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: VIII
(Region)
PALAGIANG TALAAN SA MABABANG PAARALAN
(Elementary School Permanent Record) LRN: 121962140046

Pangalan: DALUMIAS, JOHN CELDREK C. Sangay: TACLOBAN CITY Paaralan: A. TUMAMAK ELEMENTARY SCHOOL
(Name) Apelyido Unang Pangalan M.I. (Division) (School)

Kasarian: LALAKI Petsa ng Kapanganakan: 09-28-2010 Pook: TACLOBAN CITY Petsa ng Pagpasok: 06-01-2015
(Sex) (Date of Birth) (Place) Bayan/lalawigan/Lunsod (Date of Entrance)
(Town/Province/City)
Magulang/Tagapag-alaga: _______CECIL CORPIZ__ BRGY. 105 SAN ISIDRO SUHI
(Parent/Guardian) Pangalan Tirahan Hanap buhay
(Name) (Address) (Occupation)
PAG-UNLAD SA MABABANG PAARALAN
(Elementary School Progress)

Grade I-School A. TUMAMAK ELEMENTARY SCHOOL_____________________ MAPEH 77 79 82 83 80 PASSED

School Year_________________S.Y. 2016 – 2017 Music 77 78 80 82
_________________________________
Arts 78 80 83 83
Periodic Rating 77 79 81 82
LEARNING AREAS Remarks Physical Education
1 2 3 4
Health 77 80 82 84
Mother Tongue 75 76 77 80 77 PASSED
Filipino - 75 79 80 78 PASSED General Average 81 PROMOTED
English - - 75 78 77 PASSED Eligible for admission to Grade __________________SIX______ ______________
Mathematics 75 75 76 78 76 PASSED Grade II-School A. TUMAMAK ELEMENTARY
Araling Panlipunan 76 77 78 79 78 PASSED SCHOOL____________________
Edukasyon sa Pagpapakatao (EsP) 79 79 81 82 80 PASSED School Year_________________S.Y. 2017 – 2018
MAPEH 77 77 79 80 78 PASSED _________________________________
Music 78 78 79 79
Periodic Rating
Arts 76 77 79 79 LEARNING AREAS Remarks
1 2 3 4
Physical Education 76 77 79 81 Mother Tongue 79 81 82 82 81 PASSED
Filipino 77 78 79 77 78 PASSED
Health 77 78 80 81
English 76 78 78 76 77 PASSED
General Average 78 PROMOTED Mathematics 76 79 79 79 78 PASSED
Eligible for Admission to Grade____________________TWO____________________ Araling Panlipunan 78 79 80 80 79 PASSED
Edukasyon sa Pagpapakatao (EsP) 78 82 83 83 82 PASSED
Grade III-School GREENDALE RESIDENCES INTEGRATED SCHOOL MAPEH 78 80 81 80 82 PASSED
School Year_________________S.Y. 2018 – 2019 Music 79 80 81 80
_________________________________
Arts 78 80 81 80
Periodic Rating
LEARNING AREAS Remarks Physical Education 78 80 82 80
1 2 3 4
Mother Tongue 78 77 77 78 78 PASSED Health 75 80 81 80
Filipino 78 77 77 78 78 PASSED General Average 79 PROMOTED
English 77 76 77 78 77 PASSED
Eligible for Admission to Grade_________________THREE_____________________________
Mathematics 75 75 76 77 76 PASSED
Science 77 76 77 78 77 PASSED Grade IV-School GREENDALE RESIDENCES INTEGRATED SCHOOL
Araling Panlipunan 78 77 77 78 78 PASSED School Year_________________S.Y. 2019 – 2020
Edukasyon sa Pagpapakatao (EsP) 80 78 77 78 78 PASSED _________________________________
MAPEH 79 78 78 78 78 PASSED
Periodic Rating
Music 78 77 77 78 LEARNING AREAS Remarks
1 2 3 4
Arts 78 78 78 78 Filipino 75 75 77 75 75 PASSED
Physical Education 79 79 79 78 English 75 75 75 78 75 PASSED
79 77 77 78
Mathematics 75 75 75 75 75 PASSED
Health
Science 75 75 76 78 76 PASSED
Araling Panlipunan 75 75 75 78 75 PASSED
General Average 77 PROMOTED Edukasyon sa Pagpapakatao (EsP) 75 75 80 78 77 PASSED
Edukasyong Pantahan at 75 75 75 75 75 PASSED
Eligible for Admission to Grade________________FOUR__________________________
Pangkabuhayan (EPP)
Grade V-School GREENDALE RESIDENCES INTEGRATED SCHOOL MAPEH 75 75 76 75 75 PASSED
Music 75 75 75 75
School Year_________________S.Y. 2020 – 2021
_________________________________ Arts 75 75 76 75

