Republika ng Pilipinas

(Republic of the Philippines)

Kagawaran ng Edukasyon
(Department of Education)
KAWANIHAN NG EDUKASYONG ELEMENTARYA

DepEd Form 137-E

(BUREAU OF ELEMENTARY EDUCATION)

Pambansang Punong Rehiyon

(National Capital Region)
Sangay ng mga Paaralang Lungsod
Lungsod ng Malabon
(Division of City Schools - City of Malabon)
PALAGIANG TALAAN SA MABABANG PAARALAN
(ELEMENTARY SCHOOL PERMANENT RECORD)

I.

Pangalan
(Name)

Sangay
Apelyido

Unang Pangalan

M.I.

Paaralang Elementarya ng
(Division)

Kasarian

Petsa ng Kapanganakan

Pook

(Sex)

(Date of Birth)

(Place) Bayan/Lalawigan/Lungsod

(School)
Petsa ng Pagpasok

Magulang/Tagapag-alaga
(Parent / Guardian)

Pangalan
(Name)

Tirahan
(Address)

Hanapbuhay
(Occupation)

PALAGIANG TALAAN SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PROGRESS)
Grade I - School
School Year
Learning Areas

Grade II - School
School Year
Periodic Rating

Final
Rating

Remarks

Learning Areas

Periodic Rating

English

English

Mathematics

Mathematics

Filipino

Filipino

Makabayan

Makabayan

* Sibika at Kultura

* Sibika at Kultura

* MSEP

* MSEP

* Character Education

* Character Education

Eligible for Admission to Grade

Eligible for Admission to Grade

Grade III - School

School Year
Learning Areas

Final
Rating

Remarks

Final
Rating

Remarks

Final
Rating

Remarks

Grade IV - School
School Year
Periodic Rating

Final
Rating

Remarks

Learning Areas

Periodic Rating

English

English

Mathematics

Mathematics

Science and Health

Science and Health

Filipino

Filipino

Makabayan

Makabayan

* Sibika at Kultura

* HKS

* MSEP

* EPP

* Character Education

* MSEP

Eligible for Admission to Grade

* Character Education
Eligible for Admission to Grade

Grade V - School
School Year
Learning Areas

Grade VI - School
School Year
Periodic Rating

Final
Rating

Remarks

Learning Areas

Periodic Rating

English

English

Mathematics

Mathematics

Science and Health

Science and Health

Filipino

Filipino

Makabayan

Makabayan

* HKS

* HKS

* EPP

* EPP

* MSEP

* MSEP

* Character Education
Eligible for Admission to Grade

* Character Education
Eligible for Admission to Grade

III. CHARACTER BUILDING

Gr.
1

Sch. Yr.
2

Gr.
4

F.R.

Sch. Yr.
2

Gr.
4

F.R.

Sch. Yr.
2

F.R.

F.R.

1 Honesty
2 Courtesy
3

Helpfulness and
Cooperation

4 Obedience
5

Consideration for
Others

6 Sportsmanship
7

Resourcefulness and
Creativeness

8 Self-Reliance
9 Industry
10

Cleanliness and
Orderliness

Gr.
1

Sch. Yr.
2

Gr.
4

F.R.

Sch. Yr.
2

Gr.
4

F.R.

Sch. Yr.
2

1 Honesty
2 Courtesy
3

Helpfulness and
Cooperation

4 Obedience
5

Consideration for
Others

6 Sportsmanship
7

Resourcefulness and
Creativeness

8 Self-Reliance
9 Industry
10

Cleanliness and
Orderliness
A - Outstanding
B - Very Satisfactory

C - Satisfactory
D - Needs Improvement

IV. ATTENDANCE RECORD

Grade

No. of
School
Days

No. of School
Days Absent

Cause

No. of Times
Tardy

Cause

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

No. of School
Days Present

Date

Designation