DEPED FORM 137-E Republic of the Philippines LRN: __________________________

Department of Education
Region VII, Central Visayas
Division of Lapu-Lapu City
South District
GUN-OB ELEMENTARY SCHOOL
Gun-ob Lapu-Lapu City

ELEMENTARY SCHOOL PERMANENT RECORD

Name: Division LAPU-LAPU CITY

Last Name First Name MI
Sex: Date of Birth Place of Birth:
Parent/Guardian: Occupation:

Address of Parents Date of Entrance:

Kindergarten: School Kindergarten Periodic Rating Final

School Year: Learning Area 1st 2nd 3rd 4th Rating
Filipino
Pupil's Readiness Assessment English
Please check: Mathematics
Sensory Perceptual
Character and Values
READY NOT READY Writing Skills
Average

Grade 1: School Grade 2: School

School Year: School Year:
Periodic Rating Final Periodic Rating Final
Learning Area Rating
Learning Area Rating
1st 2nd 3rd 4th 1st 2nd 3rd 4th
Filipino Filipino
English English
Mother Tongue Mother Tongue
Mathematics Mathematics
Araling Panlipunan Araling Panlipunan
MAPEH MAPEH
Music Music
Art Art
Physical Education Physical Education
Health Health
Edukasyon sa Pagpapakatao Edukasyon sa Pagpapakatao

GENERAL AVERAGE GENERAL AVERAGE

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 Area Rating
Learning Area Rating
1st 2nd 3rd 4th 1st 2nd 3rd 4th
Filipino Filipino
English English
Mother Tongue Science
Science Mathematics
Mathematics Araling Panlipunan
Araling Panlipunan Edukasyong Pantahanan at
MAPEH Pangkabuhayan (EPP)
Music MAPEH
Art Music
Physical Education Art
Health Physical Education
Edukasyon sa Pagpapakatao Health
Edukasyon sa Pagpapakatao

GENERAL AVERAGE GENERAL AVERAGE

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 Area Rating
Learning Area Rating
1st 2nd 3rd 4th 1st 2nd 3rd 4th
Filipino Filipino
English English
Science Science
Mathematics Mathematics
Araling Panlipunan
Edukasyong Pantahanan at
Pangkabuhayan (EPP)
MAPEH
Music
Art
Physical Education
Health
Edukasyon sa Pagpapakatao
GENERAL AVERAGE
Eligible for Admission to Grade
Araling Panlipunan
Edukasyong Pantahanan at
Pangkabuhayan (EPP)
MAPEH
Music
Art
Physical Education
Health
Edukasyon sa Pagpapakatao
GENERAL AVERAGE
Eligible for Admission to Grade
 RECORD OF ATTENDANCE
No. of School No. of Days No. of Times No. of School No.of Years in No.of Years in
GRADE Chief Cause Chief Cause
Days Absent Tardy Days Present School Grade

II.
Kindergarten Grade I: SY Grade II: SY Grade III: SY
CORE VALUES 1 2 3 4 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
2. Makatao cultural differences
Demonstrates contributions toward
solidarity
Cares for the environment and utilizes
3. Maka resources wisely, judiciously, and
kalikasan economically

Demonstrates pride in being a Filipino;

exercises the rights and responsibilities
of a Filipino citizen
4. Makabansa
Demonstrates appropriate behavior in
carrying out activities in the school,
community, and country
AVERAGE

Grade IV: SY Grade V: SY Grade VI: SY

CORE VALUES 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
2. Makatao cultural differences
Demonstrates contributions toward
3. Maka solidarity
Cares for the environment and utilizes
resources wisely, judiciously, and
kalikasan economically

Demonstrates pride in being a Filipino;

exercises the rights and responsibilities
of a Filipino citizen
4. Makabansa
Demonstrates appropriate behavior in
carrying out activities in the school,
community, and country

AVERAGE

Guidelines for Rating: Values K to 12 Subjects:

AO – Always Observed Outstanding - 90 - 100
SO – Someti Observed Very Satisfactory - 85 - 89
RO – Rarely Observed Satisfactory - 80 - 84
NO – Not Observed Proficiency - 80 – 84
Fairly Satisfactory - 75 – 79
Did not Meet Expectation - Below 75

CERTFICATE OF TRANSFER
 Date:
TO WHOM IT MAY CONCERN:

This is to certify that this is a true record of the School Permanent Record of ____________
. He/She is eligible for transfer and admission to
Grade/Year .

__________________________
School Principal