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 Division of Cavite
PALAGIANG TALAAN SA PAARALANG ELEMENTARYA (ELEMENTARY SCHOOL PERMANENT RECORD)

I. Pangalan
(Name) Apelyido (Surname) Unang ngalan (Given) (Date of Birth) M.I

Sangay
(Division)

Cavite

Paaralan
(School)

Alapan I Elementary

Kasarian
(Sex)

Petsa ng Kapanganakan

Pook
(Place) Bayan/Lalawigan/Lungsod (Town/Province/City)

Petsa ng Pagpasok
(Date of Entrance)

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

II.
Grade I - School School Year Learning Areas
Filipino English Mathematics Science and Health Makabayan Sibila at Kultura MSEP AVERAGE Teachers Signature

PAG-UNLAD SA PAARALANG ELEMENTARYA (ELEMENTARY SCHOOL PROGRESS)

2005 - 2006 4 Final Rating Remarks

Grade II - School School Year Learning Areas

Filipino English Mathematics Science and Health Makabayan Sibila at Kultura MSEP AVERAGE Teachers Signature

2006 - 2007 2 3 4 Final Rating Remarks

Eligible for admission to Grade Grade III School School Year

II

Learning Areas
Filipino English Mathematics Science and Health Makabayan Sibila at Kultura MSEP AVERAGE Teachers Signature

2007 - 2008 Final 4 Remarks Rating

Eligible for admission to Grade Grade IV School School Year

III

2008 - 2009 3 4
Final Rating Remarks

Learning Areas
Filipino English Mathematics Science and Health Makabayan
Heograpiya/kasaysayan/Sibika (HKS) Edu. Pantahanan at Pangkabuhayan (EPP)
Musika, Sining at Eduk, Pagpapalakas ng Katawan (MSEP)

AVERAGE Teachers Signature

Eligible for admission to Grade Grade V School School Year

IV

Eligible for admission to Grade

Learning Areas
Filipino English Mathematics Science and Health Makabayan
Heograpiya/kasaysayan/Sib ika (HKS) Edu. Pantahanan at Pangkabuhayan (EPP)
Musika, Sining at Eduk, Pagpapalakas ng Katawan (MSEP)

2009 - 2010 Final 4 Remarks Rating

Grade VI School Alapan I Elem. School School Year 2010 2011

Learning Areas
Filipino English Mathematics Science and Health Makabayan
Heograpiya/kasaysayan/Sibika (HKS) Edu. Pantahanan at Pangkabuhayan (EPP)
Musika, Sining at Eduk, Pagpapalakas ng Katawan (MSEP)

Final Rating

Remarks

AVERAGE Teachers Signature

Character Education AVERAGE

Eligible for Admission to Grade

VI

Eligible for Admission to Grade

First Year

CHARACTER BUILDING TRAITS 1. Honesty 2. Courtesy 3. Helpfulness and Cooperation 4. Resourcefulness and Creativeness 5. Consideration for others 6. Sportmanship 7. Obedience 8. Self-Reliance 9. Industry 10. Cleanliness and Orderliness CHARACTER BUILDING TRAITS 1. Honesty 2. Courtesy 3. Helpfulness and Cooperation 4. Resourcefulness and Creativeness 5. Consideration for others 6. Sportmanship 7. Obedience 8. Self-Reliance 9. Industry 10. Cleanliness and Orderliness A Very Good B Good IV. ATTENDANCE RECORD No. of No. of Grade School School Days Days Absent
I II III IV V VI 203 204 201 202 202 199 Gr. IV Sch. Yr. _______ Gr. V Sch. Yr. _______ Gr. VI Sch. Yr. _______ Gr. I Sch. Yr. _______ Gr. II Sch. Yr. _______ Gr. III Sch. Yr. _______

C - Fair D Poor

Cause

No. of Times Tardy

Cause

No. of School days Present

CERTIFICATE OF TRANSFER TO WHOM IT MAY CONCERN: It 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 First .

TERESITA P. LIMBAG (Signature) Guidance Counselor (Designation)

(Date)