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DepEd Form 137-E

I. Pangalan Sangay Paaralan


(Name) Apelyido Unang Pangalan M.I. (Division) (School)
Kasarian Petsa ng Kapanganakan Pook Petsa ng Pagpasok
(Sex) (Date of Birth) (Place) Bayan/Lalawigan/Lungsod
Magulang/Tagapag-alaga
(Parent / Guardian) Pangalan Tirahan Hanapbuhay
(Name) (Address) (Occupation)
Grade I - School Grade II - School
School Year School Year
1 2 3 4 1 2 3 4
Filipino Filipino
English English
Mathematics Mathematics
Makabayan Makabayan
* Sibika at Kultura * Sibika at Kultura
* MSEP * MSEP
* Character Education * Character Education
General Average General Average
Eligible for Admission to Grade Eligible for Admission to Grade
Grade III - School Grade IV - School
School Year School Year
1 2 3 4 1 2 3 4
Filipino Filipino
English English
Mathematics Mathematics
Science and Health Science and Health
Makabayan Makabayan
* Sibika at Kultura * HKS
* MSEP * EPP
* Character Education * MSEP
* Character Education
General Average General Average
Eligible for Admission to Grade Eligible for Admission to Grade
Grade V - School Grade VI - School
School Year School Year
1 2 3 4 1 2 3 4
Filipino Filipino
English English
Mathematics Mathematics
Science and Health Science and Health
Makabayan Makabayan
* HKS * HKS
* EPP * EPP
* MSEP * MSEP
* Character Education * Character Education
General Average General Average
Eligible for Admission to Grade Eligible for Admission to Grade
Periodic Rating Periodic Rating
Learning Areas
Republika ng Pilipinas
Learning Areas
Periodic Rating
Learning Areas
Periodic Rating
Learning Areas
Periodic Rating
PALAGIANG TALAAN SA MABABANG PAARALAN
(ELEMENTARY SCHOOL PERMANENT RECORD)
PALAGIANG TALAAN SA MABABANG PAARALAN
Periodic Rating
(ELEMENTARY SCHOOL PROGRESS)
Learning Areas Learning Areas Final Rating
Region IV - CALABARZON
(Republic of the Philippines)
Kagawaran ng Edukasyon
(Department of Education)
KAWANIHAN NG EDUKASYONG ELEMENTARYA
(BUREAU OF ELEMENTARY EDUCATION)
Rehiyon IV - CALABARZON
Final Rating
Final Rating Final Rating
Final Rating Final Rating
PALAGIANG TALAAN SA MABABANG PAARALAN
(ELEMENTARY SCHOOL PERMANENT RECORD)
PALAGIANG TALAAN SA MABABANG PAARALAN
(ELEMENTARY SCHOOL PROGRESS)
Final Rating
Region IV - CALABARZON
(Republic of the Philippines)
Kagawaran ng Edukasyon
(Department of Education)
KAWANIHAN NG EDUKASYONG ELEMENTARYA
(BUREAU OF ELEMENTARY EDUCATION)
Rehiyon IV - CALABARZON
Final Rating
Final Rating
III. CHARACTER BUILDING
Gr. Sch. Yr. Gr. Sch. Yr. Gr. Sch. Yr.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
Gr. Sch. Yr. Gr. Sch. Yr. Gr. Sch. Yr.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
A - Outstanding C - Satisfactory
B - Very Satisfactory D - Needs Improvement
IV. ATTENDANCE RECORD
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 .
Patriotism and Love of
Country
Love of God
Sense of Responsibility
Promptness and
Punctuality
Patriotism and Love of
Country
Love of God
Sense of Responsibility
Promptness and
Punctuality
1 4 3 2 F.R.
Cause
CERTIFICATE OF TRANSFER
Signature
Designation Date
Cleanliness and
Orderliness
Grade
No. of
School Days
No. of School
Days Absent
No. of School Days
Present
No. of Times
Tardy
Cause
Industry
Self-Reliance
Resourcefulness and
Creativeness
Sportsmanship
Consideration for Others
Obedience
Helpfulness and
Cooperation
Courtesy
3 4 F.R.
Honesty
4 F.R.
Honesty
1 2 3 4 F.R. 1
Courtesy
Obedience
Consideration for Others
Sportsmanship
Helpfulness and
Cooperation
3 2
1 2
Resourcefulness and
Creativeness
Self-Reliance
Industry
Cleanliness and
Orderliness
3 4 F.R. 1 2 1 2 3 4 F.R.

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