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 02
(Region 02)

PALAGIANG TALAAN SA MABABANG PAARALAN

(Elementary School Permanent Record) LRN:106573140413
Pangalan SIMANGAN ANGELO B. Sangay_ISABELA Paaralan DAMMANG EAST ELEMENTARY SCHOOL
(Name) Apelyido Unang Pangalan M.I. (Division) (School)
Kasarian__MALE Petsa ng Kapanganakan_3/18/2009 Pook QUEZON CVITY Petsa ng Pagpasok JUNE 5, 2015_
(Sex) (Date of Birth) (Place) Bayan/lalawigan/Lunsod (Date of Entrance)
(Town/Province/City)
Magulang/Tagapag-alaga EMMIL U. SIMANGAN DAMMANG EAST, ECHAGUE, ISABELA TRICYCLE DRIVER
(Parent/Guardian) Pangalan Tirahan Hanapbuhay
(Name) (Address) (Occupation)

PAG-UNLAD SA MABABANG PAARALAN

(Elementary School Progress)
Grade I-School PINYAHAN ELEMENTARY SCHOOL Health 81 82 83 85
School Year___2015-2016
General Average 84.13 Promoted
Final
Periodic Rating Rating Eligible for admission to Grade ___ 6
LEARNING AREAS Remarks
1 2 3 4
Mother Tongue 76 77 77 78 77 Passed Grade II-School MALIGAYA ELEMENTARY SCHOOL
Filipino 77 77 78 77 Passed School Year___2016-2017
English 76 77 77 Passed Periodic Rating Final
LEARNING AREAS Rating Remarks
1 2 3 4
Mathematics 76 77 78 79 78 Passed Mother Tongue 80 85 85 85 84 Passed
Araling Panlipunan 76 77 78 79 78 Passed Filipino 81 85 84 88 85 Passed
Edukasyon sa Pagpapakatao (EsP) 78 80 80 80 80 Passed English 80 84 82 86 83 Passed
MAPEH 77 78 78 79 78 Passed Mathematics 80 82 85 87 84 Passed
Music 76 77 77 78
Araling Panlipunan 82 85 87 83 84 Passed
Art 78 79 79 80 Edukasyon sa Pagpapakatao (EsP) 80 88 88 88 86 Passed
Physical Education 76 77 77 78 MAPEH 81 85 87 87 85 Passed
Health 77 78 78 79 Music 82 82 86 84
General Average 78 Promoted Art 82 83 88 84
Eligible for Admission to Grade_ 2
Physical Education 80 84 87 89
Health 81 81 86 86
Grade III-School PINYAHAN ELEMENTARY SCHOOL
School Year___2017-2018 General Average 84 Promoted
Eligible for Admission to Grade__ 3
Periodic Rating Final
LEARNING AREAS Rating Remarks
1 2 3 4
Grade IV-School DAMMANG EAST ELEMENTARY SCHOOL
Mother Tongue 79 80 79 80 80 Passed School Year___2018-2019
Filipino 80 80 80 80 80 Passed
Periodic Rating Final
English 78 79 77 77 78 Passed LEARNING AREAS Rating Remarks
Mathematics 78 79 77 78 78 Passed 1 2 3 4
Filipino 82 82 85 88 84 Passed
Science 79 80 80 81 80 Passed
English 80 80 82 85 82 Passed
Araling Panlipunan (AP) 80 81 77 77 79 Passed
Mathematics 80 83 84 86 83 Passed
Edukasyon sa Pagpapakatao (EsP) 80 82 84 84 83 Passed
Science 80 82 83 85 83 Passed
MAPEH 81 81 82 82 82 Passed
Araling Panlipunan (AP) 81 83 85 86 84 Passed
Music 80 81 80 80 Edukasyon sa Pagpapakatao (EsP) 80 83 85 87 84 Passed
Art 81 81 80 81 Edukasyong Pantahanan at 82 83 85 88 84 Passed
Physical Education 81 82 82 81 Pangkabuhayan (EPP)
MAPEH 82 83 86 88 85 Passed
Health 81 82 84 84
Music 82 83 86 88
General Average 80 Promoted
Art 82 83 86 88
Eligible for Admission to Grade____ 4
Physical Education 82 83 86 88
Health 82 83 86 88
Grade V-School DAMMANG EAST ELEMENTARY SCHOOL General Average 84 Promoted
School Year___2019-2020 Eligible for Admission to Grade__ 5
Periodic Rating Final
LEARNING AREAS Rating Remarks
1 2 3 4 Grade VI-School__________________________________________________________
Filipino 84 84 84 85 84 Passed School Year______________________
English 82 82 82 83 82 Passed Periodic Rating Final
LEARNING AREAS Rating Remarks
Mathematics 82 82 82 82 82 Passed
1 2 3 4
Science 80 80 81 81 81 Passed Filipino
Araling Panlipunan (AP) 85 85 86 86 86 Passed English
Edukasyon sa Pagpapakatao (EsP) 86 86 87 87 87 Passed
Mathematics
Edukasyong Pantahanan at 87 87 86 87 87 Passed
Pangkabuhayan (EPP) Science
MAPEH 83 84 84 85 84 Passed Araling Panlipunan (AP)
Music 83 84 84 85 Edukasyon sa Pagpapakatao (EsP)
Art 83 84 84 85 Edukasyong Pantahanan at
Physical Education 85 85 84 85 Pangkabuhayan (EPP)
MAPEH
 Music
Art
Physical Education
Health
General Average
Eligible for admission to Grade ___ ________________
III. REPORT ON LEARNER’S OBSERVED VALUES
Gr. 1 S.Y. 2015-2016 Gr. 2 S.Y. 2016-2017 Gr. 3 S.Y. 2017-2018
Core Values Quarter F.R. Quarter F.R. Quarter F.R.
Behavior Statements
1 2 3 4 1 2 3 4 1 2 3 4
Expresses one’s spiritual beliefs while RO RO RO RO RO SO SO SO SO SO RO SO SO SO SO
respecting the spiritual beliefs of
1. Maka- others
Diyos Shows adherence to ethical RO RO RO RO RO SO SO SO SO SO RO SO SO SO SO
principles by upholding the truth
Is sensitive to individual, social RO RO RO RO RO SO SO SO SO SO RO SO SO SO SO
and cultural differences
2. Makatao Demonstrates contribution RO RO RO RO RO SO SO SO SO SO RO SO SO SO SO
toward solidarity
3. Maka- Cares for the environment and RO RO RO RO RO SO SO SO SO SO RO SO SO SO SO
utilizes resources wisely,
kalikasan
judiciously, and economically
Demonstrates pride in being a Filipino; SO RO RO RO RO SO SO SO SO SO RO SO SO SO SO
exercises the rights and
responsibilities of a Filipino citizen.
Demonstrates appropriate SO RO RO RO RO SO SO SO SO SO RO SO SO SO SO
4.Makabansa behavior in carrying out activities
in the school, community, and
country

