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Republika ng Pilipinas

(Republic of the Philippines)


(Department of Education)
KAWANIHAN NG EDUKASYONG ELEMENTARYA
(BUREAU OF ELEMENTARY EDUCATION)
Rehiyon VIII
PALAGIANG TALAAN SA MABABANG PAARALAN
(ELEMENTARY SCHOOL PERMANENT RECORD)

I. Pangalan:___________________________________ Sangay:________ Paaralan: ____________________________________


(Name) Apelyido Unang Pangalan MI (Division) (School)

Kasarian; Petsa ng Kapanganakan: _______________ Pook: _______________Petsa ng Pagpasok: _________________


(Sex) (Date of Birth) (Place of Birth) (Date of Entrance)
Magulang/Tagapag-alaga: ____________________________________________________________________________________
Pangalan Tirahan Hanapbuhay
(Name) (Address) (Occupation)
II. PAG-UNLAD SA MABABANG PAARALAN
(ELEMENTARY SCHOOL PROGRESS)

Grade I- School:__________________________________ Grade II- School: _________________________________________


School Year:__________________ School Year: _________________
Learning Areas Periodical Rating Remarks Learning Areas Periodical Rating Remarks
1 2 3 4 1 2 3 4

Gen. Average Gen. Average

Eligible for Admission to Grade__ __ Eligible for Admission to Grade__ __

Grade III- School: _______________________________________ Grade IV- School: _________________________________


School Year:________________ School Year: _____________________

Learning Areas Periodical Rating Remarks Learning Areas Periodical Rating Remarks
1 2 3 4 1 2 3 4

Gen. Average Gen. Average

Eligible for Admission to Grade__ Eligible for Admission to Grade__

Grade III- School:______________________________________ Grade III- School: __________________________________


School Year:__________________ School Year: ________________
Learning Areas Periodical Rating Remarks Learning Areas Periodical Rating Remarks
1 2 3 4 1 2 3 4

Gen. Average Gen. Average


Eligible for Admission to Grade__
Eligible for Admission to Grade__

CHARACTER BUILDING ACTIVITIES

CORE VALUES Gr________Sch. Yr._________ Gr________Sch. Yr._________ Gr________Sch. Yr._______


1 2 3 4 F.R. 1 2 3 4 F.R. 1 2 3 4 F.R.
Expresses one’s spiritual beliefs while
respecting the spiritual beliefs of others.
Shows adherence to ethical principles by
upholding the truth.
MAKATAO
Is sensitive to individual, social and cultural
differences.
Demonstrates constributions toward solidarity
MAKA-KALIKASAN
Cares for the environment and utilizes
resources wisely, judiciously, and economically
MAKA-BANSA
Demonstrates pride in being a Filipino; exercise
the rights and responsibilities of a Filipino citizen.
Demonstrates appropriate behavior in carrying
out activities in school, community, and country.

CORE VALUES Gr________Sch. Yr._________ Gr_______Sch. Yr._________ Gr_______Sch. Yr._________


1 2 3 4 F.R. 1 2 3 4 F.R. 1 2 3 4 F.R.
Expresses one’s spiritual beliefs while
respecting the spiritual beliefs of others.
Shows adherence to ethical principles by
upholding the truth.
MAKATAO
Is sensitive to individual, social and cultural
differences.
Demonstrates constributions toward solidarity
MAKA-KALIKASAN
Cares for the environment and utilizes
resources wisely, judiciously, and economically
MAKA-BANSA
Demonstrates pride in being a Filipino; exercise
the rights and responsibilities of a Filipino citizen.
Demonstrates appropriate behavior in carrying
out activities in school, community, and country.
AO- Always Observed RO- Rarely Observed

SO- Sometimes Observed NO- Not Observed

IV- ATTENDANCE RECORD

Grade No. of School No. of School Cause No. of Times Cause No. of
Days Days Absent Tardy 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 on Grade SEVEN.

__________________ _____________________
Date School Head

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