DepEd Form 137-E

Republika ng Pilipinas
(Republic of the Philippines)
Kagawaran ng Edukasyon
(Department of Education)
KAWANIHAN NG EDUKASYONG ELEMENTARYA
(BUREAU OF ELEMENTARY EDUCATION)
Rehiyon XI
(Region XI)
SANGAY NG LUNGSOD NG TAGUM
(DIVISION OF TAGUM CITY)
PALAGIANG TALAAN SA MABABANG PAARALAN
(ELEMENTARY SCHOOL PERMANENT RECORD)
I.

Pangalan ____________________________________________________ Sangay _________________ Paaralan ___________________________________

(Name) Apelyido Unang Ngalan M.I. (Division) (School)

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)

Grade I - School_____________________ Grade II - School____________________

School Year_________________ School Year________________
Periodic Rating Periodic Rating
Learning Areas Remarks Learning Areas Remarks
1 2 3 4 1 2 3 4
Filipino Filipino
English English
Mathematics Mathematics
MAKABAYAN MAKABAYAN
*Sibika at Kultura *Sibika at Kultura
*Character Education *Character Education
**ALIVE **ALIVE
General Average General Average
Eligible for Admission to Grade___________ Eligible for Admission to Grade___________

Grade III - School_____________________ Grade IV - School____________________

School Year_________________ School Year________________
Periodic Rating Periodic Rating
Learning Areas Remarks Learning Areas Remarks
1 2 3 4 1 2 3 4
Filipino Filipino
English English
Mathematics Mathematics
Science Science
MAKABAYAN MAKABAYAN
* Heograpiya/ Kasaysayan/
*Sibika at Kultura Sibika (HKS)
*Edukasyong Pantahanan at
*Character Education Pangkabuhayan (EPP)
* Musika, Sining at Edukasyon
sa Pagpapalakas ng Katawan
(MSEP)
*Character Education
**ALIVE **ALIVE
General Average General Average
Eligible for Admission to Grade___________ Eligible for Admission to Grade___________

Grade V – School_____________________ Grade VI – School____________________

School Year_________________ School Year________________
Periodic Rating Periodic Rating
Learning Areas Remarks Learning Areas Remarks
1 2 3 4 1 2 3 4
Filipino Filipino
English English
Mathematics Mathematics
Science Science
MAKABAYAN MAKABAYAN
* Heograpiya/ Kasaysayan/ * Heograpiya/ Kasaysayan/ Sibika
Sibika (HKS) (HKS)
*Edukasyong Pantahanan at *Edukasyong Pantahanan at
Pangkabuhayan (EPP) Pangkabuhayan (EPP)
* Musika, Sining at Edukasyon
* Musika, Sining at Edukasyon sa
sa Pagpapalakas ng Katawan
Pagpapalakas ng Katawan (MSEP)
(MSEP)
*Character Education *Character Education
** ALIVE ** ALIVE
General Average General Average
Eligible for Admission to Grade___________ Eligible for Admission to Grade___________
Legend: * - Makabayan Components ** - Muslim Class

III. CHARACTER BUILDING

Gr.________ Sch. Yr.________ Gr.________ Sch. Yr.________ Gr.________ Sch. Yr.________

1 2 3 4 F.R. 1 2 3 4 F.R. 1 2 3 4 F.R.
1. Honesty
2. Courtesy
3. Helpfulness & Cooperation
4. Resourcefulness & Creativity
5. Consideration for Others
6. Sportsmanship
7. Obedience
8. Self-Reliance
9. Industry
10. Cleanliness & Orderliness
11. Promptness & Punctuality
12. Sense of Responsibility
13. Love of God
14. Patriotism & Love of Country
Average

Gr.________ Sch. Yr.________ Gr.________ Sch. Yr.________ Gr.________ Sch. Yr.________

1 2 3 4 F.R. 1 2 3 4 F.R. 1 2 3 4 F.R.
1. Honesty
2. Courtesy
3. Helpfulness & Cooperation
4. Resourcefulness & Creativity
5. Consideration for Others
6. Sportsmanship
7. Obedience
8. Self-Reliance
9. Industry
10. Cleanliness & Orderliness
11. Promptness & Punctuality
12. Sense of Responsibility
13. Love of God
14. Patriotism & Love of Country
Average

A – Outstanding C – Good D – Fair

B – Very Good E – Poor

IV. ATTENDANCE RECORD

No. of No. of
No. of School No. of School
Grade School Cause Times Cause
Days Absent Days Present
Days Tardy

CERTIFICATE OF TRANSFER

TO WHOM IT MAY CONCERN:

This is to certify that this is a true record of the Elementary School Record of
___________________________________. He/She is eligible for transfer and admission to
Grade/Year______________________.

______________________________
Signature
___________________________
Date
DepEd Form 137-E

Republika ng Pilipinas
(Republic of the Philippines)
Kagawaran ng Edukasyon
(Department of Education)
KAWANIHAN NG EDUKASYONG ELEMENTARYA
(BUREAU OF ELEMENTARY EDUCATION)
Rehiyon XI
(Region XI)
SANGAY NG LUNGSOD NG TAGUM
(DIVISION OF TAGUM CITY)
PALAGIANG TALAAN SA MABABANG PAARALAN
(ELEMENTARY SCHOOL PERMANENT RECORD)
I.

Pangalan ____________________________________________________ Sangay _________________ Paaralan ___________________________________

(Name) Apelyido Unang Ngalan M.I. (Division) (School)

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)
II.
PAG-UNLAD SA MABABANG PAARALAN
(ELEMENTARY SCHOOL PROGRESS)

Grade I - School_____________________ Grade II - School____________________

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
MAPEH MAPEH
*Music *Music
*Arts *Arts
*PE *PE
*Health *Health
EsP EsP
**ALIVE **ALIVE
General Average General Average
Eligible for Admission to Grade___________ Eligible for Admission to Grade___________

Grade III - School_____________________ Grade IV - School____________________

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
Filipino English
English Mathematics
Mathematics Science
Science MAKABAYAN
Araling Panlipunan * Araling Panlipunan
MAPEH * EPP
*Music * MAPEH
*Arts * EsP
*PE **ALIVE
*Health
EsP
**ALIVE
General Average General Average
Eligible for Admission to Grade___________ Eligible for Admission to Grade___________
Legend: Grades 1-3: * - MAPEH Components, ** - Muslim Class

Grade V – School_____________________ Grade VI – School____________________

School Year_________________ School Year________________
Periodic Rating Periodic Rating
Learning Areas Remarks Learning Areas Remarks
1 2 3 4 1 2 3 4
Filipino Filipino
English English
Mathematics Mathematics
Science Science
MAKABAYAN MAKABAYAN
* Araling Panlipunan * Araling Panlipunan
* EPP * EPP
* MAPEH * MAPEH
* EsP * EsP
** ALIVE ** ALIVE
General Average General Average
Eligible for Admission to Grade___________ Eligible for Admission to Grade___________
Legend: Grades 4-6: * - Makabayan Components, ** - Muslim Class