DepEd Form 137-E Republika ng Pilipinas

Departamento ng Edukasyon
Rehiyon VIII
SANGAY NG
LRN: ____________ PALAGIANG TALAAN SA MABABANG PAARALAN
(ELEMENTARY SCHOOL PERMANENT RECORD)
I. Pangalan _______________________________________________ Sangay _____________ Paaralan ____________________
(Name) Apelyido Unang Pangalan M.I. (Division) (School)
(Surname) (Given Name)
Kasarian _______ Petsa ng Kapanganakan __________ Pook _____________________ Petsa ng Pagpasok ___________
(Sex) (Date of Birth) (Place) Bayan/Lalawigan/Lungsod (Date of Entrance)
(Town/Province/City)
Magulang/Tagapag-alaga ________________________ _______________________ _______________
(Parent/Guardian) Pangalan Tirahan Hanapbuhay
(name) (Address) (Occupation)
PAG-UNLAD SA MABABANG PAARALAN
(ELEMENTARY SCHOOL PROGRESS)
II. School ______________________ Grade _______ School ____________________________ Grade ________
School Year ________________________________ School Year _______________________________________

Periodic Rating Periodic Rating

Learning Areas Remarks Learning Areas Remarks
1 2 3 4 1 2 3 4
Mother Tongue Mother Tongue
Filipino Filipino
English English
Mathematics Mathematics
Araling Panlipunan Araling Panlipunan
Eduk. sa Pagpapakatao Eduk. sa Pagpapakatao
MAPEH MAPEH
Music Music
Arts Arts
P.E. P.E.
Health Health
General Average General Average
Eligible for Admission to Grade _________ Eligible for Admission to Grade _________

School __________________________ Grade _______ School ____________________________ Grade ________

School Year ____________________________________ School Year _______________________________________
Periodic Rating Periodic Rating
Learning Areas Remarks Learning Areas Remarks
1 2 3 4 1 2 3 4
Mother Tongue
Filipino
English
Mathematics
Araling Panlipunan
Eduk. sa Pagpapakatao
MAPEH
Music
Arts
P.E.
Health
General Average General Average
Eligible for Admission to Grade _________ Eligible for Admission to Grade _________

School __________________________ Grade _______ School ____________________________ Grade ________

School Year ____________________________________ School Year ___________________________________________
Periodic Rating Periodic Rating
Learning Areas Remarks Learning Areas Remarks
1 2 3 4 1 2 3 4

General Average General Average

Eligible for Admission to Grade _________ Eligible for Admission to Grade _________
 III.CHARACTER BUILDING
Grade I S.Y. 2013-2014 Grade II S.Y. _______________ Grade III S.Y. _____________
No. Traits
1 2 3 4 FR 1 2 3 4 FR 1 2 3 4 FR
1 Honesty
2. Courtesy
3. Helpfulness & Cooperation
4. Resourcefulness & Cooperation
5. Consideration for others
6. Sportsmanship
7. Obedience
8. Self-Relience
9. Industry
10. Cleanliness and Orderliness
11. Promptness and punctuality
12. Sence of Responsibility
13. Love of God
14. Patriotism and Love of Country

Grade IV S.Y. _________ Grade V S.Y. _______________ Grade VI S.Y. _____________

No. Traits
1 2 3 4 FR 1 2 3 4 FR 1 2 3 4 FR
1 Honesty
2. Courtesy
3. Helpfulness & Cooperation
4. Resourcefulness & Cooperation
5. Consideration for others
6. Sportsmanship
7. Obedience
8. Self-Relience
9. Industry
10. Cleanliness and Orderliness
11. Promptness and punctuality
12. Sence of Responsibility
13. Love of God
14. Patriotism and Love of Country

Guidelines for Rating

Letter Grade Equivalent Numerical Rating
A Excellent 90 % and Above
B Very Good 85 % - 89 %
C Good 80 % - 84 %
D Fair 75 % - 79 %
E Poo 74 % and Below

IV.ATTENDANCE RECORD
No. of School No. of School No. of Days No. of School Days
Grade Cause Cause
Days Days Absent Tardy Present
I
II
III
IV
V
VI

CERTIFICATE OF TRANSFER

TO WHOM IT MAY CONCERN:

This is to certify that this is true record of the Elementary School Permanent Record of _________________________.
He / She is eligible for transfer and admission to Grade/Year ______________.

________________________________
Signature

___________________ ________________________________
Date Designation