Republika ng Pilipinas

KAGAWARAN NG EDUKASYON
Rehiyon III
Sangay ng Tarlac
PALAGIANG TALAAN NG MABABANG PAARALAN
(ELEMENTARY SCHOOL PERMANENT RECORD)
Learners Reference Number ____________________________
Pangalan: ___________________________________ Sangay _____________________ Paaralan: _____________________
(Name)

(Surname)

(Given Name)

(M.I.)

(Apelyido)

(Unang Pangalan)

(M.I.)

(Division)

(School)

Kasarian: ________ Petsa ng Kapanganakan ______________ Pook ________________ Petsa ng Pagpasok _____________
(Sex)

(Date of Birth)

(Place)

(Date of Entrance)

Magulang/Tagapag-alaga________________________________________________________________________________
(Parent/Guardian)

(Pangalan)
(Name)

(Tirahan)
(Address)

(Hanapbuhay)
(Occupation)

PAG-UNLAD SA MABABANG PAARALAN

(Elementary School Progress)

Grade I
School Year : _______________
School: _____________________________________________
Teacher: ____________________________________________
Learning Areas

Periodic Rating
2
3

Remarks

Filipino
English
Mathematics
MAKABAYAN
Sibika at Kultura
Edukasyong Pagpapakatao

Grade II
School Year : _______________
School: _____________________________________________
Teacher: ____________________________________________
Learning Areas

Periodic Rating
2
3

Filipino
English
Mathematics
MAKABAYAN
Sibika at Kultura
Edukasyong Pagpapakatao
General Average

General Average

Eligible for admission to Grade _________

Eligible for admission to Grade ________

Grade III
School Year : _______________
School : _____________________________________________
Teacher: ____________________________________________
Learning Areas

Periodic Rating
2
3

Remarks

General Average

Filipino
English
Mathematics
Science & Health
MAKABAYAN
HeKaSi
EPP
MSEP
Edukasyong
Pagpapakatao

Periodic Rating
2
3

Remarks

Grade VI
School Year _______________
School _____________________________________________
Teacher: ____________________________________________
Learning Areas

Periodic Rating
2
3

Filipino
English
Mathematics
Science & Health
MAKABAYAN
HeKaSi
EPP
MSEP
Edukasyong Pagpapakatao
General Average
General Average

Eligible for admission to Grade __________

Remarks

Eligible for admission to Grade __________

Grade V
School Year _______________
School _____________________________________________
Teacher: ____________________________________________
Periodic Rating
2
3

Learning Areas

General Average

Eligible for admission to Grade _________

Grade IV
School Year : _______________
School: _____________________________________________
Teacher: ____________________________________________

Filipino
English
Mathematics
Science & Health
MAKABAYAN
HeKaSi
EPP
MSEP
Edukasyong Pagpapakatao

Filipino
English
Mathematics
Science & Health
MAKABAYAN
Sibika at Kultura, MSEP
Edukasyong
Pagpapakatao

Learning Areas

Remarks
4

Eligible for admission to Grade __________

Remarks

Republika ng Pilipinas
KAGAWARAN NG EDUKASYON
Rehiyon III
Sangay ng Tarlac

PALAGIANG TALAAN NG MABABANG PAARALAN

(ELEMENTARY SCHOOL PERMANENT RECORD)
Learners Reference Number ______________________________
Pangalan: ___________________________________ Sangay _____________________ Paaralan: _____________________
(Name)

(Surname)

(Given Name)

(M.I.)

(Apelyido)

(Unang Pangalan)

(M.I.)

(Division)

(School)

Kasarian: ________ Petsa ng Kapanganakan ______________ Pook ________________ Petsa ng Pagpasok _____________
(Sex)

(Date of Birth)

(Place)

(Date of Entrance)

Magulang/Tagapag-alaga________________________________________________________________________________
(Parent/Guardian)

(Name)
(Pangalan)

(Address)
(Tirahan)

(Occupation)
(Hanapbuhay)

PAG-UNLAD SA MABABANG PAARALAN

(Elementary School Progress)

Grade I
School Year _______________
School ________________________Teacher: _______________
Learning Areas

Periodic Rating
2
3

Remarks
4

Mother Tongue
Filipino
English
Mathematics
Araling Panlipunan
Edukasyon sa Pagpapakatao
MAPEH
Music
Arts
Physical Education
Health
General Average

Periodic Rating
2
3

Remark
s

Eligible for admission to Grade _________

Grade III
School Year _______________
School ________________________Teacher: _______________
1

