DepEd Form 137-E

Republika ng Pilipinas
Kagawaran ng Edukasyon
KAWANIHAN NG EDUKASYON ELEMENTARYA
Rehiyon: XI
PALAGIANG TALAAN SA MABABANG PAARALAN
(Elementary School Permanent Record)

LRN: __________________________
Pangalan
________________________________________________________
Paaralan _______________________
(Name)
(School)

Apelyido

Unang Pangalan

Sangay ___________________

M.I.

(Division)

Kasarian ___________ Petsa ng Kapanganakan ___________ Pook________________________________

ng Pagpasok _________________
(Sex)
Entrance)

(Date of Birth)

(Place)

Bayan/lalawigan/Lunsod

Petsa
(Date of

(Town/Province/City)

Magulang/Tagapag-alaga
_________________________________________________________________________________________________________
(Parent/Guardian)
Hanapbuhay

Pangalan

Tirahan

(Name)

(Occupation)

(Address)

PAG-UNLAD SA MABABANG PAARALAN

(Elementary School Progress)

Eligible for Admission to Grade

___
Grade I-School_____ _____________________________________
LEARNING AREAS

Remark
s

Periodic Rating

MTB-MLE
Filipino
English
Mathematics
Araling Panlipunan
MAPEH
Music
Arts
Physical Education
Health

Periodic Rating
2
3
4

Remarks

Filipino
English
Mathematics
Science
Araling
Panlipunan
(AP)
Edukasyon
sa
Pagpapakatao
Edukasyong Pantahanan
at Pangkabuhayan (EPP)

MAPEH
Music
Arts

Edukasyon sa
Pagpapakatao

General Average
Year________________________________________________

School

Eligible for Admission to

Grade___________________________________
Grade
III-School__
_______________________________________________
School Year______________________________
__________
LEARNING AREAS

LEARNING AREAS

Periodic Rating
1
2
3
4

Remarks

MTB-MLE
Filipino
English
Mathematics
Science
Araling Panlipunan
MAPEH
Music
Arts
Physical
Education
Health
Edukasyon sa
Pagpapakatao

General Average
Eligible for Admission to
Grade_______________________________

Physical
Education
Health
General Average
Eligible
for
admission
to
Grade
_________________________________
Grade II-School______________________________________
School Year_ ____________________________________
LEARNING AREAS

MTB-MLE
Filipino
English
Mathematics
Araling Panlipunan
MAPEH
Music
Arts
Physical Education
Health
Edukasyon sa
Pagpapakatao

General Average
Eligible for Admission to Grade_____
___________________________
Grade
IVSchool______________________________________________
School Year____________________________________________
LEARNING AREAS

Grade
VSchool_______________________________________________________
________
School
Year__________________________________________________________
________

Filipino
English
Mathematics
Science
Araling Panlipunan

Periodic Rating
2
3
4

Remarks

Edukasyon
sa
Pagpapakatao
Edukasyong
Pantahanan at
Pangkabuhayan (EPP)

LEARNING AREAS
1

Remarks
4

Filipino
English
Mathematics
Science
Araling Panlipunan (AP)

MAPEH
Music
Arts
Physical
Education
Health
General Average

Edukasyon sa Pagpapakatao
Edukasyong Pantahanan at
Pangkabuhayan (EPP)

MAPEH
Music
Arts
Physical Education
Health
General Average

Eligible for Admission to

Grade______________________________________________
Grade
VISchool_______________________________________________________
________
School
Year__________________________________________________________
________

III.

Periodic
Rating
2
3

Eligible for admission to Grade

_______________________________

REPORT ON LEARNERS OBSERVED VALUES

Gr. ______ Sch.
Yr.__________

Traits

Gr. _____ Sch.

Yr.__________
F.R
.

Gr. _______ Sch.

Yr.____________

F.R.

D.

Fair

F.R.

1. Honesty
2. Courtesy
3.
Helpfulness and
Cooperation

4. Resourcefulness and
Creativity

5. Consideration for
Others
6. Sportsmanship
7. Obedience
8. Self-Reliance
9. Industry
10. Cleanliness and
Orderliness
11. Promptness and
punctuality

12. Sense of Responsibility

13. Love of God
14. Love of Country
Outstanding
Good

A.
Gr. 4
S.Y.
_____
_____
___

Core
Values
1. MakaDiyos

2. Makatao

3. Makakalikasan

B. Very

Gr.
5
S.Y.
_____
_____
_____
_
Behavior Statements
Expresses ones
spiritual beliefs while
respecting the spiritual
beliefs of others
Shows adherence to
ethical principles by
upholding truth
Is sensitive to
individual, social and
cultural differences
Demonstrates
contributions toward
solidarity
Cares for the
environment and
utilizes resources
wisely, judiciously, and
economically

C .Good

E. Poor

Gr. 6 S.Y. ________________

Quarter
2
3

Quarter
2
3

Quarter
2
3

4.Makaban
sa

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

AO Always Observed
Observed

IV.

SO Sometimes Observed

RO Rarely Observed

NO Not

ATTENDANCE RECORD

Grade

No. of
School
Days

No. of
School
Days
Absent

Cause

No. of
Times
Tardy

Cause

No. of
School
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 of Grade/Year_________.
_________________________
___________________________
Date
Signature
___________________________
Designation

Certificate
A certified true copy of this
record sent to:
SCHOOL:
____________________________________
DATE:
______________________________________