DepED Form 137-E Republic of the Philippines

Department of Education
__________________________________
_________________________
_________________________________________________
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ELEMENTARY SCHOOL PERMANENT RECORD

Name: School: Division:

(Family Name) (First Name) (Middle Name)
Sex: Date of Birth: Place of Birth: Date of Entrance:
Parent/Guardian: , ,
Name Address

ELEMENTARY SCHOOL PROGRESS

Grade I - School ____________________ Grade II - School __
School Year _______-________ School Yea
Periodic Rating Final Periodic R
Learning Areas Learning Areas
1 2 3 4 Rating 1 2
Filipino Filipino
English English
Mathematics Mathematics
MAKABAYAN MAKABAYAN
*Sibika at Kultura *Sibika at Kultura
*Character Education *Character Education
Average Average
Eligible for Admission to Grade _______________ Eligible for Admission to Grade ___________
Grade III - School ____________________ Grade IV - School __
School Year _______-________ School Yea
Periodic Rating Final Periodic R
Learning Areas Learning Areas
1 2 3 4 Rating 1 2
Filipino Filipino
English English
Mathematics Mathematics
Science & Health Science & Health
MAKABAYAN MAKABAYAN
*Sibika at Kultura *Heograpiya, Kasaysayan
*Character Education at Sibika (HKS)
*Edukasyong Pantahana at
Pangkabuhayan (EPP)
*Musika, Sining, at Edukasyon sa
Pagpapalakas ng Katawan (MSEP)
*Character Education
Average Average
Eligible for Admission to Grade _______________ Eligible for Admission to Grade ___________
Grade III - School ____________________ Grade IV - School __
School Year _______-________ School Yea
Periodic Rating Final Periodic R
Learning Areas Learning Areas
1 2 3 4 Rating 1 2
Filipino Filipino
English English
Mathematics Mathematics
Science & Health Science & Health
MAKABAYAN MAKABAYAN
*Heograpiya, Kasaysayan *Heograpiya, Kasaysayan
at Sibika (HKS) at Sibika (HKS)
*Edukasyong Pantahana at *Edukasyong Pantahana at
Pangkabuhayan (EPP) Pangkabuhayan (EPP)
*Musika, Sining, at Edukasyon sa *Musika, Sining, at Edukasyon sa
Pagpapalakas ng Katawan (MSEP) Pagpapalakas ng Katawan (MSEP)
*Character Education *Character Education
 Average Average
Eligible for Admission to Grade _______________ Eligible for Admission to Grade ___________
vision:

trance:

Occupation

chool ____________________
hool Year _______-________
riodic Rating Final
2 3 4 Rating

_____________
chool ____________________
hool Year _______-________
riodic Rating Final
2 3 4 Rating

_____________
chool ____________________
hool Year _______-________
riodic Rating Final
2 3 4 Rating
_____________
CHARACTER BUILDING
GR:_____ SY:______-_______ GR:_____ SY:______-_______
1 2 3 4 1 2 2 3
1. Honesty
2. Courtesy
3. Helpfulness and Cooperation
4. Resourcefulness and creativeness
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 & Love of Country
Average

CHARACTER BUILDING
GR:_____ SY:______-_______ GR:_____ SY:______-_______
1 2 3 4 1 2 2 3
1. Honesty
2. Courtesy
3. Helpfulness and Cooperation
4. Resourcefulness and creativeness
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 & Love of Country
Average

ATTENDANCE RECORD
Number of Number of School Days Number of School Days
GRADE
School Days "Present" "Absent"

T R A N S F E R

I certify that this is a true record of 0

This pupil is eligible in this ____________ day of _____________________ , __________________ for admission
to ___________________________ and has no money or property responsibility/accountability in this school.
School Principal
 GR:_____ SY:______-_______
1 2 3 4

GR:_____ SY:______-_______
1 2 3 4

Number of Times
"Tardy"

sion
school.
ol Principal