Learning Areas

Mother Tongue
Filipino
English
Mathematics
Araling Panlipunan
Edukasyon sa Pagpapakatao
MAPEH
Music
Arts
Physical Education
Health
General Average

Eligible for admission to Grade _________

Learning Areas

Grade II
School Year _______________
School ________________________Teacher: _______________

Periodic Rating
2
3

Remarks

Grade IV
School Year _______________
School ________________________Teacher: _______________
Learning Areas

Periodic Rating
2
3

Remarks

Mother Tongue
Filipino
English
Mathematics
Science
Araling Panlipunan
Edukasyon sa Pagpapakatao
MAPEH
Music
Arts
Physical Education
Health
General Average

Filipino
English
Mathematics
Science
Araling Panlipunan
EPP
Edukasyon sa Pagpapakatao
MAPEH
Music
Arts
Physical Education
Health
General Average

to Grade
Grade V Eligible for admissionSchool
Year_________
_______________
School ________________________Teacher: _______________

Eligible for admission to Grade _________

Grade VI
School Year _______________
School ________________________Teacher: _______________

Learning Areas

Periodic Rating
2
3

Filipino
English
Mathematics
Science
Araling Panlipunan
EPP
Edukasyon sa Pagpapakatao
MAPEH
Music
Arts
Physical Education
Health
General Average

Eligible for admission to Grade _________

Remarks

Learning Areas

Periodic Rating
2
3

Filipino
English
Mathematics
Science
Araling Panlipunan
EPP
Edukasyon sa Pagpapakatao
MAPEH
Music
Arts
Physical Education
Health
General Average

Eligible for admission to Grade _________

Remarks

DepED Form 137-E

Legend:

Descriptors

Beginning
Proficient

(B) 74% and above

(P) 85 - 89%

Developing (D)

Advanced (A)
90% and above
Approaching Proficiency (AP) 80 - 84%

75 - 79%

Grade ____ Sch. Year ________

CHARACTER TRAITS

Grading Scale

Outstanding
Very Satisfactory
Satisfactory
Fairly Satisfaction
Did Not Meet Expectation

F.R.

Grade ____ Sch. Year ________

Remarks

90-100
85-89
80-84
75-79
Below 75

Passed
Passed
Passed
Passed
Failed

Grade _____ Sch. Year _______

F.R.

F.R.

1. Maka-Diyos
Expresses ones spiritual beliefs while respecting the
spiritual beliefs of others
Shows adherence to ethical principles by upholding
truth
2. Makatao
In sensitive to individual, social, and cultural
differences
Demonstrates contributions toward solidarity

3. Makakalikasan
Cares for the environment and utilizes resources wisely,
judiciously, and economically

4. Makabansa
Demonstrates pride in being a Filipino; exercises the rights
and responsibilities of a Filipino citizen
Demonstrates appropriate behavior in carrying out
activities in the school, community, and country

Grade ____ Sch. Year ________

CHARACTER TRAITS

F.R.

Grade ____ Sch. Year ________

Grade _____ Sch. Year _______

F.R.

F.R.

1. Maka-Diyos
Expresses ones spiritual beliefs while respecting the
spiritual beliefs of others
Shows adherence to ethical principles by upholding truth

2. Makatao
In sensitive to individual, social, and cultural differences
Demonstrates contributions toward solidarity

3. Makakalikasan
Cares for the environment and utilizes resources wisely,
judiciously, and economically

4. Makabansa
Demonstrates pride in being a Filipino; exercises the rights
and responsibilities of a Filipino citizen
Demonstrates appropriate behavior in carrying out
activities in the school, community, and country
Marking - Non-numerical Rating

AO Always Observed

SO

Sometimes Observed

RO

Rarely Observed

NO

Not Observed

ATTENDANCE RECORD
Grade

No. of
School Days

No. of
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 _____________________.

________________________________
Principal
_________________

Date

DepED Form 137-E

II- CHARACTER BUILDING

CHARACTER TRAITS

Grade _____ Sch. Year _________

F.R.

Grade _____ Sch. Year _________

F.R.

Grade _____ Sch. Year _________

F.R.

1. Honesty
2. Courtesy
3. Helpfulness & Cooperation
4. Resourcefulness & Creativity
5. Consideration for Others
6. Sportsmanship
7. Obedience
8. Self Confidence
9. Industry
10.Cleanliness & Orderliness
11. Promptness & Punctuality
12. Sense of Responsibility
13. Love of God
14. Patriotism & Love of Country

CHARACTER TRAITS

Grade _____ Sch. Year _________

F.R.

Grade _____ Sch. Year _________

F.R.

Grade _____ Sch. Year _________

F.R.