Periodic Rating Physical Education 75 75 76 75

LEARNING AREAS Remarks
1 2 3 4 Health 75 75 76 75
Filipino 81 79 82 82 81 PASSED
English 75 77 81 82 79 PASSED General Average 75 PROMOTED
Mathematics 75 75 83 85 80 PASSED Eligible for Admission to Grade_______________FIVE________________________
Science 75 77 81 83 80 PASSED
Araling Panlipunan 84 85 85 80 84 PASSED Grade VI-School_______________________________________________________________
Edukasyon sa Pagpapakatao (EsP) 80 80 83 84 82 PASSED School Year__________________________________________________________________
Edukasyong Pantahan at 80 80 82 83 81 PASSED Periodic Rating
Pangkabuhayan (EPP) LEARNING AREAS Remarks
1 2 3 4
Filipino Pangkabuhayan (EPP)
English MAPEH

Mathematics Music

Science Arts

Araling Panlipunan Physical Education

Edukasyon sa Pagpapakatao (EsP) Health

Edukasyong Pantahan at General Average

Eligible for admission to Grade _________________________________
III. REPORT ON LEARNER’S OBSERVED VALUES
Gr. 1 S.Y. 2017-2018__ Gr. 2 S.Y._ 2017-2018 Gr. 3 S.Y. 2018-2019__
Core Values Quarter Quarter Quarter
Behavior Statements
1 2 3 4 FR 1 2 3 4 FR 1 2 3 4 FR
Expresses one’s spiritual beliefs
1. Maka- while respecting the spiritual SO SO SO SO SO SO SO SO SO SO RO RO RO RO RO
Diyos beliefs of others.
Shows adherence to ethical
SO SO SO SO SO SO SO SO SO SO RO RO RO RO RO
principles by upholding truth.
Is sensitive to individual, social
SO SO SO SO SO SO SO SO SO SO RO RO RO RO RO
2. Makatao and cultural differences.
Demonstrates contributions
SO SO SO SO SO SO SO SO SO SO RO RO RO RO RO
toward solidarity.
Cares for the environment and
3. Maka- utilizes resources wisely, SO SO SO SO SO SO SO SO SO SO RO RO RO RO RO
kalikasan judiciously, and economically.
Demonstrates pride in being a
Filipino; exercises the rights and
responsibi-lities of a Filipino SO SO SO SO SO SO SO SO SO SO RO RO RO RO RO
citizen.
4.Makabansa
Demonstrates appropriate
behavior in carrying out activities
SO SO SO SO SO SO SO SO SO SO RO RO RO RO RO
in the school, community, and
country
Gr. 4 S.Y. 2019-2020__ Gr. 5 S.Y. 2020-2021 Gr. 6 S.Y. _______________
Core Values Quarter Quarter Quarter
Behavior Statements
1 2 3 4 FR 1 2 3 4 FR 1 2 3 4 FR
Expresses one’s spiritual beliefs
1. Maka- while respecting the spiritual RO RO RO RO RO
Diyos beliefs of others.
Shows adherence to ethical
RO RO RO RO RO
principles by upholding truth.
Is sensitive to individual, social
RO RO RO RO RO
2. Makatao and cultural differences.
Demonstrates contributions
RO RO RO RO RO
toward solidarity.
Cares for the environment and
3. Maka- utilizes resources wisely, RO RO RO RO RO
kalikasan judiciously, and economically.
Demonstrates pride in being a
Filipino; exercises the rights and
responsibi-lities of a Filipino RO RO RO RO RO
citizen.
4.Makabansa
Demonstrates appropriate
behavior in carrying out activities
RO RO RO RO RO
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 Cause No. of Cause No. of
School School Days Times School Days
Days Absent Tardy Present
I 202 9 Illness - - 193
II 195 6 Sickness - - 189
III 195 2 Sickness - - 193
IV 203 39 Truancy - - 164
V 205 3 Sickness - - 202
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 of Grade/Year_____________________.
 _____________________________________________
Signature

___________________________________________ ____________________________________________
Date Designation