DepEd FORM 137-E

Republika ng Pilipinas
(Republic of the Philippines) LRN#:__________________
Kagawaran ng Edukasyon
(Department of Education)
KAWANIHAN NG EDUKASYONG ELEMENTARYA
(BUREAU OF ELEMENTARY EDUCATION)
Rehiyon III
(Region III)
Sangay ng Nueva Ecija
(Division of Nueva Ecija)
PALAGIANG TALAAN SA PAARALANG ELEMENTARYA
(ELEMENTARY SCHOOL PERMANENT RECORD)
I . Pangalan _____________________________________________________________Sangay ___Nueva Ecija_________ 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 ________________________________________________________________________________________________________________
Pangalan Tirahan Hanapbuhay
(Name) (Address) (Occupation)
PAG-UNLAD SA PAARALANG ELEMENTARYA
(ELEMENTARY SCHOOL PROGRESS)
Grade I - School Grade 2 - School
School Year School Year

Periodic Rating Final Periodic Rating Final

Learning Areas Remarks Learning Areas Remarks
1 2 3 4 Ratings 1 2 3 4 Ratings
Filipino Filipino
English English
Mathematics Mathematics
Science Science
Araling Panlipunan Araling Panlipunan
Eduk. sa Eduk. sa
Pagpapakatao Pagpapakatao
MAPEH MAPEH
Music Music
Arts Arts
PE PE
Health Health
Mother Tongue Mother Tongue
AVERAGE AVERAGE
Signature of Adviser Signature of Adviser
Eligible for Admission to Grade Eligible for Admission to Grade

Grade 3 - School Grade 4 - School

School Year School Year

Periodic Rating Final Periodic Rating Final

Learning Areas Remarks Learning Areas Remarks
1 2 3 4 Ratings 1 2 3 4 Ratings
Filipino Filipino
English English
Mathematics Mathematics
Science Science
Araling Panlipunan Araling Panlipunan
Eduk. sa Eduk. sa
Pagpapakatao Pagpapakatao
MAPEH EPP
Music MAPEH
Arts Music
PE Arts
Health PE
Mother Tongue Health
AVERAGE AVERAGE
Signature of Adviser Signature of Adviser
Eligible for Admission to Grade Eligible for Admission to Grade

Grade 5 - School Grade 6 - School

School Year School Year

Periodic Rating Final Periodic Rating Final

Learning Areas Remarks Learning Areas Remarks
1 2 3 4 Ratings 1 2 3 4 Ratings
Filipino Filipino
English English
Mathematics Mathematics
Science Science
Araling Panlipunan Araling Panlipunan
Eduk. sa Eduk. sa
Pagpapakatao Pagpapakatao
EPP EPP
MAPEH MAPEH
Music Music
Arts Arts
PE PE
Health Health
AVERAGE AVERAGE
Signature of Adviser Signature of Adviser
Eligible for Admission to Grade Eligible for Admission to Grade
III. REPORT ON LEARNER’S OBSERVED VALUES

School Year________ School Year________ School Year________

Core Values Behavior Statements Grade I Grade 2 Grade 3
1 2 3 4 1 2 3 4 1 2 3 4
Expresses one’s spiritual beliefs while
1. Maka
respecting the spiritual beliefs of others
Dios
Shows adherence to ethical principles by
upholding the truth in all undertakings
Is sensitive to individual, social and cultural
differences, resist stereotyping people
2. Makatao
Demonstrates contributions towards
solidarity
Cares for the environment and utilizes
3. Maka
resources, wisely, judiciously and
Kalikasan
economically
Demostrates pride in being a Filipino,
exercises the rights and responsibilities of a
4. Maka Filipino citizen
Bansa Demonstrates appropriate behavior in
carrying out activities in the school
community and country

School Year________ School Year________ School Year________

Core Values Behavior Statements Grade 4 Grade 5 Grade 6
1 2 3 4 1 2 3 4 1 2 3 4
Expresses one’s spiritual beliefs while
1. Maka
respecting the spiritual beliefs of others
Dios
Shows adherence to ethical principles by
upholding the truth in all undertakings
Is sensitive to individual, social and cultural
differences, resist stereotyping people
2. Makatao
Demonstrates contributions towards
solidarity
Cares for the environment and utilizes
3. Maka
resources, wisely, judiciously and
Kalikasan
economically
Demostrates pride in being a Filipino,
exercises the rights and responsibilities of a
4. Maka Filipino citizen
Bansa Demonstrates appropriate behavior in
carrying out activities in the school
community and country

Marking Non-numerical Rating Marking Non-numerical Rating

AO Always Observed RO Rarely Observed
SO Sometimes Observed NO Not Observed

IV. ATTENDANCE RECORD

No. of No. of No. of

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

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 to Grade/Year _____________.

_______________________
Signature

___________________ _______________________
Date Designation