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)
NCR Region
(NCR Region)
PALAGIANG TALAAN SA MABABANG PAARALAN
(ELEMENTARY SCHOOL PERMANENT RECORD)

Pangalan________________________________Sangay___________________Paaralan_____________________________
( Name) Apelyedo Unang Pangalan M.I. (Division) (School)

Kasarian_________ Petsa ng Kapanganakan __________________Pook _____________________________Petsa ng Pagpasok____________________

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

Magulang/Tagapag-alaga______________________________________________________________________________________________________
Pangalan Tirahan Hanapbuhay
(Name) (Address) (Occupation)
PAG-UNLAD SA MABABANG PAARALAN
( ELEMENTARY SCHOOL PROGRESS )
Grade I – School____________________________________________ School Year _______________________________________
School Year _______________________________________ Periodic Rating
Periodic Rating
Learning Areas 1 2 3 4 Remarks
Learning Areas 1 2 3 4 Remarks
Filipino
Filipino
English
English
Mathematics
Mathematics
Science and Health
MAKABAYAN
MAKABAYAN
Sibika at Kultura
Sibika at Kultura
Character Education
Heograpiya/Kasaysayan/Sibika (HKS)

Edikasyong Pantahanan at Pangkabuhayan ( EPP)

Musika,Sining at Edukasyon sa
Eligible for Admission to Grade ___________________________
Pagpapalakas ng Katawan ( MSEP)

Grade III – School___________________________________________ Character Education

School Year _______________________________________
Periodic Rating Eligible for Admission to Grade ___________________________

Learning Areas 1 2 3 4 Remarks Grade II – School____________________________________________

School Year _______________________________________
Filipino Periodic Rating

English Learning Areas 1 2 3 4 Remarks

Mathematics Filipino

Science and Health English

MAKABAYAN Mathematics

Sibika at Kultura MAKABAYAN

Character Education Sibika at Kultura

Character Education

Eligible for Admission to Grade ___________________________

Grade V – School___________________________________________
Eligible for Admission to Grade ___________________________ School Year _______________________________________
Periodic Rating
Grade IV – School___________________________________________
School Year _______________________________________ Learning Areas 1 2 3 4 Remarks
Periodic Rating
Filipino
Learning Areas 1 2 3 4 Remarks
English
Filipino
Mathematics
English
Science and Health
Mathematics
MAKABAYAN
Science and Health
Sibika at Kultura
MAKABAYAN
Heograpiya/Kasaysayan/Sibika (HKS)
Sibika at Kultura
Edikasyong Pantahanan at Pangkabuhayan ( EPP)

Heograpiya/Kasaysayan/Sibika (HKS)
Musika,Sining at Edukasyon sa
Edikasyong Pantahanan at Pangkabuhayan ( EPP)
Pagpapalakas ng Katawan (MSEP)

Musika,Sining at Edukasyon sa
Character Education
Pagpapalakas ng Katawan (MSEP)
Eligible for Admission to Grade ___________________________
Eligible for Admission to Grade ___________________________
III. CHARACTER BUILDING
Grade VI – School___________________________________________
Gr._____Sch. Yr. _______ Gr._____Sch. Yr. _______ Gr._____Sch. Yr. ______

1 2 3 4 F.R. 1 2 3 4 F.R. 1 2 3 4 F.R.

1. Honesty

2. Courtesy

3. Helpfulness and Cooperation

4. Resourcefulness and Creativity

5. Consideration for Others

6. Sportsmanship

7. Obedience

8. Self – Reliance

9. Industry

10. Cleanliness and Orderliness

11. Promptness and Punctuality

12. Sense of Responsibility

13. Love of God

14. Patriotism and Love of Country

Gr._____Sch. Yr. _______ Gr._____Sch. Yr. _______ Gr._____Sch. Yr. ______

1 2 3 4 F.R. 1 2 3 4 F.R. 1 2 3 4 F.R.

1. Honesty
 2. Courtesy

3. Helpfulness and Cooperation

4. Resourcefulness and Creativity

5. Consideration for Others

6. Sportsmanship

7. Obedience

8. Self – Reliance

9. Industry

10. Cleanliness and Orderliness

11. Promptness and Punctuality

12. Sense of Responsibility

13. Love of God

14. Patriotism and Love of Country

IV. ATTENDANCE RECORD. A – Outstanding B – Very Good C – Good D – Fair E - Poor

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

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

_______________________________________________
Signature

___________________________________ _______________________________________________
Date Designation