Name:

School: Year: Section:

School Year:
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
PREV.
TOTAL
TOTAL
Jun. Jul. Aug. Sept. Oct. Nov. Dec. Jan. Feb. Mar. Apr. TOTAL
Days of school 0
Days present 0
Has advanced units in
Lacks units in
To be classified as
Name:
School: Year: Section:
School Year:
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
TOTAL
TOTAL
Jun. Jul. Aug. Sept. Oct. Nov. Dec. Jan. Feb. Mar. Apr. TOTAL
Days of school 0
Days present 0
Has advanced units in
Lacks units in
To be classified as
Name:
School: Year: Section:
School Year:
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
TOTAL
TOTAL
Jun. Jul. Aug. Sept. Oct. Nov. Dec. Jan. Feb. Mar. Apr. TOTAL
Days of school 0
Days present 0
Has advanced units in
Lacks units in
To be classified as
FILIPINO
ENGLISH
Cum.
(Surname)
SUBJECTS
(National Language 1, etc.)
CAT (4th Year)
MAKABAYAN
Araling Panlipunan
Edukasyon sa Pagpapahalaga
Technology & Livelihood Educ.
MAPEH
MATHEMATICS
SCIENCE
PERIODIC RATINGS
Grading Plan Used: Averaging ( ) Cumulative ( )
Action
Taken
Final
Rating
(Name)
(Surname) (First Name) (Middle Name)
Accomplished by
(Curriculum Year)
Units
Earned
Extracurricular
Activities
Checked by
Section Adviser
(Curriculum year)
Total number of years in school to date
SUBJECTS PERIODIC RATINGS Extracurricular
Activities (National Language 1, etc.) Grading Plan Used: Averaging ( ) Cumulative ( )
(First Name) (Middle Name)
(Name) (Curriculum Year)
Final
Rating
Action
Taken
Units
Earned
FILIPINO
ENGLISH
MATHEMATICS
Checked by
SCIENCE
Araling Panlipunan
Technology & Livelihood Educ.
MAKABAYAN
MAPEH
Edukasyon sa Pagpapahalaga
CAT (4th Year)
Cum. Accomplished by
(Curriculum year)
(Surname) (First Name) (Middle Name)
Section Adviser
Total number of years in school to date
Extracurricular
Activities (National Language 1, etc.) Grading Plan Used: Averaging ( ) Cumulative ( )
FILIPINO
(Name) (Curriculum Year)
SUBJECTS PERIODIC RATINGS
Final
Rating
Action
Taken
Units
Earned
MATHEMATICS
ENGLISH
SCIENCE
MAKABAYAN
Technology & Livelihood Educ.
Checked by
Araling Panlipunan
Edukasyon sa Pagpapahalaga
MAPEH
CAT (4th Year)
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GENERAL AVERAGE
GENERAL AVERAGE
GENERAL AVERAGE
Cum.
Total number of years in school to date
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Accomplished by
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Section Adviser
Form 137-A
Identification Card Copy of this record sent to
Issued on _______________________________ Principal of _______________________________
Name: Date of Birth: Year Month Day:
Place of Birth: Province Town Barangay
Parent or Guardian Occupation
Address of Parent or Guardian:
Intermediate Course Completed (School) Year Gen. Ave
CLASSIFIED AS Total number of years in school to complete Elementary Course
_________________ YR. & SEC ______________________School ___________________________________________________ School Year 20 __________
JUNE JULY AUG SEPT. OCT. NOV. DEC. JAN. FEB. MAR. APR.
Name:
School: Year: Section:
School Year:
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
TOTAL
TOTAL
Jun. Jul. Aug. Sept. Oct. Nov. Dec. Jan. Feb. Mar. Apr. TOTAL
Days of school 0
Days present 0
Has advanced units in
Lacks units in
To be classified as
Permanent Record Principal Principal
Secondary Students
(Surname) (First Name) (Middle Name)
Metro Manila
DIVISION OF CITY SCHOOLS
QUEZON CITY
Action
Taken
Units
Earned
Extracurricular
Activities (National Language 1, etc.) Grading Plan Used: Averaging ( ) Cumulative ( )
FILIPINO
ENGLISH
(Name) (Curriculum Year)
SUBJECTS PERIODIC RATINGS
Final
Rating
MATHEMATICS
Technology & Livelihood Educ.
MAKABAYAN Checked by
MAPEH
CREDIT
S
EARNE
GENERAL AVERAGE
Section Adviser
Accomplished by Cum.
Edukasyon sa Pagpapahalaga
Total number of years in school to date
GRADING PERIOD
C.S.
AVE.
ACTIO
N
TAKEN
Araling Panlipunan
Total No. of days in
(Curriculum year)
CAT (4th Year)
SCIENCE
SCIENCE
Has advance units in _________
Lacks units in ______________
Classified as _______________
Adviser ___________________
__________________________
Checker __________________
the Curriculum Year _________
Previous units earned ________
Present units earned _________
Grand Total _________
Values Education
Average:
Days of school
Days present
Fiore Del Carmelo School, Inc
TOTAL
1 2 3 4
S U B J E C T S
ARALING PANLIPUNAN
MATHEMATICS
ENGLISH
Republic of the Philippines
Department of Education
1 Items in parentheses underSubject refer to the subjects studied according to year scheduled in the curriculum., a First Year subject should be
followed b the Roman Numeral I; Second Year, Third Year and Fourth Year subjects should be followed by II, III, IV, respectively. An exception to
this is Vocational education I, which is for the Second Year, Vocational Education II, for the Third Year, and Vocational Education III, for the Fourth Year.
TVE
MAPEH
PC OPERATION
TECHNICAL DRAWING
1 Items in parentheses underSubject refer to the subjects studied according to year scheduled in the curriculum., a First Year subject should be
followed b the Roman Numeral I; Second Year, Third Year and Fourth Year subjects should be followed by II, III, IV, respectively. An exception to
this is Vocational education I, which is for the Second Year, Vocational Education II, for the Third Year, and Vocational Education III, for the Fourth Year.
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