DepEd Form 137-E Republic of the Philippines LRN:

Department of Education
Region :_____
_____________________________________
Division

ELEMENTARY SCHOOL PERMANENT RECORD

(PALAGIANG TALAAN SA MABABANG PAARALAN)
Name ___________________________________ Division _____________________ School __________________________
Family Name First Name M.I.
Sex _______ Date of Birth __________________ Place of Birth _________________ Date of Entrance __________________
Parent/Guardian________________________ _________________________________ ______________________________
Name Address Occupation
Kinder School ________________________ ELEMENTARY SCHOOL PROGRESS
School Year __________________________ (PAG-UNLAD SA MABABANG PAARALAN)
Grade I - School _______________ Grade II - School _____________
Teacher __________________ School Year ___________ Teacher _________________ School Year _________
Quarter Final Rema Quarter Final Rema
Learning Areas Learning Areas
1 2 3 4 Grade rks 1 2 3 4 Grade rks
Mother Tongue Mother Tongue
Filipino Filipino
English English
Mathematics Mathematics
Araling Panlipunan Araling Panlipunan
Edukasyon sa Pagpapakatao Edukasyon sa Pagpapakatao
MAPEH MAPEH
Music Music
Art Art
Physical Education Physical Education
Health Health
General Average General Average
Eligible for Admission to Grade ________________________ Eligible for Admission to Grade __________________________

Grade III - School ______________ Grade IV - School ____________

Teacher __________________ School Year ___________ Teacher _________________ School Year _________
Learning Areas Quarter Final Rema Learning Areas Quarter Final Rema
1 2 3 4 Grade rks 1 2 3 4 Grade rks
Mother Tongue Filipino
Filipino English
English Science
Science Mathematics
Mathematics Edukasyon Pantahanan
Araling Panlipunan at Pangkabuhayan (EPP)
Edukasyon sa Pagpapakatao Araling Panlipunan
MAPEH Edukasyon sa Pagpapakatao
Music MAPEH
Art Music
Physical Education Art
Health Physical Education
Health

General Average General Average

Eligible for Admission to Grade ________________________ Eligible for Admission to Grade _________________________

Grade V - School ____________ Grade VI - School ____________

Teacher __________________ School Year ___________ Teacher _________________ School Year _________
Quarter Final Rema Quarter Final Rema
Learning Areas Learning Areas
1 2 3 4 Grade rks 1 2 3 4 Grade rks
Filipino Filipino
English English
Science Science
Mathematics Mathematics
Edukasyon Pantahanan Edukasyon Pantahanan
at Pangkabuhayan (EPP) at Pangkabuhayan (EPP)
Araling Panlipunan Araling Panlipunan
Edukasyon sa Pagpapakatao Edukasyon sa Pagpapakatao
MAPEH MAPEH
Music Music
Art Art
Physical Education Physical Education
Health Health
 General Average General Average
Eligible for Admission to Grade _________________________ Eligible for Admission to Grade _________________________
 REPORT ON LEARNER'S OBSERVED VALUE
Gr. ____, Sch. Yr. _ Gr. ____, Sch. Yr. _ Gr. ____, Sch. Yr. ______
Core
Behavior Statement Quarter Quarter Quarter
Value
1 2 3 4 1 2 3 4 1 2 3 4
Expresses one's spiritual beliefs while
respecting the spiritual beliefs of others
1. Maka-
Diyos Shows adherence to ethical principles by
upholding truth

Is sensitive to individual, social, and

cultural differences
2. Makatao
Demostrates contributions toward
solidarity

Cares for the enviroment and utilizes

3. Maka resources wisely, judicously, and
kalikasan economically

Demostrates pride in being a Filipino;

exercises the rights and reponsibilities of
a Filipino citizen
4. Maka
Bansa
Demostrates appropriate behavior in
carrying out activities in the school,
community, and country

Gr. ____, Sch. Yr. _ Gr. ____, Sch. Yr. _ Gr. ____, Sch. Yr. ______
Core
Behavior Statement Quarter Quarter Quarter
Value
1 2 3 4 1 2 3 4 1 2 3 4
Expresses one's spiritual beliefs while
respecting the spiritual beliefs of others
1. Maka-
Diyos Shows adherence to ethical principles by
upholding truth

Is sensitive to individual, social, and

cultural differences
2. Makatao
Demostrates contributions toward
solidarity

3. Maka Cares for the enviroment and utilizes

kalikasan resources wisely, judicously, and
economically

Demostrates pride in being a Filipino;

exercises the rights and reponsibilities of
a Filipino citizen
4. Maka
Bansa Demostrates appropriate behavior in
carrying out activities in the school,
community, and country

Marking Non-numerical Rating

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

REPORT OF ATTENDANCE
No. of School No. of School No. of Time No. of School
Grade Cause
Days Days Absent Tardy Present

CERTIFICATE OF TRANSFER
TO WHOM IT MAY CONCERN
This is to certify that this is a true record of Elementary School Permanent Record of ___________________________________________
He/She is eligible to transfer and admission to Grade/Year ______________
 ______________________________________
Date Signature/Designation
h. Yr. ______

h. Yr. ______