You are on page 1of 3

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 XI
(Region XI)

PALAGIANG TALAAN SA MABABANG PAARALAN
(ELEMENTARY SCHOOL PERMANENT RECORD)

LRN: _________________
I. Pangalan _____________________________________
(Name)
Kasarian _
(Sex)

Sangay: Davao del Sur

Paaralan Sacub Elementary School

Apelyido
Unang Ngalan
M.I.
(Division)
(School)
(Surname)
(First Name)
Petsa ng Kapanganakan ____________ Pook ___________________________
Petsa ng Pagpasok: _____________
(Date of Birth)
(Place) Bayan / Lalawigan / Lungsod (Date of Entrance)

Magulang/Tagapag-alaga:________________________________________________________________________________________________
Pangalan
Tirahan
Hanapbuhay
(Name)
(Address)
(Occupation)

II.

PAG-UNLAD SA MABABANG PAARALAN
(ELEMENTARY SCHOOL PROGRESS REPORT)
Grade I - School __________________________________________
Name of Teacher _________________________________________
Periodical Rating
Learning Areas

Grade II - School _______________________________________
Name of Teacher _______________________________________
Learning Areas
Periodical Rating

Remarks
1

2

3

4

Remarks

1

Final

Filipino
English
Mathematics
MAKABAYAN
* Sibika at Kultura

2

3

4

Final

Filipino
English
Mathematics
MAKABAYAN
* Sibika at Kultura
* Eduk. Pagpapakatao

* Character Education

GENERAL AVERAGE

GENERAL AVERAGE

School Year:_______________ E______________L_____________

Eligible for Admission to Grade Two

School Year

: ___________

E____________ L ___________

Eligible for Admission to Grade Three

Grade III - School __________________________________________
Name of Teacher _________________________________________
School Year:_______________ E______________L_____________
Learning Areas
Periodical Rating

Grade IV - School _______________________________________
Name of Teacher ________________________________________
School Year:_______________ E______________L_____________
Learning Areas
Periodical Rating

Remarks

1

2

3

4

Remarks

1

Final

Filipino

Filipino

English
Mathematics
Science and Health
Makabayan
* Sibika at Kultura
* MSEP

English
Mathematics
Science and Health
Makabayan
* HEKASI
* EPP
* MSEP
* Eduk. Pagpapakatao

* Eduk. Pagpapakatao

GENERAL AVERAGE

2

3

4

Final

GENERAL AVERAGE

Eligible for Admission to Grade Four

Eligible for Admission to Grade Five

Grade V - School __________________________________________
________________________________________
Name of Teacher _________________________________________
School Year:_______________ E______________L_____________
Learning Areas
Periodical Rating

Grade VI - School
Name of Teacher ________________________________________
School Year:_______________ E______________L_____________
Learning Areas
Periodical Rating

Remarks

Remarks

1

2

Filipino
English
Mathematics
Science and Health
Makabayan
* HEKASI
* EPP
* MSEP
* Eduk. Pagpapakatao

GENERAL AVERAGE

Eligible for Admission to Grade Six

3

4

1

Final

2

Filipino
English
Mathematics
Science
Araling Panlipunan
Edukasyon sa Pagpapakatao
Edukasyong Pantahanan at Pangkabuhayan

MAPEH
* Music
* Art
* Physical Education
* Health
GENERAL AVERAGE

Eligible for Admission to Grade Seven

3

4

Final

Y. Honest in word and thought 4. Dependable to complete task given to him/her 10. _________ 1 2 3 4 F.R. of School Days Present) One Two Three Four Five Six 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 _____________________________________________. Three S. ready to work/cooperate in class activities 1 3 4 Express one’s spiritual beliefs while respecting the spiritual beliefs of others Shows adherence to ethical principles by upholding truth Is sensitive to individual. Respect persons in authority 13. seldom tells lies 4. Makakalikasan 7.Y. exercises the rights and responsibilities of a Filipino citizen Demonstrates appropriate behavior in carrying out activities in the school. Physically clean in body .Y. can be trusted or depended upon 8. Truthful. Gr. ________ Gr. CHARACTER BUILDING Gr. avoid conflicts and quarrels 2 2.Y. Peace loving . Two S. Maka-Diyos 3. Five S. Makatao Demonstrates contributions toward solidarity 3. and economically Demonstrates pride in being a Filipino. Six S.83 – 88% IV. ________ Traits Gr. Values Filipino culture/arts 14. Makabansa Cares for the environment and utilizes resources wisely. Physically clean in body . Non-numerical Rating Always Observed Sometimes Observed Rarely Observed Not Observed TALAAN NG PAGPASOK (Record of Attendance) Baitang (Grade) Bilang ng Araw Na May Pasok (No. ____________ 1 2 3 4 F. Is able to discipline himself / herself 11. __________ 1 2 3 4 F. Thrifty in using resources of time and money 6. Respect persons in authority 13. Behaves in a manner appropriate for his/her age LEGEND: Marking AO SO RO NO A – Outstanding – 95 – 100% D – Fair – 77 – 82% B – Very Good – 89 – 94% E – Poor – Below 70 – 76% C – Good . seldom tells lies 9. ready to work/cooperate in class activities 3. Four S. 2015 . of Days Absent) Pangunahing Dahilan (Chief Cause) Bilang na Nahuli ng Pagpasok (No. Is able to discipline himself / herself 11. Concerned about preserving the environment 5. Dependable to complete task given to him/her 10.III.R. He/She is eligible for transfer and admission to Grade/Year __________ _______________________________ . mind and language 2. Has faith in God 12. can be trusted or depended upon 8. of School Days) Bilang ng Araw na Lumiban sa Klase (No. judiciously. Honest in word and thought 4.Y. community. Truthful. Peace loving . mind and language 2.Y. Has faith in God 12. Traits Gr. Thrifty in using resources of time and money 6. Concerned about preserving the environment 5. Trustworthy .2016 Core Values 1 2 3 4 F R 1 2 3 4 Behavior Statement FR 1. avoid conflicts and quarrels 7. One S. Trustworthy . Behaves in a manner appropriate for his/her age Gr.R. and country 9. Values Filipino culture/arts 14. and cultural differences 1. 1. of Times Tardy) Pangunahing Dahilan (Chief Cause) Bilang ng Araw na Pagpasok (No. social.

_________________ (Date) Signature Over Printed Name ______________________________ Designation .