DepEd FORM 137 -E

Republic of the Philippines

DEPARTMENT OF EDUCATION
CARAGA ADMINISTRATIVE REGION
DIVISION OF AGUSAN DEL SUR
Patin-ay, Prosperidad
PALAGIANG TALAAN SA MABABANG PAARALAN
(ELEMENTARY SCHOOL PERMANENT RECORD)
131789080003
I. Pangalan Angchangco,
(Name)
Apelyido

Kasarian
( Sex)

(Surname)
L

Jasper Edgeo

Clarite

Unang Pangalan

Sangay

M.I.

Agusan del Sur

( Division)

(Given)

Paaralan West Prosperidad Central Elem. School

(School)

Butuan Medical Center,

Petsa ng Kapanganakan

Nov.15, 2002

( Date of Birth)

Pook

Butuan City

(Place) Bayan/Lalawigan/Lungsod

Petsa sa Pagpasok

06/01/09

(Date of Entrance)

(Town/Province/City)
Magulang/Tagapag- alaga

(Parent/Guardian)

Anasterio V. Angchangco
P1A Las Navas, Prosperidad Agusan del Sur
Pangal an
Tirahan
Pangalan
Tirahan

(Name)

Brgy. Captain
Hanapbuhay
(Occupation)

(Address)

PAG- UNLAD SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PROGRESS)

Grade I School
School Year
Learning Areas
Filipino
English
Mathematics
Makabayan
Sibika at Kultura
Character Education

1
80
80
79
80
80
80

West Prosperidad Integrated Sch

2009-2010

Periodic Rating
2
3
4
80
80
80
80
80
80

80
81
80
80
80
80

80
80
80
80
80
80

Remarks
80
80
80
80
80
80

Grade II School
School Year
Learning Areas
Filipino
English
Mathematics
Makabayan
Sibika at Kultura
Character Education

West Prosperidad Central ES

2010-2011

Periodic Rating
2
3
4

80
80
81
81
80
82

80
80
82
81
81
81

81
80
80
81
81
80

Remarks

82
82
82
81
80
82

80.750
80.500
81.250
81.000

323.500

80.000

Gen. Average
Eligible for Admission to Grade

Two

Grade III School

School Year
Learning Areas
Filipino
English
Mathematics
Science & Health
Makabayan
Sibika at Kultura
Character Education

1
77
75
76
77
79
78
79

75
77
78
78
79
77
81

2011-2012

77
78
77
76
79
79
79

78
77
79
78
81
80
81

Gen. Average

Eligible for Admission to Grade

Filipino
English
Mathematics
Science & Health
Makabayan
Hekasi
EPP
MSEP
Character Educ.

1
77
75
78
75
76
75
76
78
76

74
74
76
75
77
76
80
77
76

76
76
75
74
78
80
76
76
78

78
78
75
77
78
81
77
75
77

Six

Learning Areas
Filipino
English
Mathematics
Science & Health
Makabayan
Hekasi
EPP
MSEP
Character Educ.

77.550

Gen. Average

West Prosperidad Central ES

2012-2013

Periodic Rating
2
3
4
78
76
75
76
81
79
81
80
85

77
76
78
76
81
78
84
83
83

78
77
75
76
80
79
78
79
84

Remarks
75.250
75.750
76.000
75.250
77.250

Filipino
English
Mathematics
Science & Health
Makabayan
Hekasi
EPP
MSEP
Character Educ.

76.100

Gen. Average

79
77
77
78
80
80
79
80
83

78.000
76.500
76.250
76.500
80.500

Five

Grade VI School
School Year
Learning Areas

Remarks

77.550

Eligible for Admission to Grade

2013-2014

Periodic Rating
2
3
4

Three

Grade IV School
School Year

76.750
76.750
77.500
77.250
79.500

West Prosperidad Central ES

Gen. Average

Eligible for Admission to Grade

Remarks

Four

Grade V School
School Year
Learning Areas

Eligible for Admission to Grade

West Prosperidad Central ES

Periodic Rating
2
3
4

80.875

Gen. Average

West Prosperidad Central ES

2014-2015

Periodic Rating
2
3
4

76
77
76
75
80
80
82
77
79

Eligible for Admission to Grade

76
78
76
77
80
81
83
76
80

77
77
77
76
81
81
82
78
81

Remarks

77
77
76
78
81
81
82
79
80

76.50
77.25
76.25
76.50
80.50

77.40
Seven

II. CHARACTER BUILDING

Grade I Sch. Yr. 2009-2010
1 Honesty
2 Courtesy
3 Helpfulness and Cooperation
4 Obedience
5 Consideration for Others
6 Sportsmanship
7 Resourcefulness and Creativity
8 Self Reliance
9 Industry
10 Cleanliness and Orderliness
11 Promptness & Punctuality
12 Sense of Responsibility
13 Love of God
14 Patriotism & Love of Country

Gr.II Schl. Yr.2010-2011

F.R.