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

Core Values Quarter F.R. Quarter F.R. Quarter F.R.
Behavior Statements
1 2 3 4 1 2 3 4 1 2 3 4
Expresses one’s spiritual beliefs while RO RO SO SO SO SO SO SO SO SO
respecting the spiritual beliefs of
1. Maka- others
Diyos Shows adherence to ethical RO RO SO SO SO SO SO SO SO SO
principles by upholding the truth
Is sensitive to individual, social RO RO SO SO SO SO SO SO SO SO
and cultural differences
2. Makatao Demonstrates contribution RO RO SO SO SO SO SO SO SO SO
toward solidarity
3. Maka- Cares for the environment and RO RO SO SO SO SO SO SO SO SO
utilizes resources wisely,
kalikasan
judiciously, and economically
Demonstrates pride in being a Filipino; RO RO SO SO SO SO SO SO SO SO
exercises the rights and
responsibilities of a Filipino citizen.
Demonstrates appropriate SO SO SO SO SO SO SO SO SO SO
4.Makabansa 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 School Cause No. of Cause No. of School
School Days Absent Times Days Present
Days Tardy
1 201 6 Sickness 0 N/A 195
2 195 0 Sickness 0 N/A 195
3 195 10 Sickness 0 N/A 185
4 194 3 Sickness 0 N/A 191
5 203 5 Sickness 0 N/A 198
6

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