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 8
(Region 8)

PALAGIANG TALAAN SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PERMANENT RECORD)
Pangalan________________________________Sangay___________________Paaralan_____________________________
( Name)

Apelyedo

Unang Pangalan

M.I. (Division)

(School)

Kasarian_________ Petsa ng Kapanganakan __________________Pook _____________________________Petsa ng Pagpasok____________________

(Sex)
(Date of Birth)
(Place)Bayan/Lalawigan/Lungsod
(Date of Entrance)
Magulang/Tagapag-alaga______________________________________________________________________________________________________
Pangalan
Tirahan
Hanapbuhay
(Name)
(Address)
(Occupation)

PAG-UNLAD SA MABABANG PAARALAN

( ELEMENTARY SCHOOL PROGRESS )
Grade I School____________________________________________
School Year _______________________________________
Periodic Rating
Learning Areas
Remarks
1
2
3
4

Grade II School____________________________________________
School Year _______________________________________
Periodic Rating
Learning Areas
Remarks
1
2
3
4

Filipino

Filipino

English
Mathematics

English
Mathematics

MAKABAYAN
Sibika at Kultura

MAKABAYAN
Sibika at Kultura

Character Education

Character Education

Eligible for Admission to Grade ___________________________

Eligible for Admission to Grade ___________________________

Grade III School___________________________________________

School Year _______________________________________
Periodic Rating
Learning Areas
Remarks
1
2
3
4

Grade IV School___________________________________________
School Year _______________________________________
Periodic Rating
Learning Areas
Remarks
1 2 3 4

Filipino
English

Filipino
English

Mathematics
Science and Health

Mathematics
Science and Health

MAKABAYAN
Sibika at Kultura

MAKABAYAN
Sibika at Kultura

Character Education

Heograpiya/Kasaysayan/Sibika (HKS)
Edikasyong Pantahanan at Pangkabuhayan ( EPP)

Eligible for Admission to Grade ___________________________

Musika,Sining at Edukasyon sa
Pagpapalakas ng Katawan

(MSEP)

Eligible for Admission to Grade ___________________________

Grade V School___________________________________________
School Year _______________________________________
Periodic Rating
Learning Areas
1 2 3 4 Remarks
Filipino
English
Mathematics
Science and Health
MAKABAYAN
Sibika at Kultura
Heograpiya/Kasaysayan/Sibika (HKS)

Grade VI School___________________________________________
School Year _______________________________________
Periodic Rating
Learning Areas
1 2 3 4 Remarks
Filipino
English
Mathematics
Science and Health
MAKABAYAN
Sibika at Kultura
Heograpiya/Kasaysayan/Sibika (HKS)

Edikasyong Pantahanan at Pangkabuhayan ( EPP)

Edikasyong Pantahanan at Pangkabuhayan ( EPP)

Musika,Sining at Edukasyon sa
Pagpapalakas ng Katawan ( MSEP)

Musika,Sining at Edukasyon sa
Pagpapalakas ng Katawan

Character Education
Eligible for Admission to Grade ___________________________

Character Education
Eligible for Admission to Grade ___________________________

(MSEP)

III. CHARACTER BUILDING

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.

Gr._____Sch. Yr. _______

2
3
4
F.R.

Gr._____Sch. Yr. _______

2
3
4
F.R.

Gr._____Sch. Yr. ______

1
2
3
4
F.R.

Gr._____Sch. Yr. _______

2
3
4
F.R.

Gr._____Sch. Yr. _______

2
3
4
F.R.

Gr._____Sch. Yr. ______

1
2
3
4
F.R.

Honesty
Courtesy
Helpfulness and Cooperation
Resourcefulness and Creativity
Consideration for Others
Sportsmanship
Obedience
Self Reliance
Industry
Cleanliness and Orderliness
Promptness and Punctuality
Sense of Responsibility
Love of God
Patriotism and Love of Country

Honesty
Courtesy
Helpfulness and Cooperation
Resourcefulness and Creativity
Consideration for Others
Sportsmanship
Obedience
Self Reliance
Industry
Cleanliness and Orderliness
Promptness and Punctuality
Sense of Responsibility
Love of God
Patriotism and Love of Country

IV. ATTENDANCE RECORD.

Grade

No. of
School
Days

A Outstanding

B Very Good

No. of School Days

Absent

Cause

C Good
No. of Times
Tardy

D Fair
Cause

E - Poor
No. of School
Days Present

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