F.R.

F.R.

C
C
B
B
C
B
C
C
C
C
C
C
B
C

B
B
B
B
B
B
B
B
B
B
B
B
B
B

B
B
B
B
B
B
B
B
B
B
B
B
B
B

B
B
B
B
B
B
B
B
B
B
B
B
B
B

B
B
B
B
B
B
B
B
B
B
B
B
B
B

C
C
C
C
C
C
C
C
C
C
C
C
C
C

C
C
C
C
C
C
C
C
C
C
C
C
C
C

C
C
C
C
C
C
C
C
C
C
C
C
C
C

C
C
C
C
C
C
C
C
C
C
C
C
C
C

C
C
C
C
C
C
C
C
C
C
C
C
C
C

C
D
C
C
D
D
D
D
C
C
C
C
C
C

C
E
C
C
D
D
D
D
C
C
C
C
C
C

C
E
C
C
E
D
D
C
B
B
C
B
D
D

D
E
B
C
E
E
C
C
B
B
B
B
D
C

C
E
C
C
D
D
D
C
B
B
C
B
C
C

Gr. IV Schl. Yr. 2012-2013

1 Honesty
2 Courtesy
3 Helpfulness and Cooperation
4 Obedience
5 Consideration for Others
6 Sportsmanship
7 Resourcefulness and Creativity
8 Self Reliance
9 Industry
10 Cleanliness and Orderliness
11 Promptness & Punctuality
12 Sense of Responsibility
13 Love of God
14 Patriotism & Love of Country

Gr. III Schl. Yr. 2011-2012

Gr. V Schl. Yr. 2013-2014

Gr. V I Schl. Yr. 2014-2015

F.R.

F.R.

F.R.

C
C
C
D
C
C
C
C
C
C
C
C
A
A

C
C
C
D
C
C
C
C
C
C
D
C
A
A

C
C
C
C
C
C
D
D
D
C
D
C
A
A

C
C
C
C
C
C
D
D
D
C
E
C
A
A

C
C
C
C
C
C
C
D
D
C
D
C
A
A

C
C
C
C
B
B
D
D
C
C
C
C
B
C

C
D
C
C
C
B
D
C
C
C
C
C
B
C

C
D
D
C
C
B
C
D
C
C
C
C
C
C

D
D
C
B
D
B
D
C
C
C
D
D
C
C

C
D
C
C
C
B
D
C
C
C
C
C
B
C

D
D
D
D
D
D
D
D
D
D
D
D
D
D

C
C
C
C
C
C
C
C
C
C
C
C
C
C

D
D
D
D
D
D
D
D
D
D
D
D
D
D

C
C
C
C
C
C
C
C
C
C
C
C
C
C

D
D
D
D
D
D
D
D
D
D
D
D
D
D

A - Outstanding

C- satisfactory

B - Very Satisfactory

C - Needs Improvement

III.

TALAAN NG PAGPASOK
(RECORD OF ATTENDANCE)
Bilang ng Araw

Baitang
(Grade)

I
II
III
IV

V
VI

Bilang ng Araw

na May Pasok na Lumiban sa Pangunahing Dahilan

(No. of School
Klase
(Chief Cause)
Days)
(No. of Days
Absent)

203
201
202
200
201
201

3
2
12
3
16
8

FEVER
TOOTHACHE
ILLNESS
BADWEATHER
FEVER

ILLNESS

Bilang na
Nahuli ng
Pagpasok
(No. of
Times Tardy)

Pangunahing Dahilan
(Chief Cause)

0
0
2
0
0
0

200
199
190
197
185
193

KATIBAYAN SA PAGLIPAT
( CERTIFICATE OF TRANSFER)
TO WHOM IT MAY CONCERN:
This is to certify that this is a true record of Elementary School Record of
He/She is eligible for the transfer and admission to Grade/Year___________________

Signature

Date

Bilang ng
Araw na
Pagpasok
(No. of School
Days Present)

Designation

DepEd FORM 137 -E

Republic of the Philippines

DEPARTMENT OF EDUCATION
CARAGA ADMINISTRATIVE REGION
DIVISION OF AGUSAN DEL SUR
Patin-ay, Prosperidad
PALAGIANG TALAAN SA MABABANG PAARALAN
(ELEMENTARY SCHOOL PERMANENT RECORD)
I. Pangalan Paanod
(Name)
Apelyido

Kasarian
( Sex)

(Surname)
Female

Claudine

R.

Unang Pangalan

Sangay

M.I.

(Parent/Guardian)

Paaralan
(School)

Lucena Elem.

