DepEd Form 137-E

Department of Education LRN ____________

Region III
Division of Pampanga
City of San Fernando (P)

PALAGIANG TALAAN SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PERMANENT RECORD)

Pangalan Sangay: Pampanga Paaralan: Caduang Tete Elementary

(Name) Apelyido Unang Pangalan M.I. (Division) (School)

Kasarian: Petsa ng Kapanganakan: Pook Petsa ng Pagpasok

(Sex) (Date of Birth) (Place) Bayan/Lalawigan/Lungsod

Magulang/Tagapag-alaga
(Parent / Guardian) Pangalan Tirahan Hanapbuhay
(Name) (Address) (Occupation)

PALAGIANG TALAAN SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PROGRESS)
Grade I - School Grade II - School
School Year School Year

Periodic Rating Final Periodic Rating 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
Araling Panlipunan Araling Panlipunan
Eduk. sa Pagpapakatao Eduk. sa Pagpapakatao
MAPEH MAPEH
*Music *Music
* Art * Art
* Physical Education * Physical Education
* Health * Health
General Average General Average
Eligible for Admission to Grade Eligible for Admission to Grade

Grade III - School Grade IV - School

School Year School Year

Periodic Rating Final Periodic Rating Final

Learning Areas Rating
Remarks Learning Areas Rating
Remarks
1 2 3 4 1 2 3 4
Mother Tongue Filipino
Filipino English
English Mathematics
Mathematics Science
Science Araling Panlipunan
Araling Panlipunan Eduk. sa Pagpapakatao
Eduk. sa Pagpapakatao EPP / TLE
MAPEH MAPEH
*Music *Music
* Art * Art
* Physical Education * Physical Education
* Health * Health
General Average General Average
Eligible for Admission to Grade Eligible for Admission to Grade

Grade V - School Grade VI - School

School Year School Year

Periodic Rating Final Periodic Rating Final

Learning Areas Rating
Remarks Learning Areas Rating
Remarks
1 2 3 4 1 2 3 4
Filipino Filipino
English English
Mathematics Mathematics
Science Science
Araling Panlipunan Araling Panlipunan
Eduk. sa Pagpapakatao EPP / TLE
EPP / TLE Eduk. sa Pagpapakatao
MAPEH MAPEH
*Music *Music
* Art * Art
* Physical Education * Physical Education
* Health * Health
General Average General Average
Eligible for Admission to Grade Eligible for Admission to Grade
 CHARACTER BUILDING

Gr. _____ Sch. Yr. _____ Gr. _____ Sch. Yr. _____ Gr. _____ Sch. Yr. _____
Core Values Behavior Statements 1 2 3 4 F.R. 1 2 3 4 F.R. 1 2 3 4 F.R.

Expresses one's spiritual belief while

respecting the spiritua; beliefs of others
Maka-Diyos
Shows adherence to ethical principles by
upholding the truth
Is sensitive to individual, social and cultural
differences
Maka-tao
Demonstrate contributions toward solidarity

Cares for the environment and utilizes

Maka-Kalikasan
resources wisely,judiciously,and economically

Demonstrates pride in being a Filipino;

Exercises the rights and responsibilities of a
Maka-Bansa Filipino citizen.
Demonstrate appropriate behavior in carrying
out activities in the school, community and
country

Gr. _____ Sch. Yr. _____ Gr. _____ Sch. Yr. _____ Gr. _____ Sch. Yr. _____
Core Values Behavior Statements 1 2 3 4 F.R. 1 2 3 4 F.R. 1 2 3 4 F.R.

Expresses one's spiritual belief while

respecting the spiritua; beliefs of others
Maka-Diyos
Shows adherence to ethical principles by
upholding the truth

Is sensitive to individual, social and cultural

differences
Maka-tao
Demonstrate contributions toward solidarity

Cares for the environment and utilizes

Maka-Kalikasan
resources wisely,judiciously,and economically

Demonstrates pride in being a Filipino;

Exercises the rights and responsibilities of a
Filipino citizen.
Maka-Bansa
Demonstrate appropriate behavior in carrying
out activities in the school, community and
country

AO - Always Observed
SO - Sometimes Observed
RO - Rarely Observed
NO - Not Observed
ATTENDANCE RECORD

No. of School No. of Times No. of School Days

Grade No. of School Days Absent Cause Cause
Days Tardy Present
I
II
III
IV
V
VI

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