1. Honesty
2. Courtesy
3. Helpfulness & Cooperation
4. Resourcefulness & Creativity
5. Consideration for Others
6. Sportsmanship
7. Obedience
8. Self Confidence
9. Industry
10.Cleanliness & Orderliness
11. Promptness & Punctuality
12. Sense of Responsibility
13. Love of God
14. Patriotism & Love of Country
A Very Good

B Good

C Fair

D Poor

ATTENDANCE RECORD
Grade

No. of
School Days

No. of Sch.
Days Absent

Cause

No. of
Times
Tardy

Cause

No. of
Sch. 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 / admission to Grade/Year _____________________.

_________________________

Principal - 1
________________
Date
DepED Form 137-E
Legend:
Beginning
Proficient

Descriptors
(B) 74% and above
(P) 85 - 89%

Developing (D)

Advanced (A)
90% and above
Approaching Proficiency (AP) 80 - 84%

75 - 79%

Grade _____ Sch.

Year _________

CHARACTER TRAITS

Grading Scale

Outstanding
Very Satisfactory
Satisfactory
Fairly Satisfaction
Did Not Meet Expectation

Passed
Passed
Passed
Passed
Failed

Grade ________
Sch. Year
_____________

Grade ___________ Sch. Year _________

1 2 3 4 F.R.

Remarks

90-100
85-89
80-84
75-79
Below 75

F.R.

F.R.

1. Maka-Diyos

1. Honesty
2. Courtesy

Expresses ones spiritual beliefs while

respecting the spiritual beliefs of others
Shows adherence to ethical principles
by upholding truth

3. Helpfulness & Cooperation

2. Makatao

4. Resourcefulness & Creativity

5. Consideration for Others
6. Sportsmanship
7. Obedience
8. Self Confidence
9. Industry
10.Cleanliness & Orderliness
11. Promptness & Punctuality
12. Sense of Responsibility
13. Love of God
14. Patriotism & Love of Country

In sensitive to individual, social, and

cultural differences
Demonstrates contributions toward solidarity

3. Makakalikasan
Cares for the environment and utilizes
resources wisely, judiciously, and
economically

4. Makabansa
Demonstrates pride in being a Filipino;
exercises the rights and
responsibilities of a Filipino citizen
Demonstrates appropriate behavior in
carrying out activities in the school,
community, and country

Grade ____ Sch. Year ________

CHARACTER TRAITS

F.R.

Grade ____ Sch. Year ________

F.R.

Grade _____ Sch. Year _______

F.R.

1. Maka-Diyos
Expresses ones spiritual beliefs while respecting the
spiritual beliefs of others
Shows adherence to ethical principles by upholding truth

2. Makatao
In sensitive to individual, social, and cultural differences
Demonstrates contributions toward solidarity

3. Makakalikasan
Cares for the environment and utilizes resources wisely,
judiciously, and economically

4. Makabansa
Demonstrates pride in being a Filipino; exercises the rights
and responsibilities of a Filipino citizen
Demonstrates appropriate behavior in carrying out
activities in the school, community, and country
Marking - Non-numerical Rating

AO Always Observed

SO

Sometimes Observed

RO

Rarely Observed

NO

Not Observed

ATTENDANCE RECORD
Grade

No. of
School Days

No. of 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 _____________________.

________________________________
Principal
_________________
Date
DepED Form 137-E
Legend:
Beginning
Proficient

Descriptors
(B) 74% and above
(P) 85 - 89%

Developing (D)

Advanced (A)
90% and above
Approaching Proficiency (AP) 80 - 84%

75 - 79%

Grade _____ Sch.

Year _________
1 2 3 4 F.R.

CHARACTER TRAITS

Grading Scale

Outstanding
Very Satisfactory
Satisfactory
Fairly Satisfaction
Did Not Meet Expectation

Grade _____ Sch.

Year _________
1 2 3 4 F.R.

Remarks

90-100
85-89
80-84
75-79
Below 75

Passed
Passed
Passed
Passed
Failed

Grade _____ Sch. Year _________

F.R.

1. Maka-Diyos

1. Honesty
2. Courtesy

Expresses ones spiritual beliefs while

respecting the spiritual beliefs of others
Shows adherence to ethical principles by
upholding truth

3. Helpfulness & Cooperation

2. Makatao

4. Resourcefulness & Creativity

5. Consideration for Others

In sensitive to individual, social, and cultural

differences
Demonstrates contributions toward
solidarity

6. Sportsmanship

3. Makakalikasan

7. Obedience
8. Self Confidence
9. Industry
10.Cleanliness & Orderliness
11. Promptness & Punctuality
12. Sense of Responsibility
13. Love of God
14. Patriotism & Love of Country
A Very Good

Cares for the environment and utilizes

resources wisely, judiciously, and
economically

4. Makabansa
Demonstrates pride in being a Filipino;
exercises the rights and responsibilities of a
Filipino citizen
Demonstrates appropriate behavior in
carrying out activities in the school,
community, and country

B Good

C Fair

CHARACTER TRAITS

D Poor
Grade ____ Sch. Year ________

F.R.

