Republika ng Pilipinas

(Republic of the Philippines)

Kagawaran ng Edukasyon
(Department of Education)
KAWANIHAN NG EDUKASYON ELEMENTARYA
(BUREAU OF ELEMENTARY EDUCATION)
(Division of Capiz)
Lalawigan ng Capiz
District of Pilar
Distrito ng Pilar
MONTEFLOR ELEMENTARY SCHOOL
PALAGIANG TALAAN SA MABABANG PAARALAN
(Elementary School Permanent Record)
LRN:
Pangalan: Sangay: CAPIZ Paaralan: MONTEFLOR E/S
(Name) Apelyido Unang Pangalan M.I. (Division) (School)
Kasarian: Petsa ng Kapanganakan: Pook: Petsa ng Pagpasok:
(Sex) (Date of Birth) (Place) Bayan/lalawigan/Lunsod
(Town/Province/City)
Magulang/Tagapag-alaga:
(Parent/Guardian) Pangalan (Name) Tirahan (Address ) Occupation (Hanapbuhay)
PAG-UNLAD SA MABABANG PAARALAN
(Elementary School Progress)

Grade I-School: GradeII-School:

School Year: School Year:

Periodical Rating Final Periodical Rating Final

Learning Areas REMARKS Learning Areas REMARKS
1 2 3 4 Rating 1 2 3 4 Rating
MTB / MLE PASSED MTB / MLE PASSED
Filipino PASSED Filipino PASSED
English PASSED English PASSED
Mathematics PASSED Mathematics PASSED
Araling Panlipunan PASSED Araling Panlipunan PASSED
MAPEH PASSED MAPEH PASSED
Music Music
Art Art
Physical Education Physical Education
Health Health
Edukasyon sa Pagpapakatao PASSED Edukasyon sa Pagpapakatao PASSED
General Average PROMOTED General Average PROMOTED
Eligible for Admission to Grade: II Eligible for Admission to Grade: III
Grade III-School: Grade I-School:
School Year: School Year:
Periodical Rating Final Periodical Rating Final
Learning Areas 1 2 3 4 REMARKS Learning Areas 1 2 3 4 REMARKS
Rating Rating
MTB / MLE PASSED Filipino PASSED
Filipino PASSED English PASSED
English PASSED Science PASSED
Science PASSED Mathematics PASSED
Mathematics PASSED Araling Panlipunan PASSED
Araling Panlipunan PASSED Edukasyon sa Pagpapakatao PASSED
MAPEH PASSED EPP PASSED
Music MAPEH PASSED
Art Music
Physical Education Arts
Health PE
Edukasyon sa Pagpapakatao PASSED Health
General Average PROMOTED General Average PROMOTED
Eligible for Admission to Grade: IV Eligible for Admission to Grade: V
Grade V-School: GradeVI-School: MONTEFLOR ELEMENTARY SCHOOL
School Year: School Year:
Periodical Rating FINAL Periodical Rating Final
Learning Areas REMARKS Learning Areas REMARKS
1 2 3 4 RATING 1 2 3 4 Rating
Filipino PASSED Filipino PASSED
English PASSED English PASSED
Science PASSED Science PASSED
Mathematics PASSED Mathematics PASSED
Araling Panlipunan PASSED Araling Panlipunan PASSED
ESP PASSED ESP PASSED
EPP PASSED EPP PASSED
MAPEH PASSED MAPEH PASSED
Music Music
Arts Arts
PE PE
Health Health
General Average PROMOTED General Average PROMOTED
Eligible for Admission to Grade: VI Eligible for Admission to Grade: VII
III. REPORT ON LEARNER'S OBSERVED VALUES
Gr. 1 S.Y. Gr. 2 S.Y. Gr. 3
Quarter Quarter Quarter
Core Values Behavior Statements 1 2 3 4 1 2 3 4 1 2 3 4

Expresses one's spiritual beliefs while

1. Maka-Diyos respecting the spiritual beliefs of
others

2. Makatao Shows adherence to ethical principles

by upholding truth

Cares for the environment and utilizes

3. Makakalikasan resources wisely, 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. Gr. 5 S.Y. Gr. 6

Quarter Quarter Quarter
Core Values Behavior Statements 1 2 3 4 1 2 3 4 1 2 3 4

Expresses one's spiritual beliefs while

1. Maka-Diyos respecting the spiritual beliefs of
others

2. Makatao Shows adherence to ethical principles

by upholding truth

Cares for the environment and utilizes

3. Makakalikasan resources wisely, 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
NO – Not Observed
AO – Always Observed SO – Sometimes Observed RO – Rarely Observed
IV. ATTENDANCE RECORD

No. of School No. of School No. of Times No. of School

Grade Cause Cause
Days Days Absent Tardy Days Present

I
II
III
IV
V
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 sent to:
Record of . He/She is eligible for transfer
and admission of Grade/Year___________.
__________ ARNALDO B. DELFIN
Date Signature
Principal I
Designation