DepEd Form 137 - A

Department of Education
_________________
_____________________________________
________________________________________
____________________________
SECONDARY STUDENT'S PERMANENT RECORD

Name : Date of Birth: Sex:

Place of Birth : Sex:
Father's Name: Occupation: Address:
Mother's Name: Occupation:
Intermediate Course Completed: Address: SY:
Total Number of Years to complete Elementary Course: ______ General Average:
Classified as: ____Yr. School: ________________ SY: _____ Classified as: ____Yr. School: ________________ SY: _____
Final Action Credit Final Action Credit
SUBJECT 1 2 3 4 Rating Taken Earned SUBJECT 1 2 3 4 Rating Taken Earned
FILIPINO FILIPINO
ENGLISH ENGLISH
MATH MATH
SCIENCE SCIENCE
MAKABAYAN MAKABAYAN
*ARAL. PANLIPUNAN *ARAL. PANLIPUNAN
*CP - T L E *T L E
*MAPEH *MAPEH
*EP (Incl RHGP) *EP (Incl RHGP)

J J A S O J J A S O
Days of School Days of School
Days Present Days Present
N D J F M A N D J F M A
Days of School Days of School
Days Present Days Present
Lacks unit in: Lacks unit in:
Advance unit in: Advance unit in:
To be classified as: ____________ Total no. of years in school to date: To be classified as: ____________ Total no. of years in school to date:

Classified as: ____Yr. School: ________________ SY: _____ Classified as: ____Yr. School: ________________ SY: _____
Final Action Credit Final Action Credit
SUBJECT 1 2 3 4 Rating Taken Earned SUBJECT 1 2 3 4 Rating Taken Earned
FILIPINO FILIPINO
ENGLISH ENGLISH
MATH MATH
SCIENCE SCIENCE
MAKABAYAN MAKABAYAN
*ARAL. PANLIPUNAN *ARAL. PANLIPUNAN
*T L E *T L E
*MAPEH *MAPEH
*EP (Incl RHGP) *EP (Incl RHGP)

J J A S O J J A S O
Days of School Days of School
Days Present Days Present
N D J F M A N D J F M A
Days of School Days of School
Days Present Days Present
Lacks unit in: Lacks unit in:
Advance unit in: Advance unit in:
To be classified as: ____________ Total no. of years in school to date: To be classified as: ____________ Total no. of years in school to date:

Copy of this record is sent to the Principal/Registar of___________
_______________________at______________________
on____________________________.
CERTIFICATION OF TRANSFER
TO WHOM IT MAY CONCERN:
I CERTIFY, that this is a true record of___________________
_________________. This student is eligible for transfer &
admission to_____________________as regular/irregular student
and has no money or property responsibility in this school.
Secondary School Principal I