FORM 137-A

Identification card issued

on________________________
__________________________
____
Principal

REPUBLIC OF THE PHILIPPINES

DEPARTMENT OF EDUCATION
BUREAU OF SECONDARY EDUCATION

SECONDARY STUDENTS PERMANENT RECORD

Copy of this record sent to

Principal of __________________
School on____________________
____________________________
Principal

Name: ___________________________________________________________ Date of Birth: Year ___________ Month___________ Day__ _______

Place of Birth: Province __________________________________ Town_______________________________ Barrio__________________________
Parent or Guardian: ____________________________________________________________ Occupation ____________________________________
Address of Parent or Guardian: _________________________________________________________________________________________________
Intermediate course completed (School): _____________________________________________ Year____________ General Average______________

CURRICULUM
YEAR

CLASS STANDING

SUBJECT
1

C.S.
AVERAGE

ACTION
TAKEN

Filipino
English
Mathematics
Science
Araling Panlipunan
Technology & Livelihood Educ. (TLE)
MAPEH
Music
Arts
Physical Education
Health
Edukasyon sa Pagpapakatao (EsP)

Kabuuang Marka
JUNE

JULY

AUG

SEPT

OCT

NOV

DEC

JAN

FEB

MARCH

APRIL

TOTAL

Days of School
Days Present

CLASSIFIED AS
Total number of years in the school to date: _______
________ YEAR: __________ School: ____________________________________________________________ School Year: ______________
CURRICULUM
YEAR

CLASS STANDING

SUBJECT
1

C.S.
AVERAGE

ACTION
TAKEN

Filipino
English
Mathematics
Science
Araling Panlipunan
Technology & Livelihood Educ. (TLE)
MAPEH
Music
Arts
Physical Education
Health
Edukasyon sa Pagpapakatao (EsP)

Kabuuang Marka
JUNE

JULY

AUG

SEPT

OCT

NOV

DEC

JAN

FEB

MARCH

APRIL

TOTAL

Days of School
Days Present

CLASSIFIED AS
Total number of years in the school to date: _______
________ YEAR: __________ School: __________________________________________ School Year: ______________
CURRICULUM
YEAR

CLASS STANDING

SUBJECT
1

C.S.
AVERAGE

ACTION
TAKEN

Filipino
English
Mathematics
Science
Araling Panlipunan
Technology & Livelihood Educ. (TLE)
MAPEH
Music
Arts
Physical Education
Health
Edukasyon sa Pagpapakatao (EsP)

Kabuuang Marka
JUNE

Days of School
Days Present

JULY

AUG

SEPT

OCT

NOV

DEC

JAN

FEB

MARCH

APRIL

TOTAL

REMARKS
Remarks on the health, character and habits of the student_____________________________________
_____________________________________________________________________________________________________________________________________________
DEPED TAMBAYAN
Principal I

CLASSIFIED AS
Total number of years in the school to date: ______
_______ YEAR: ___________ School: ______________________________________________________ School Year: ___________ _______

Note: - In the record for any given school year, all subjects actually taken by the students are to be listed in the column under subject. Under Curriculum
Year is indicated for each subject the year to which it corresponds in the school curriculum. To illustrate, a student may be taking in his second year I Algebra a
First curriculum year subject.