FORM 137-E

Republika ng Pilipinas
(Republic of the Philippines)
Kagawaran ng Edukasyon
(Department of Education)
KAWANIHAN NG EDUKASYON SA ELEMENTARYA
(BUREAU OF ELEMENTARY EDUCATION)
Region VIII

CADARAGAN ELEMENTARY SCHOOL

PALAGIANG TALAAN SA MABABANG PAARALAN
(Elementary School Permanent Record) LRN: 123761080001
ADVINCULA, MILA ROSE E.
Pangalan ___________________________._________________________Sangay___Samar____Paaralan__Cadaragan Elementary School_
_ (Name) Apelyido Unang Pangalan M.I. (Division) (School)

Kasarian_Female__Petsa ng Kapanganakan 08-26-2001 Pook__Sta. Rita, Samar Petsa ng Pagpasok 06-04-12____

(Sex) (Date of Birth) (Place) Bayan/Lalawigan/Lunsod (Date of Entrance)
(Town/Province/City)
Magulang/Tagapag-alaga____________________________________________________________________________________________________________________
(Parent/Guardian) Pangalan (Name) Tirahan (Address) Hanapbuhay (Occupation)
PAG-UNLAD SA MABABANG PAARALAN
(Elementary School Progress)
Grade I-School: Cadaragan Elementary School Araling Panlipunan
Year:__2012 – 2013__ Edukasyon sa Pagpapakatao (EsP)
Periodic Rating Final Grade/
LEARNING AREAS EPP
1 2 3 4 Remarks
Edukasyon sa Pagpapakatao (EsP) MAPEH
Mother Tongue Music
English Art
Mathematics Physical Education
Filipino Health
Araling Panlipunan General Average
MAPEH Eligible for admission to Grade _________________________________
Music
Grade II-School Cadaragan Elementary School
Art
School Year___2013 - 2014___
Physical Education
Periodic Rating Final Grade/
Health LEARNING AREAS
1 2 3 4 Remarks
General Average Mother Tongue
Eligible for Admission to Grade______________________________________________ Filipino
Grade III-School: Cadaragan Elementary School English
School Year:__2014 - 2015___ Mathematics
Periodic Rating Final Grade/ Araling Panlipunan
LEARNING AREAS
1 2 3 4 Remarks
MAPEH
Edukasyon sa Pagpapakatao (EsP)
Music
Mother Tongue
Art
English
Physical Education
Mathematics
Health
Science
Edukasyon sa Pagpapakatao (EsP)
Filipino
General Average
Araling Panlipunan
Eligible for Admission to Grade______________________________________________
MAPEH
Grade IV-School:_ Cadaragan Elementary School
Music
School Year: 2015 - 2016____
Art
Periodic Rating Final Grade/
Physical Education LEARNING AREAS
1 2 3 4 Remarks
Health Filipino
English
General Average Mathematics
Eligible for Admission to Grade______________________________________________ Science
Grade V-School: Cadaragan Elementary School Araling Panlipunan
School Year:__2016 - 2017____ Edukasyon sa Pagpapakatao (EsP)
Periodic Rating Final Grade/ EPP
LEARNING AREAS
1 2 3 4 Remarks
MAPEH
Filipino
Music
English
Art
Mathematics
Physical Education
Science
Health
 General Average Araling Panlipunan
Eligible for Admission to Grade______________________________________________ Edukasyon sa Pagpapakatao
Grade VI-School Cadaragan Elementary School EPP/TLE
School Year___2017- 2018____ MAPEH
Periodic Rating Final Grade/ Music
LEARNING AREAS
1 2 3 4 Remarks
Art
Filipino
Physical Education
English
Health
Mathematics
General Average
Science
Eligible for admission to Grade _________________________________

III. REPORT ON LEARNER’S OBSERVED VALUES

Gr. 1 S.Y. __2012 – 2013___ Gr. 2 S.Y. _2013 - 2014___ Gr. 3 S.Y. _2014 - 2015_
Core Values Quarter Quarter Quarter
Behavior Statements
1 2 3 4 1 2 3 4 1 2 3 4
Expresses one’s spiritual
1. Maka- beliefs while respecting the
Diyos spiritual beliefs of others
Shows adherence to ethical
2. Makatao principles by upholding truth

Cares for the environment

3. Maka- and utilizes resources wisely,
kalikasan judiciously, and economically

Demonstrates pride in being

a Filipino; exercises the rights
and responsibi-lities of a
Filipino citizen.
4. Makabansa
Demonstrates appropriate
behavior in carrying out
activities in the school,
community, and country

Gr. 4 S.Y. _2015 - 2016__ Gr. 5 S.Y. _2016 - 2017__ Gr. 6 S.Y. _2017 - 2018__
Core Values Quarter Quarter Quarter
Behavior Statements
1 2 3 4 1 2 3 4 1 2 3 4
1. Maka- Expresses one’s spiritual
Diyos beliefs while respecting the
spiritual beliefs of others
Shows adherence to ethical
2. Makatao principles by upholding truth

Cares for the environment

3. Maka- and utilizes resources wisely,
kalikasan judiciously, and economically

Demonstrates pride in being

a Filipino; exercises the rights
and responsibilities of a
Filipino citizen.
4. Makabansa
Demonstrates appropriate
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 No. of No. of
School School Days Cause Times Cause School Days
Days Absent Tardy 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 _________________________________.
She/he is eligible for transfer and admission of Grade/Year_____________________.

___________________________________________ _______________________________________
Date School head