DepEd Form 137-E

Republika ng Pilipinas
(Republic of the Philippines)
Kagawaran ng Edukasyon
(Department of Education)
Rehiyon II
(Region II)
Sangay ng Nueva Vizcaya
(Schools Division of Nueva Vizcaya)

PALAGIANG TALAAN SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PERMANENT RECORD)
Name: «Name» Gender: «Gender» LRN: «LRN»
Date of Birth: Year: «DOB_Year» Month: «DOB_Month» Day: «DOB_Day»
Place of Birth: Province: «POB_Province» Town: «POB_Town» Barrio: «POB_Barrio»
Parent or Guardian: «Parent_or_Guardian» Occupation: «Occupation» Address of Parent or Guardian: «Address_of_Guardian»
Ethnicity: «Ethnicity» Mother Tongue: «Mother_Tongue» Religion: «Religion»

ELEMENTARY SCHOOL PROGRESS

Grade I – School Bayombong Central School SPED Center Grade II – School Bayombong Central School SPED Center
School Year _2014-2015 School Year 2015-20016
FINAL FINAL
Periodic Rating RATING REMARKS Learning Areas Periodic Rating RATING
REMARKS
Learning Areas
1 2 3 4 1 2 3 4
Mother Tongue Passed Mother Tongue Passed
Filipino Passed Filipino Passed
English Passed English Passed
Mathematics Passed Mathematics Passed
Araling Panlipunan Passed Science Passed
Science Passed Araling Panlipunan Passed
MAPEH Passed MAPEH Passed
Music Music
Art Art
Physical Education Physical Education
Health Health
Edukasyon sa Passed Edukasyon sa Pagpapakatao Passed
Pagpapakatao
General Average General Average Passed

Eligible for Admission to Grade _____two Eligible for Admission to Grade three

Grade _III__ – School Bayombong Central School SPED Center Grade __IV_ – School Bayombong Central School SPED Center
School Year 2016-2017 School Year 2017-2018
FINAL
QUARTER FINAL QUARTER RATING
REMARKS
Learning Areas RATING REMARKS Learning Areas
1 2 3 4 1 2 3 4
Mother Tongue Passed Mother Tongue Passed
Filipino Passed Filipino Passed
English Passed English Passed
Passed Mathematics Passed
Passed Science Passed
Araling Panlipunan Passed Araling Panlipunan Passed
EPP/TLE Passed EPP/TLE Passed
MAPEH Passed MAPEH Passed
Music Music
Art Art
Physical Education Physical Education
Health Health
Edukasyon sa Passed Edukasyon sa Pagpapakatao Passed
Pagpapakatao
General Average Passed General Average

Eligible for Admission to Grade ___four Eligible for Admission to Grade ___five

Grade ___ – School _________________________________________________ Grade ___ – School ____________________________________________________

School Year _________________ School Year _________________
QUARTER FINAL QUARTER FINAL
Learning Areas RATING REMARKS Learning Areas RATING
REMARKS
1 2 3 4 1 2 3 4
Mother Tongue Mother Tongue
Filipino Filipino
English English
Mathematics Mathematics
Science Science
Araling Panlipunan Araling Panlipunan
EPP/TLE EPP/TLE
MAPEH MAPEH
Music Music
Art Art
Physical Education Physical Education
Health Health
Edukasyon sa Edukasyon sa Pagpapakatao
Pagpapakatao
General Average General Average

Eligible for Admission to Grade _____________ Eligible for Admission to Grade _____________
 Gr. I S.Y. 2014-2015
GRADE ____ GRADE ____
1 2 3 4 GRADE ____
F.R. GRADE ____
S.Y._________ GRADE ____
S.Y._________
CORE VALUES
S.Y._________ S.Y._________ S.Y._________
CORE VALUES BEHAVIOR STATEMENTS QUARTER QUARTER
QUARTER
Honesty 1 QUARTER
2 3 4 1 QUARTER
2 3 4
1 2 3 4 1 2 3 4 1 2 3 4
Courtesy Expresses one’s spiritual beliefs while
respecting the spiritual beliefs of
Helpfulness& Cooperation
MAKA-DIYOS others MAKA-DIYOS
Shows adherence to ethical principles
Resourcefulness & Creativity
by upholding truth
Is sensitive to individual, social and
Consideration for others
cultural differences
MAKATAO
Demonstrates contributions toward
Sportsmanship
solidarity
Obedience Cares for the environment and utilizes
MAKATAO
MAKAKALIKASAN resources wisely, judiciously and
Self-Reliance economically
Demonstrates pride in being a Filipino;
Industry exercises the rights and
responsibilities of a Filipino citizen MAKA
MAKABANSA
Cleanliness & Orderliness
Demonstrates appropriate behavior in KALIKASAN
carrying out activities in the school,
Promptness & Punctuality
community and the country
Sense of Responsibility

Love of God MAKABANSA

Patriotism/Love of Country
MARKING NON-NUMERICAL RATING
MARKING NON-NUMERICAL RATING
AO ALWAYS OBSERVED RO RARELY OBSERVED
SO SOMETIMES OBSERVED NO NOT OBSERVED
ATTENDANCE RECORD

No. of No. of
No. of School No. of School Days
Grade School Cause Times Cause
Days Absent Present
Days Tardy

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