Dep.Ed.

FORM 137-E

(Department of Education)
KAWANIHAN NG EDUKASYONG ELEMENTARYA
(BUREAU OF ELEMENTARY EDUCATION)
Rehiyon 10

(Region X)
PALAGIANG TALAAN SA MABABANG PAARALAN
(ELEMENTARY SCHOOL PERMANENT RECORD)

LRN No:___________________

Balo-i Central Elementary School

Pangalan____________________________________Sangay:Lanao del Norte Paaralan: ___________________________________
(Name)

Apelyido

Unang Ngalan

(M.I.)

(Division)

(School)

Kasarian ___________Petsa ng Kapanganakan_____________Pook __________________Petsang Pagpasok____________________

(Sex)

(Date of Birth)

(Place)Bayan/Lalawigan/Lungsod

(Date of Entrance)

Magulang/Tagapag-alaga_______________________________________________________________________________________
Pangalan

Tirahan

Hanapbuhay

PAG-UNLAD SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PROGRESS)
Grade I-School ____________________________
School Year _______________

Learning Areas

Periodic Rating
1
2
3

Grade II-School ____________________________

School Year ________________

Remarks

Mother Tongue
Filipino
English
Mathematics
Araling Panlipunan
MAPEH
Music
Art
Physical Education
Health
Edukasyon sa Pagpapakatao
Arabic Language
Islamic Values
General Average
Eligible for Admission to Grade _______________

Remarks

Remarks

Remarks

Eligible for Admission to Grade _______________

Periodic Rating
1
2
3

Grade IV-School ____________________________

School Year ________________

Remarks

Learning Areas

Mother Tongue
Filipino
English
Mathematics
Science
Araling Panlipunan
MAPEH

Filipino
English
Mathematics
Science
Araling Panlipunan (AP)

Music
Art
Physical Education
Health
Edukasyon sa Pagpapakatao
Arabic Language
Islamic Values
General Average

MAPEH
Music
Arts
Physical Education
Health
Arabic Language
Islamic Values
General Average

Periodic Rating
1
2
3

Edukasyon sa Pagpapakatao (EsP

Edukasyons Pantahanan at
Pangkabuhayan (EPP)

Eligible for Admission to Grade _______________

Grade V-School ____________________________
School Year ________________

Learning Areas

Periodic Rating
1
2
3

Mother Tongue
Filipino
English
Mathematics
Araling Panlipunan
MAPEH
Music
Art
Physical Education
Health
Edukasyon sa Pagpapakatao
Arabic Language
Islamic Values
General Average

Grade III-School ____________________________

School Year ________________

Learning Areas

Learning Areas

Periodic Rating
1
2
3

Eligible for Admission to Grade _______________

Grade VI-School ____________________________
School Year ________________

Remarks

Learning Areas

Filipino
English
Mathematics
Science
Araling Panlipunan (AP)

Filipino
English
Mathematics
Science
Araling Panlipunan (AP)

Edukasyon sa Pagpapakatao
(EsP
Edukasyons Pantahanan at
Pangkabuhayan (EPP)

Edukasyon sa Pagpapakatao
(EsP
Edukasyons Pantahanan at
Pangkabuhayan (EPP)

MAPEH
Music
Arts
Physical Education
Health
Arabic Language
Islamic Values
General Average

MAPEH
Music
Arts
Physical Education
Health
Arabic Language
Islamic Values
General Average

Eligible for Admission to Grade _______________

II. REPORT ON LEARNERS OBSERVED VALUES

Periodic Rating
1
2
3

Eligible for Admission to Grade _______________

CORE Values

Behaviour Statement

1. Maka-Diyos

Expresses ones spiritual

beliefs while respecting the
spiritual beliefs of other
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
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

2.Makatao

3.Makakalikasan

4.Makabansa

1. Maka-Diyos

2.Makatao

3.Makakalikasan

4.Makabansa

Gr. _____ Sch. Yr.______

1
2
3
4
F.R.

Gr. ___ Sch. Yr. ______

1
2
3
4
F.R.

Gr.__Sch. Yr._________
1 2
3
4
F.R.

Gr. _____ Sch. Yr.______

1
2
3
4
F.R.

Gr. ___ Sch. Yr. ______

1
2
3
4
F.R.

Gr.__Sch. Yr._________
1 2
3
4
F.R.

Expresses ones spiritual

beliefs while respecting the
spiritual beliefs of other
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
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

Marking
AO
SO
RO
NO

Non-numerical Rating
Always Observed
Sometimes Observed
Rarely Observed
Not Observed

III.
(Grade)

(No. of School
Days)

(RECORD OF ATTENDANCE)
(No. of Days
Cause
(No. of Times
Absent)
Tardy)

Cause

(No. of School
Days of Present)

(CERTIFICATE OF TRANSFER)
TO WHOM IT MAY CONCERN:
This is to certify that this is a true record of the Elementary Schools Permanent Record
___________________________________________________He/She is eligible for transfer and admission
Grade/Year__________________________

of
to

_________________________
Date
HADJA CALIMA S. MANGATE
Elementary School Principal II