DepEd Form 137-E Republika ng Pilipinas

LRN: __ __ __ __ __ __ __ _
(Republic of the Philippines)
Kagawaran ng Edukasyon
(Department of Education)
KAWANIHAN NG EDUKASYONG ELEMENTARYA
(BUREAU OF ELEMENTARY EDUCATION)
Rehiyon XII
(Region XII)

PALAGIANG TALAAN SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PERMANENT RECORD)

I. Pangalan Sangay: COTABATO Paaralan: MAKILALA CENTRAL ELEMENT

(Name) Apelyido Unang Pangalan M.I. (Division) (School)

Kasarian: Petsa ng Kapanganakan: Pook: Petsa ng Pagpasok

(Sex) (Date of Birth) (Place) (Bayan/Lalawigan/Lungsod)
(Town/Province/City)
Magulang/Tagapag-alaga
(Parent / Guardian) Pangalan Tirahan Hanapbuhay
(Name) (Address) (Occupation)

PALAGIANG TALAAN SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PROGRESS)

Grade I - School Grade II - School

School Year School Year
Periodic Rating FINAL Periodic Rating FINAL
Learning Areas Remarks Learning Areas
1 2 3 4 GRADE 1 2 3 4 GRADE
Filipino Filipino
English English
Mathematics Mathematics
MAKABAYAN MAKABAYAN
*Sibika at Kultura *Sibika at Kultura
*Character Education *Character Education
General Average General Average
Eligible for Admission to Grade Eligible for Admission to Grade

Grade III - School Grade IV - School

School Year School Year
Periodic Rating FINAL Periodic Rating FINAL
Learning Areas Remarks Learning Areas
1 2 3 4 GRADE 1 2 3 4 GRADE
Filipino Filipino
English English
Mathematics Mathematics
MAKABAYAN Science & Health
*Sibika at Kultura MAKABAYAN
*Character Education *Heograpiya, Kasaysayan
at Sibika (HKS)
*Edukasyong Pantahana at
Pangkabuhayan
*Musika, Sining,(EPP)
at
Edukasyon sa ng Katawan
Pagpapalakas
(MSEP)
*Character Education
General Average General Average
Eligible for Admission to Grade Eligible for Admission to Grade

Grade V - School Grade VI - School

School Year School Year
Periodic Rating FINAL Periodic Rating FINAL
Learning Areas Remarks Learning Areas
1 2 3 4 GRADE 1 2 3 4 GRADE
Filipino Filipino
English English
Mathematics Mathematics
Science & Health Science & Health
MAKABAYAN MAKABAYAN
*Heograpiya, Kasaysayan *Heograpiya, Kasaysayan
at Sibika (HKS) at Sibika (HKS)
*Edukasyong Pantahana at *Edukasyong Pantahana at
Pangkabuhayan
*Musika, Sining,(EPP)
at Pangkabuhayan
*Musika, Sining,(EPP)
at
Edukasyon sa ng Katawan
Pagpapalakas Edukasyon sa ng Katawan
Pagpapalakas
(MSEP) (MSEP)
*Character Education *Character Education
General Average General Average
Eligible for Admission to Grade Eligible for Admission to Grade
 LRN: __ __ __ __ __ __ __ __ __ __ __ __
lic of the Philippines)
waran ng Edukasyon
rtment of Education)
EDUKASYONG ELEMENTARYA
ELEMENTARY EDUCATION)
Rehiyon XII
(Region XII)

N SA MABABANG PAARALAN
CHOOL PERMANENT RECORD)

MAKILALA CENTRAL ELEMENTARY SCHOOL

(School)

AN SA MABABANG PAARALAN
ARY SCHOOL PROGRESS)

FINAL
Remarks
GRADE

FINAL
Remarks
GRADE

FINAL
Remarks
GRADE
III.CHARACTER BUILDING

Gr. _____ Sch. Yr. ______ Gr. _____ Sch. Yr. ______ Gr. _____ Sch. Yr. ______

1 2 3 4 F.R. 1 2 3 4 F.R. 1 2 3 4 F.R.

1 Honesty

2 Courtesy
Helpfulness and
3
Cooperation
Resourcefulness and
4
Creativeness
5 Consideration for Others

6 Sportsmanship

7 Obedience

8 Self-Reliance

9 Industry
Cleanliness and
10
Orderliness

Gr. _____ Sch. Yr. ______ Gr. _____ Sch. Yr. ______ Gr. _____ Sch. Yr. ______

1 2 3 4 F.R. 1 2 3 4 F.R. 1 2 3 4 F.R.

1 Honesty

2 Courtesy
Helpfulness and
3
Cooperation
Resourcefulness and
4
Creativeness
5 Consideration for Others

6 Sportsmanship

7 Obedience

8 Self-Reliance

9 Industry
Cleanliness and
10
Orderliness

A - Outstanding C - Satisfactory E - Poor

B - Very Satisfactory D - Needs Improvement
IV. ATTENDANCE RECORD
No. of
No. of School No. of Times No. of School
Grade School Cause Cause
Days Absent Tardy Days Present
Days

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 to
Grade/Year .

Signature

Date Designation
III.CHARACTER BUILDING
Gr. __ I Gr. __ II Gr. __ III
CORE
VALUES Behavior Statement Sch. Yr. ____________ Sch. Yr. ____________ Sch. Yr. ____________
1 2 3 4 1 2 3 4 1 2 3 4
Expresses one's spiritual belief while
Maka- respecting the belief of others
1
Diyos Shows adherence to ethical principles
by upholding truth
Is sensitive to individual, social, and
cultural differences
2 Makatao
Demonstrates contributions toward
solidarity
Cares for the environment and utilizes
Maka resources wisely, judiciously, and
3
kalikasan economically.

Demonstrates pride in being a

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

Gr. __ IV Gr. __ V Gr. __ VI

CORE
VALUES Behavior Statement Sch. Yr. ____________ Sch. Yr. ____________ Sch. Yr. ____________
1 2 3 4 1 2 3 4 1 2 3 4
Expresses one's spiritual belief while
Maka- respecting the belief of others
1
Diyos Shows adherence to ethical principles
by upholding truth
Is sensitive to individual, social, and
cultural differences
2 Makatao Demonstrates contributions toward
solidarity
Cares for the environment and utilizes
Maka resources wisely, judiciously, and
3
kalikasan economically.

Demonstrates pride in being a

Maka Filipino; exercises the rights and
4 responsibilitiesappropriate
Demonstrates of a Filipinobehavior
citizen in
bansa
carrying out activities in the school,
community, and country

IV. ATTENDANCE RECORD

No. of
No. of
No. of Times School
Grade School No. of School Days Absent Cause Cause
Tardy Days
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 to Grade _________.

Name & Signature

Date Designation