. III Sch. Yr.
VALUES STATEMENTS 1 2 3 4 F.R. 1 2 3 4 F.R. 1 2 3 4 F.R.
Expresses one's spiritual beliefs
while respecting the spiritual
beliefs of others
1.MAKA-
DIYOS Shows adherence to
ethical principles by
upholding truth
Is sensitive to individual
social, and cultural
2. MAKA differences
TAO Demonstrates
contributions toward
solidarity
Cares for the environment
3. MAKA - and utilizes resources
KALIKASAN wisely, judiciously, and
economically
Demonstrates pride in
being a Filipino; exercises
the rights and
responsibilities of a
4. MAKA
BANSA Filipino citizen
Demonstrates appropriate
behavior in carrying out
activities in the school,
community and country

CORE BEHAVIOR Gr.IV Sch.Yr. Gr.V Sch. Yr. Gr.VI Sch. Yr.
VALUES STATEMENTS 1 2 3 4 F.R. 1 2 3 4 F.R. 1 2 3 4 F.R.
Expresses one's spiritual
beliefs while respecting
1.MAKA- the spiritual beliefs of others
DIYOS Shows adherence to
ethical principles by
upholding truth
Is sensitive to individual
social, and cultural
2. MAKA differences
TAO Demonstrates
contributions toward
solidarity
Cares for the environment
3. MAKA - and utilizes resources
KALIKASAN wisely, judiciously, and
economically
Demonstrates pride in
being a Filipino; exercises
the rights and
responsibilities of a
4. MAKA
BANSA Filipino citizen
Demonstrates appropriate
behavior in carrying out
activities in the school,
community and country
MARKING - NON- NUMERICAL RATING
AO -Always Observed RO - Rarely Observed
SO - Sometimes Observed NO - Not Observed
IV. ATTENDANCE RECORD
No. of No. of No. of
Grade School School Days Cause School Days
Days Absent Present
I
II
III
IV
V
VI
CERTIFICATE OF TRANSFER

TO WHOM IT MAY CONCERN:

This is to certify that this is a true record of Elementary School Permanent Record of
_____________________________ He / She is eligible for and admission to Grade/Year ______.

Teacher Adviser Principal IV


Signature Over Printed Name Signature Over Printed Name

Date

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