FORM 137-E

Republika ng Pilipinas
(Republic of the Philippines)
Kagawaran ng Edukasyon
(Department of Education)
KAWANIHAN NG EDUKASYON ELEMENTARYA
(BUREAU OF ELEMENTARY EDUCATION)
Rehiyon VII
DIVISION OF NEGROS ORIENTAL
PALAGIANG TALAAN SA MABABANG PAARALAN
(Elementary School Permanent Record) LRN: 120436130064

AMADO LUIS JR. E.

Pangalan ___________________________________________________________________ NEG. OR. SAN JOSE CENTRAL ES
Sangay__________________Paaralan______________________________
(Name) Apelyido Unang Pangalan M.I. (Division) (School)

Kasarian: M Petsa ng Kapanganakan DEC. 18, 2009 Pook SAN JOSE, NEGROS ORIENTAL Petsa ng Pagpasok 6/3/2013
(Sex) (Date of Birth) (Place)
Bayan/lalawigan/Lunsod (Date of Entrance)
(Town/Province/City)
Magulang/Tagapag-alaga____________________________________________________________________________________________________________________
LUIS U. AMADO POBLACION, SAN JOSE, NEG.OR. SURVEY AIDE
(Parent/Guardian) Pangalan Tirahan Hanapbuhay
(Name) (Address) (Occupation)

PAG-UNLAD SA MABABANG PAARALAN

(Elementary School Progress)

Grade I-School SAN JOSE CENTRAL ELEMENTARY SCHOOL Grade II-School SAN JOSE CENTRAL ELEMENTARY SCHOOL
School Year 2014-2015 School Year 2015-2016
Periodic Rating Periodic Rating
LEARNING AREAS Remarks LEARNING AREAS Remarks
1 2 3 4 1 2 3 4
Mother Tongue AP AP APAP AP Mother Tongue 80 83 83 83 82
Filipino - AP APAP AP Filipino 84 78 80 81 81
English - - APAP AP English 86 79 79 80 81
Mathematics AP AP APAP AP Mathematics 84 78 80 81 81
Araling Panlipunan AP AP APAP AP Araling Panlipunan 87 78 79 80 81
MAPEH AP AP APAP AP MAPEH 84 79 81 81 81
Music AP AP APAP AP Music 85 79 81 81 81
Art AP AP AP AP Art 83 79 81 81
Physical Education AP AP AP AP Physical Education 84 79 81 81

DIVISION SPORTS OFFICE

Health AP AP AP AP Health 85 79 81 81

ALLAN A. TABIO
Edukasyon sa Pagpapakatao (EsP) AP AP AP AP Edukasyon sa Pagpapakatao (EsP) 82 83 83 83 83
General Average AP (80.85) General Average 81PROMOTED
Eligible for Admission to Grade TWO Eligible for Admission to Grade THREE
Grade III-School SAN JOSE CENTRAL ELEMENTARY SCHOOL Grade IV-School SAN JOSE CENTRAL ELEMENTARY SCHOOL
School Year 2016-2017 School Year 2017-2018
Periodic Rating
Periodic Rating LEARNING AREAS Remarks
LEARNING AREAS Remarks 1 2 3 4
1 2 3 4
Filipino 80 78 81 81 80
Mother Tongue 78 78 80 83 80 PASSED
English 79 78 80 80 79
Filipino 77 78 79 80 79 PASSED
Mathematics 81 80 80 80 80
English 75 75 76 78 76 PASSED
Science 79 79 80 80 80
Mathematics 75 75 75 76 75 PASSED
Araling Panlipunan (AP) 80 82 80 81 81
Science 79 77 80 82 80 PASSED
Edukasyon sa Pagpapakatao (ESP) 80 82 82 83 82
MA. MARFE LYNN I. PELESMINO,ED.D.

