School School Year 20____ ­ 20____ Section

PERIODICAL RATING Action Units Extra-curricular

SUBJECT Final Rating
1 2 3 4 Taken Earned Activities
Filipino
English
Mathem atics
Science
Araling Panlipunan
EsP
EPP/TLE
MAPEH
Music
Arts
PE
Health
Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May TOTAL
Days of School
Days Present
Has Advance Units in
Lacks Units in
To be Classified as Total number of years in School to date
(Cur. Year)
REPORT ON LEARNER'S OBSERVED VALUES
Quarter
Core Values Behavior Statem ents
1 2 3 4
Expresses one's spiritual beliefs w hile
1. MAKA-DIYOS respecting the spiritual beliefs of others
Show s adherence to ethical principles by upholding truth
Is sensitive to individual, social, and cultural differences
2. MAKATAO
Demonstrates contributions tow ards solidarity
Cares for the environment and utilizes resources w isely,
3. MAKAKALIKASAN
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

CERTIFICATE OF TRANSFER
To Whom It May Concern:
I certify that this is a true record of , the student is eligible, on this day of
, 20______, for admission to the year as a regular/an irregular and had no
money or property responsibility in this school.
Remarks
Audita W. Cambod
(Principal)

Copy of this record sent to principal of School

on , 20 .

(Principal)
F orm 137-A
Republic of the Philippines
DEPARTMENT OF EDUCATION
REGION II – CAGAYAN VALLEY
SCHOOLS DIVISION OF SANTIAGO CITY
RIZAL NATIONAL HIGH SCHOOL
RIZAL, SANTIAGO CITY

SECONDARY STUDE NT'S PERM ANENT RECORD

CAMANGENG, JAYSON Date of Birth: Year______Month_____Day______Sex____

(Surname) (Given Name)
Place of Birth: Province Town Barrio
Parent Guardian:
(Name) (Address) (Occupati on)
Elementary course completed School Level Gen. Ave
RECORD OF STANDARD INTELLIGENCE AND ACHIEVEMENT TEST

Nam e and Form of Tes t Score Percentile Nam e and Form of Tes t Score Received Percentile Rank

School Rizal National High School Level Secti on

Total number of years in school to date School Year 20_____ - 20 _____

PERIODICAL RATING Action Units Extra-curricular

SUBJECT Final Rating
1 2 3 4 Taken Earned Activities
Filipino 80 81 83 85 82
Englis h 83 82 85 88 85
M athe m atics 87 88 88 90 89
Scie nce 89 88 89 90 89
Ar aling Panlipunan 90 90 91 92 91
Es P 90 89 91 93 91
EPP/TLE 88 89 89 90 89
M APEH 81 82 83 86
Music 80 81 81 84
Arts 80 81 82 85
PE 80 81 85 87
Health 85 85 85 87
Jun Jul A ug Sep Oct Nov Dec Jan Feb Mar Apr May TOTAL
Days of School
Days Present
Has Advance Units in
Lacks Units in
To be Classif ied as Total number of years in School to date
(Cur. Year)
School Rizal National High School School Y ear 20____ ­ 20____ Section
PERIODICAL RATING Action Units Extra-curricular
SUBJECT Final Rating
1 2 3 4 Taken Earned Activities
M TB-M LE (Grade s 1 to 3) 80 80 82 83 81
Filipino 83 82 85 87 84
Englis h 87 88 88 89 88
M athe m atics 82 84 85 88 85
Scie nce 84 87 89 90 88
Ar aling Panlipunan 84 88 88 90 88
Es P 87 86 87 89 87
EPP/TLE
M APEH 80 81 81 84
Music 80 81 83 84
Arts 80 81 85 84
PE 85 85 85 85
Health
Jun Jul A ug Sep Oct Nov Dec Jan Feb Mar Apr May TOTAL
Days of School
Days Present
Has Advance Units in
Lacks Units in
To be Classif ied as Total number of years in School to date
(Cur. Year)

NAME CAMANGENG, JAYSON

(Surname) (First Name)
School Rizal National High School School Y ear 20____ ­ 20____ Section DILIGENCE
PERIODICAL RATING Action Units Extra-curricular
SUBJECT Final Rating
1 2 3 4 Taken Earned Activities
Filipino 85 85 86 86
Englis h 84 85 88 88
M athe m atics 87 88 90 88
Scie nce 88 87 97 95
Ar aling Panlipunan 94 94 85 84
Es P 83 83 90 82
EPP/TLE 88 88 89 90
M APEH 81 82 83 82
Music 82 82 84
Arts 80 81 83
PE 82 82 85
Health 80 81 83
Jun Jul A ug Sep Oct Nov Dec Jan Feb Mar Apr May TOTAL
Days of School
Days Present
Has Advance Units in
Lacks Units in
To be Classif ied as Total number of years in School to date
(Cur. Year)