Grade ____ Sch. Year ________

F.R.

Grade _____ Sch. Year _______

F.R.

1. Maka-Diyos
Expresses ones spiritual beliefs while respecting the
spiritual beliefs of others
Shows adherence to ethical principles by upholding truth

2. Makatao
In sensitive to individual, social, and cultural differences
Demonstrates contributions toward solidarity

3. Makakalikasan
Cares for the environment and utilizes resources wisely,
judiciously, and economically

4. Makabansa
Demonstrates pride in being a Filipino; exercises the rights
and responsibilities of a Filipino citizen
Demonstrates appropriate behavior in carrying out
activities in the school, community, and country
Marking - Non-numerical Rating

AO Always Observed

SO

Sometimes Observed

RO

Rarely Observed

NO

Not Observed

ATTENDANCE RECORD
Grade

No. of
School Days

No. of School
Days Absent

Cause

No. of Times
Tardy

CERTIFICATE OF TRANSFER
TO WHOM IT MAY CONCERN:

Cause

No. of School
days Present

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 _____________________.

________________________________
Principal
_________________
Date
DepED Form 137-E
Legend:
Beginning
Proficient

Descriptors
(B) 74% and above
(P) 85 - 89%

Developing (D)

Advanced (A)
90% and above
Approaching Proficiency (AP) 80 - 84%

Grading Scale

Outstanding
Very Satisfactory
Satisfactory
Fairly Satisfaction
Did Not Meet Expectation

75 - 79%

Remarks

90-100
85-89
80-84
75-79
Below 75

Passed
Passed
Passed
Passed
Failed

II- CHARACTER BUILDING

Grade _____ Sch. Year _________

CHARACTER TRAITS

F.R.

Grade _____ Sch. Year _________

Grade _____ Sch. Year _________

F.R.

F.R.

1. Honesty
2. Courtesy
3. Helpfulness & Cooperation
4. Resourcefulness & Creativity
5. Consideration for Others
6. Sportsmanship
7. Obedience
8. Self Confidence
9. Industry
10.Cleanliness & Orderliness
11. Promptness & Punctuality
12. Sense of Responsibility
13. Love of God
14. Patriotism & Love of Country
A Very Good

B Good

C Fair

Grade ____ Sch. Year ________

CHARACTER TRAITS

F.R.

D Poor

Grade ____ Sch. Year ________

F.R.

Grade _____ Sch. Year _______

F.R.

1. Maka-Diyos
Expresses ones spiritual beliefs while respecting the
spiritual beliefs of others
Shows adherence to ethical principles by upholding truth

2. Makatao
In sensitive to individual, social, and cultural differences
Demonstrates contributions toward solidarity

3. Makakalikasan
Cares for the environment and utilizes resources wisely,
judiciously, and economically

4. Makabansa
Demonstrates pride in being a Filipino; exercises the rights
and responsibilities of a Filipino citizen
Demonstrates appropriate behavior in carrying out
activities in the school, community, and country
Marking - Non-numerical Rating

AO Always Observed

SO

Sometimes Observed

RO

Rarely Observed

NO

Not Observed

ATTENDANCE RECORD
Grade

No. of
School Days

No. of School
Days Absent

Cause

No. of Times
Tardy

CERTIFICATE OF TRANSFER

Cause

No. of School
days Present

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 _____________________.

________________________________
Principal
_________________
Date
DepED Form 137-E
Legend:
Beginning
Proficient

Descriptors
(B) 74% and above
(P) 85 - 89%

Developing (D)

Advanced (A)
90% and above
Approaching Proficiency (AP) 80 - 84%

Grading Scale

Outstanding
Very Satisfactory
Satisfactory
Fairly Satisfaction
Did Not Meet Expectation

75 - 79%

Remarks

90-100
85-89
80-84
75-79
Below 75

Passed
Passed
Passed
Passed
Failed

II- CHARACTER BUILDING

CHARACTER TRAITS

Grade _____ Sch. Year _________

Grade _____ Sch. Year _________

F.R.

Grade _____ Sch. Year _________

F.R.

F.R.