Araling Panlipunan (AP) 75 76 79 80 78 PASSED

EPP 80 83 83 82 82
Edukasyon sa Pagpapakatao (ESP) 80 80 81 83 81 PASSED
MAPEH 80 81 82 82 81
MAPEH 82 81 81 82 82 PASSED
Music 80 80 81 82
Music 83 82 83 83
PRINCIPAL I

Art 80 80 81 82
Art 82 80 80 81
Physical Education 80 80 81 82
Physical Education 83 82 82 84
Health 80 80 81 82
Health 80 80 80 81
General Average 81
General Average 79 PROMOTED
PROMOTED
Eligible for Admission to Grade FIVE
Eligible for Admission to Grade FOUR
Grade VI-School SAN JOSE CENTRAL ELEMENTARY SCHOOL_
Grade V-School SAN JOSE CENTRAL ELEMENTARY SCHOOL
School Year 2019-2020
School Year 2018-2019
Periodic Rating
Periodic Rating LEARNING AREAS Remarks
LEARNING AREAS Remarks 1 2 3 4
1 2 3 4
Filipino 84 82
Filipino 77 78 79 80 79 PASSED
English 79 79
English 80 80 81 82 81 PASSED
Mathematics 77 79
Mathematics 75 77 78 79 77 PASSED
Science 79 80
Science 76 76 76 79 77 PASSED
Araling Panlipunan (AP) 82 85
NIMFA R. ACHARON

Araling Panlipunan (AP) 81 80 82 82 81 PASSED

Edukasyon sa Pagpapakatao (ESP) 83 82
ADVISER

Edukasyon sa Pagpapakatao (ESP) 81 82 83 84 83 PASSED

EPP 84 85
EPP 79 80 80 80 80 PASSED
MAPEH 81 83
MAPEH 83 83 84 85 84 PASSED
Music 81 83
Music 86 85 84 85
Art 80 82
Art 81 82 82 83
Physical Education 81 83
Physical Education 81 83 85 87
Health 80 82
Health 83 83 84 84
General Average
General Average 80
PROMOTED
Eligible for admission to Grade _________________________________ Eligible for admission to Grade _________________________________
III. REPORT ON LEARNER’S OBSERVED VALUES
Gr. 1 S.Y. 2014-2015 Gr. 2 S.Y. 2015-2016 Gr. 3 S.Y. 2016-2017
Core Values Quarter Quarter Quarter
Behavior Statements
1 2 3 4 1 2 3 4 1 2 3 4
Expresses one’s spiritual SO SO SO SO SO SO SO SO SO SO SO SO
1. Maka- beliefs while respecting the
Diyos spiritual beliefs of others
Shows adherence to ethical SO SO SO SO SO SO SO SO SO SO SO SO
2. Makatao principles by upholding
truth
Cares for the environment SO SO SO SO SO SO SO SO SO SO SO SO
3. Maka- and utilizes resources
kalikasan wisely, judiciously, and
economically
Demonstrates pride in SO SO SO SO SO SO SO SO SO SO SO SO
being a Filipino; exercises
the rights and responsibi-
4.Makabansa lities of a Filipino citizen.
Demonstrates appropriate SO SO SO SO SO SO SO SO SO SO SO SO
behavior in carrying out
activities in the school,
community, and country

Gr. 4 S.Y. 2017-2018 Gr. 5 S.Y. 2018-2019 Gr. 6 S.Y. 2019-2020

Core Values Quarter Quarter Quarter
Behavior Statements
1 2 3 4 1 2 3 4 1 2 3 4
Expresses one’s spiritual SO SO SO SO SO SO SO SO SO SO
1. Maka- beliefs while respecting the
Diyos spiritual beliefs of others
Shows adherence to ethical SO SO SO SO SO SO SO SO SO SO
2. Makatao principles by upholding
truth
Cares for the environment SO SO SO SO SO SO SO SO SO SO
3. Maka- and utilizes resources
kalikasan wisely, judiciously, and
economically
Demonstrates pride in SO SO SO SO SO SO SO SO SO SO
being a Filipino; exercises
the rights and responsibi-
4.Makabansa lities of a Filipino citizen.

Demonstrates appropriate SO SO SO SO SO SO SO SO SO SO
behavior in carrying out
activities in the school,
community, and country

AO – Always Observed SO – Sometimes Observed RO – Rarely Observed NO – Not Observed

IV. ATTENDANCE RECORD

Grade No. of No. of Cause No. of Cause No. of
School School Days Times School Days
Days Absent Tardy Present
I 201 1 TOOTHACHE 0 200
II 201 0 201
III 202 2 FEVER 200
IV 204 1 FEVER 203
V 200 0 200

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 of Grade/Year_____________________.

_____________________________________________
Signature

___________________________________________ ____________________________________________
Date Designation