(Given)
Petsa ng Kapanganakan

09/17/02 Pook Lucena, Prosperidad, ADS

( Date of Birth)

Magulang/Tagapag- alaga

Agusan del Sur

( Division)

(Place) Bayan/Lalawigan/Lungsod

Petsa sa Pagpasok

(Town/Province/City)
Lucena, Prosperidad, Agusan del Sur
Tirahan
(Address)

Claudio Paanod
Pangalan
(Name)

06/10/08

(Date of Entrance)

Farming
Hanapbuhay
(Occupation)

PAG- UNLAD SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PROGRESS)

Grade I School
School Year
Learning Areas
Filipino
English
Mathematics
Makabayan
Sibika at Kultura
Character Education

Lucena Elementary
2008 - 2009

Periodic Rating
Remarks
1
2
3
4
76
75
75
76
75
76

75
75
76
76
76
76

Gen. Average

76
76
75
76
76
76

75
75
76
77
76
78

76
75
76
76

75.75%

Eligible for Admission to Grade

Two

Grade III School

School Year
Learning Areas
Filipino
English
Mathematics
Science & Health
Makabayan
Sibika at Kultura
Character Education

Periodic Rating
Remarks
1
2
3
4

Gen. Average

Eligible for Admission to Grade

Grade V School
School Year
Learning Areas
Filipino
English
Mathematics
Science & Health
Makabayan
Hekasi
EPP
MSEP
Character Educ.
Gen. Average

Periodic Rating
Remarks
1
2
3
4

Eligible for Admission to Grade

Grade II School
School Year
Learning Areas
Filipino
English
Mathematics
Makabayan
Sibika at Kultura
Character Education

Periodic Rating
1
2
3
4

Remarks

Gen. Average

Eligible for Admission to Grade

Grade IV School
School Year
Learning Areas
Filipino
English
Mathematics
Science & Health
Makabayan
Hekasi
EPP
MSEP
Character Educ.

Periodic Rating
1
2
3
4

Remarks

Gen. Average

Eligible for Admission to Grade

Grade VI School
School Year
Learning Areas
Filipino
English
Mathematics
Science & Health
Makabayan
Hekasi
EPP
MSEP
Character Educ.
Gen. Average

Periodic Rating
1
2
3
4

Eligible for Admission to Grade

Remarks

II. CHARACTER BUILDING

Gr. I
1 Honesty
2 Courtesy
3 Helpfulness and Cooperation
4 Obedience
5 Consideration for Others
6 Sportsmanship
7 Resourcefulness and Creativity
8 Self Reliance
9 Industry
10 Cleanliness and Orderliness
11 Promptness & Punctuality
12 Sense of Responsibility
13 Love of God
14 Patriotism & Love of Country

Schl. Yr. 2008 - 2009

Gr.II Schl. Yr. ______________

F.R.

D
C
C
B
C
C
D
C
C
D
B
C
C
D

D
D
C
C
C
C
D
B
C
C
B
C
C
C

C
C
D
C
C
C
D
C
C
C
B
C
B
C

C
C
D
B
D
C
C
C
C
B
B
C
B
B

C
C
C
B
C
C
D
C
C
C
B
C
B
C

F.R.

Gr. III Schl. Yr. _____________

1

F.R.

Gr. IV Schl. Yr. _______________ Gr. V Schl. Yr. ________________Gr. V I Schl. Yr. _________________
1

F.R.

F.R.

F.R.

1 Honesty
2 Courtesy
3 Helpfulness and Cooperation
4 Obedience
5 Consideration for Others
6 Sportsmanship
7 Resourcefulness and Creativity
8 Self Reliance
9 Industry
10 Cleanliness and Orderliness
11 Promptness & Punctuality
12 Sense of Responsibility
13 Love of God
14 Patriotism & Love of Country
A - Outstanding

C- satisfactory

B - Very Satisfactory

C - Needs Improvement

III.

TALAAN NG PAGPASOK
(RECORD OF ATTENDANCE)
Bilang ng ArawBilang ng Araw

Bilang na

Baitang

na May Pasokna Lumiban sa Pangunahing Dahilan

Nahuli ng

Pangunahing Dahilan

Araw na

(Grade)

(No. of School

Klase

Pagpasok

(Chief Cause)

Pagpasok

Days)

(No. of Days

(No. of

Absent)

Times Tardy)

200

(Chief Cause)

Headache

Bilang ng

(No. of School
Days Present)

KATIBAYAN SA PAGLIPAT
( CERTIFICATE OF TRANSFER)
TO WHOM IT MAY CONCERN:

Claudine R. Paanod

This is to certify that this is a true record of Elementary School Record of

He/She is eligible for the transfer and admission to Grade/Year

Two

ARTEMIO B. GASCON
Signature

26-Feb-10

Principal-1

Date

Designation

199