1. Honesty
2. Courtesy
3. Helpfulness & Cooperation
4. Resourcefulness & Creativity
5. Consideration for Others
6. Sportsmanship
7. Obedience
8. Self Confidence
9. Industry
10.Cleanliness & Orderliness
11. Promptness & Punctuality
12. Sense of Responsibility
13. Love of God
14. Patriotism & Love of Country

CHARACTER

A Very Good
B Good
Grade _____ Sch.
Year _________
TRAITS
1 2 3 4 F.R.

C Fair

D Poor
Grade ________
Sch. Year _____________

Grade ___________ Sch. Year _________

F.R.

1. Maka-Diyos

1. Honesty
2. Courtesy

Expresses ones spiritual beliefs while

respecting the spiritual beliefs of others
Shows adherence to ethical principles
by upholding truth

3. Helpfulness & Cooperation

2. Makatao

4. Resourcefulness & Creativity

5. Consideration for Others

In sensitive to individual, social, and

cultural differences
Demonstrates contributions toward
solidarity

6. Sportsmanship
7. Obedience
8. Self Confidence
9. Industry
10.Cleanliness & Orderliness
11. Promptness & Punctuality
12. Sense of Responsibility
13. Love of God
14. Patriotism & Love of Country

3. Makakalikasan
Cares for the environment and utilizes
resources wisely, judiciously, and
economically

4. Makabansa
Demonstrates pride in being a
Filipino; exercises the rights and
responsibilities of a Filipino citizen
Demonstrates appropriate behavior in
carrying out activities in the school,
community, and country
Marking - Non-numerical Rating

AO Always Observed

SO Sometimes Observed

RO Rarely Observed

NO Not Observed

ATTENDANCE RECORD
Grade

No. of
School Days

No. of Sch.
Days Absent

Cause

No. of Times
Tardy

Cause

No. of Sch.
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 / admission to Grade/Year _____________________.

_________________________
Principal - 1
________________
Date
DepED Form 137-E
Legend:
Beginning
Proficient

Descriptors
(B) 74% and above
(P) 85 - 89%

Developing (D)

Advanced (A)
90% and above
Approaching Proficiency (AP) 80 - 84%

Grading Scale

Outstanding
Very Satisfactory
Satisfactory
Fairly Satisfaction
Did Not Meet Expectation

75 - 79%

Remarks

90-100
85-89
80-84
75-79
Below 75

Passed
Passed
Passed
Passed
Failed

II- CHARACTER BUILDING

Grade _____ Sch. Year _________

CHARACTER TRAITS

Grade _____ Sch. Year _________

F.R.

Grade _____ Sch. Year _________

F.R.

F.R.

1. Honesty
2. Courtesy
3. Helpfulness & Cooperation
4. Resourcefulness & Creativity
5. Consideration for Others
6. Sportsmanship
7. Obedience
8. Self Confidence
9. Industry
10.Cleanliness & Orderliness
11. Promptness & Punctuality
12. Sense of Responsibility
13. Love of God
14. Patriotism & Love of Country
A Very Good

CHARACTER TRAITS

B Good

Grade _____ Sch.

Year _________
1 2 3 4 F.R.

C Fair
Grade _____ Sch.
Year _________
1 2 3 4 F.R.

D Poor

Grade _____ Sch. Year _________

F.R.

1. Maka-Diyos

1. Honesty
2. Courtesy

Expresses ones spiritual beliefs while

respecting the spiritual beliefs of others
Shows adherence to ethical principles by
upholding truth

3. Helpfulness & Cooperation

2. Makatao

4. Resourcefulness & Creativity

5. Consideration for Others

In sensitive to individual, social, and cultural

differences
Demonstrates contributions toward
solidarity

6. Sportsmanship

3. Makakalikasan

7. Obedience
8. Self Confidence
9. Industry
10.Cleanliness & Orderliness
11. Promptness & Punctuality
12. Sense of Responsibility
13. Love of God
14. Patriotism & Love of Country

Cares for the environment and utilizes

resources wisely, judiciously, and
economically

4. Makabansa
Demonstrates pride in being a Filipino;
exercises the rights and responsibilities of a
Filipino citizen
Demonstrates appropriate behavior in
carrying out activities in the school,
community, and country
Marking - Non-numerical Rating

AO Always Observed

SO Sometimes Observed

RO Rarely Observed

NO Not Observed

ATTENDANCE RECORD
Grade

No. of
School Days

No. of Sch.
Days Absent

Cause

No. of Times
Tardy

Cause

No. of Sch.
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 / admission to Grade/Year _______________.

_________________________
Principal - 1
________________
Date