Republika ng Pilipinas

DepEd Form 137-E

(Republic of the Philippines)

Kagawaran ng Edukasyon
(Department of Education)

Sangay ng Palawan
(Division of Palawan)

___________________________
LRN

PALAGIANG TALAAN SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PERMANENT RECORD)

Pangalan

Paaralan

Sangay
Unang Pangalan

Apelyido

(Name)

Kasarian

M.I.

Petsa ng Kapanganakan

(Sex)

(Division)

Pook
(Place)

(Date of Birth)

Petsa ng Pagpasok
Bayan / Lalawigan / Lungsod

(Date of Entranc

Magulang/Tagapag-alaga
Pangalan
(Name)

(Parent/Guardian)

Tirahan
(Address)

PAG-UNLAD SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PROGRESS)

Grade 1 -

School
School Year

Learning Areas

___________________________
Final
Periodic Rating
1

Rating

Grade 2 - School
School Year
Remarks

Mother Tongue
Filipino
English
Mathematics
Araling Panlipunan
MAPEH
Music
Art
Physical Education
Health

General Average

General Average

Eligible for Admission to Grade

Eligible for Admission to Grade

School
School Year

Learning Areas

Grade 4 - School
School Year
Periodic Rating
1

Final
Rating

Remarks

Mother Tongue
Filipino
English
Mathematics
Science
Araling Panlipunan
MAPEH
Music
Art
Physical Education
Health

General Average

Edukasyon sa Pagpapakatao

EPP

Eligible for Admission to Grade

School
School Year

Filipino
English
Mathematics
Science
Araling Panlipunan
MAPEH
Music
Art
Physical Education
Health

Periodic R
1

General Average

Eligible for Admission to Grade

Learning Areas

Learning Areas
Filipino
English
Mathematics
Science
Araling Panlipunan
MAPEH
Music
Art
Physical Education
Health
ESP
EPP

Edukasyon sa Pagpapakatao

Grade 5 -

Mother Tongue
Filipino
English
Mathematics
Araling Panlipunan
MAPEH
Music
Art
Physical Education
Health
ESP

Edukasyon sa Pagpapakatao

Grade 3 -

Learning Areas

______________
Periodic R

Grade 6 - School
School Year
Periodic Rating
1

Final
Rating

Remarks

Learning Areas

Periodic R
1

Filipino
English
Mathematics
Science
Araling Panlipunan
MAPEH
Music
Art
Physical Education
Health
Edukasyon sa Pagpapakatao
EPP

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General Average
Eligible for Admission to Grade

General Average
Eligible for Admission to Grade

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Paaralan
(School)

Petsa ng Pagpasok
(Date of Entrance)

Hanapbuhay
(Occupation)

___________________________
Final
Periodic Rating
2

Periodic Rating
2

Periodic Rating
2

Rating

Remarks

Final
Rating

Remarks

Final
Rating

Remarks

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III. REPORT ON LEARNER'S OBSERVED VALUES

Core Values

Maka-Diyos

Gr.

Behavioral Statements

School Year:

Gr.

II

School Year:

Express one's spiritual beliefs while respecting the spiritual beliefs of

others
Shows adherence to ethical principles by upholding truth

Makatao

Is sensitive to individual, social, and cultural differences

Demonstrates contributions toward solidarity

Makakalikasan
Maka-bansa

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

Core Values

Maka-Diyos

Gr.

Behavioral Statements

IV

School Year: 20152016

School Year

Gr.

Express one's spiritual beliefs while respecting the spiritual beliefs of

others
Shows adherence to ethical principles by upholding truth

Makatao

Is sensitive to individual, social, and cultural differences

Demonstrates contributions toward solidarity

Makakalikasan
Maka-bansa

Marking

Cares for the environment and utilizes resources wisely, judiciously,

and econi\omically
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

Non-numerical Rating

Non-numerical Rating

AO

Always Observed

RO

Rarely Observed

SO

Sometimes Observed

NO

Not Observed

Cause

No. of Times
Tardy

IV. ATTENDANCE RECORD

Grade

No. of School Days

No. of School Days

Absent

Cause

I
II
III
IV
V
VI

CERTIFICATE FOR TRANSFER

TO WHOM IT MAY CONCERN:
This is to certify that this is true record of the Elementary School Permanent Record of

______________

eligible for transfer and admission to Grade/Year __________.

Date

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Gr.

III

School Year

Gr.

Cause

School Year:

No. of School
Days Present

_________________. He/She is

Signature
Designation

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