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DepEd Form 137 E Blankl
DepEd Form 137 E Blankl
Republika ng Pilipinas (Republic of the Philippines) Kagawaran ng Edukasyon (Department of Education) KAWANIHAN NG EDUKASYONG ELEMENTARYA
(BUREAU OF ELEMENTARY EDUCATION)
I.
Pangalan
(Name) Apelyido Unang Pangalan M.I.
Sangay
(Division)
Paaralan
(School) Petsa ng Pagpasok
Kasarian (Sex)
Pangalan (Name)
Tirahan (Address)
Hanapbuhay (Occupation)
Learning Areas
Periodic Rating
Final Rating
Remarks
General Average
Eligible for Admission to Grade Grade III - School School Year Learning Areas
Periodic Rating
General Average
Eligible for Admission to Grade Grade IV - School School Year 1 2 3 4
Final Rating Remarks
Learning Areas
Periodic Rating
Final Rating
Remarks
Learning Areas
Periodic Rating
Final Rating
Remarks
III. CHARACTER BUILDING Gr. 1 1 Honesty 2 Courtesy 3 Helpfulness and Cooperation Sch. Yr. 2 3 4 F.R. Gr. 1 Sch. Yr. 2 3 4 F.R. Gr. 1 Sch. Yr. 2 3 4 F.R.
8 Self-Reliance 9 Industry Cleanliness and Orderliness Promptness and 11 Punctuality 10 12 Sense of Responsibility 13 Love of God 14 Patriotism and Love of Country
Gr. 1
Gr. 1
8 Self-Reliance 9 Industry Cleanliness and Orderliness Promptness and 11 Punctuality 10 12 Sense of Responsibility 13 Love of God 14 Patriotism and Love of Country A - Outstanding B - Very Satisfactory IV. ATTENDANCE RECORD
Grade No. of No. of School Days School Days Absent Cause 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