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

I. Pangalan (Name) Kasarian: (Sex)

Sangay: Apelyido Unang Pangalan M.I. (Division) Petsa ng Kapanganakan: (Date of Birth)

Paaralan: (School)

Pook: Petsa ng Pagpasok (Place) Bayan/Lalawigan/Lungsod) (Town/Province/City) Pangalan (Name) Tirahan (Address) Hanapbuhay (Occupation)

Magulang/Tagapag-alaga (Parent / Guardian)

PALAGIANG TALAAN SA MABABANG PAARALAN (ELEMENTARY SCHOOL PROGRESS) Grade I - School School Year Learning Areas 1 Periodic Rating 2 3 4 Remarks Grade II - School School Year Learning Areas 1 Periodic Rating 2 3 4 Remarks

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

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

Mother Tongue Filipino English Mathematics Science Araling Panlipunan MAPEH *Music * Art * Physical Education * Health Eduk. sa Pagpapakatao General Average Eligible for Admission to Grade

Filipino English Mathematics Science Araling Panlipunan EPP / TLE MAPEH *Music * Art * Physical Education * Health Eduk. sa Pagpapakatao General Average Eligible for Admission to Grade

Grade V - School School Year Learning Areas 1 Periodic Rating 2 3 4 Remarks

Grade VI - School School Year Learning Areas 1 Periodic Rating 2 3 4 Remarks

Filipino English Mathematics Science Araling Panlipunan EPP / TLE MAPEH *Music * Art * Physical Education * Health Eduk. sa Pagpapakatao General Average Eligible for Admission to Grade

Filipino English Mathematics Science Araling Panlipunan EPP / TLE MAPEH *Music * Art * Physical Education * Health Eduk. sa Pagpapakatao General Average Eligible for Admission to Grade

III.CHARACTER BUILDING Gr. _____ 1 1 Honesty 2 Courtesy Helpfulness and 3 Cooperation Resourcefulness and 4 Creativeness 5 Consideration for Others 6 Sportsmanship 7 Obedience 8 Self-Reliance 9 Industry Cleanliness and 10 Orderliness 2 3 Sch. Yr. ______ 4 F.R. Gr. _____ 1 2 3 Sch. Yr. ______ 4 F.R. Gr. _____ 1 2 3 Sch. Yr. ______ 4 F.R.

Gr. _____ 1 1 Honesty 2 Courtesy Helpfulness and 3 Cooperation Resourcefulness and 4 Creativeness 5 Consideration for Others 6 Sportsmanship 7 Obedience 8 Self-Reliance 9 Industry Cleanliness and 10 Orderliness 2 3

Sch. Yr. ______ 4 F.R.

Gr. _____ 1 2 3

Sch. Yr. ______ 4 F.R.

Gr. _____ 1 2 3

Sch. Yr. ______ 4 F.R.

A - Outstanding B - Very Satisfactory IV. ATTENDANCE RECORD Grade One No. of School Days No. of School Days Absent Cause

C - Satisfactory D - Needs Improvement

E - Poor

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

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