Republic of the Philippines

FORM 137-E

Department of Education
REGION IX, ZAMBOANGA PENINSULA
Division of Zamboanga Sibugay
TALUSAN DISTRICT

ELEMENTARY SCHOOL PERMANENT RECORD

I. Name

Division:
Surname

Name

School:

M.I

Sex:

Place of Birth

Date of Birth:

Date of
(Town/Provinve/City)

Parent/Guardian:
Name

Address

ELEMENTARY SCHOOL PROGRESS

II.

Grade I - School: ____________________________________________

School Year: ____________________________________________
Quarter
Learning Areas
1
2
3
4

Final
Rating

Grade II - School: __________________________

School Year: __________________________
Q
Learning Areas
1
2

Remarks

Mother Tongue

Mother Tongue

Filipino

Filipino

English

English

Mathematics

Mathematics

Araling Panlipunan (AP)

Araling Panlipunan (AP)

Edukasyon sa Pagpapakatao

Edukasyon sa Pagpapakatao

MAPEH

MAPEH

*Music

*Music

*Arts

*Arts

*Physical Education

*Physical Education

*Health

*Health
General Average

General Average

Eligible for admission to Grade _____

Grade III - School: ____________________________________________
School Year: __________________________________________

Learning Areas

Quarter
1

Eligible for admission to Grade_______

Grade IV - School: ____________________________
School Year: ____________________________

Final
Rating

Learning Areas

Remarks

Mother Tongue

Filipino

Filipino

English

English

Mathematics

Mathematics

Science

Science

Araling Panlipunan (AP)

Araling Panlipunan (AP)

Edukasyon sa Pagpapakatao

Edukasyon sa Pagpapakatao

EPP

MAPEH

MAPEH

*Music

*Music

*Arts

*Arts

*Physical Education

*Physical Education

*Health

*Health
General Average

General Average

Eligible for admission to Grade________________

Eligible for admission to Grade________________

Grade V - School: ____________________________________________

School Year: ___________________________________________

Learning Areas

Quarter
1

Grade VI - School: ____________________________

School Year: ____________________________

Final
Rating

Learning Areas

Remarks

Filipino

Filipino

English

English

Mathematics

Mathematics

Science

Science

Araling Panlipunan (AP)

Araling Panlipunan (AP)

Edukasyon sa Pagpapakatao

Edukasyon sa Pagpapakatao

EPP

EPP

MAPEH

MAPEH

*Music

*Music

*Arts

*Arts

*Physical Education

*Physical Education

*Health

*Health
General Average

General Average

Eligible for admission to Grade________________

Descriptors

Q
2

Grading Scale

Eligible for admission to Grade________________

Remarks

Q
2

Outstanding
Very Satisfactory
Satisfactory
Fairly Satisfactory
Did Not Meet Expectations

90- 100
85 - 89
80 - 84
75 - 79
Below 75

Passed
Passed
Passed
Passed
Failed

the Philippines

LRN:

t of Education

BOANGA PENINSULA
mboanga Sibugay
N DISTRICT

L PERMANENT RECORD
Date of Entrance

Occupation

CHOOL PROGRESS
Grade II - School: ___________________________________________
School Year: ___________________________________________
Quarter
2
3
4

Final
Rating

Remarks

Final
Rating

Remarks

Final
Rating

Remarks

General Average

Eligible for admission to Grade_______

Grade IV - School: ___________________________________________
School Year: __________________________________________

Quarter
2
3

General Average

Eligible for admission to Grade________________

Grade VI - School: ___________________________________________
School Year: __________________________________________

Quarter
2
3

General Average

Eligible for admission to Grade________________

III. LEARNER'S OBSERVED VALUES

Core Values

1. Maka- Diyos

Behavior Statements

Grade _____S.Y _____

Quarter

Grade _____S.Y _____

Quarter

Expresses one's spiritual beliefs while respecting the

spiritual belief's of others
Shows adherence to ethical principles by upholding
truth
Is sensitive to individual, social, and cultural differences

2. Makatao
Demonstratescontributions toward solidarity
3. Makakalikasan

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

4. Makabansa
Demonstrates appropriate behavior in carrying out
activities in the school, community, and country

Core Values

Grade ___- S.Y ___

Quarter

Behavior Statements

Grade ___- S.Y ___

Quarter
1

Expresses one's spiritual beliefs while respecting the

spiritual belief's of others
1. Maka- Diyos
Shows adherence to ethical principles by upholding
truth

2. Makatao

Is sensitive to individual, social, and cultural differences

Demonstratescontributions toward solidarity

3. Makakalikasan

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

4. Makabansa
Demonstrates appropriate behavior in carrying out
activities in the school, community, and country

Marking
AO
SO
RO
NO

Non-numerical Rating
Always Observed
Sometimes Observed
Rarely Observed
Not Observed

IV. ATTENDANCE RECORD

Grade

No. of School Days

No. of School Days

Absent

Cause

No. of Times Tardy

Cause

ONE
TWO
THREE
FOUR
FIVE
SIX

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 ___________________
eligible for transfer and admission to Grade/Year ______________________.

_______________
Principal/Sch

Date

_____
4

Grade _____S.Y _____

Quarter
1

___
4

ause

Grade ___- S.Y ___

Quarter
1

No. of School Days

Present

_________ . He/She is

_________________
al/School Head

CLASS FUND
Name of Learner
MALE
PANUNCIAR, ALLEN COMBATE
SELVIRIO, RAYAN OWANO
TANDA, ALKAIZEL SADDALI
TAPIA, RONNIE TUMAMPAL

FEMALE
DUMANDAN, JUDY TERO
ESNEROL, JAIMA SAJAROL
ISNAIN, NURSIMA SALAPUDDIN
JAANI, ELSA TERO
MAALAC, AIREN LIBRES
POCONG, MARIA MAE COMBATE
SALAM, KHISMA SADDANG
SULAY, NERFA JAAPAL
TANDA, DARWINA AMERI
TERO, PAMELA GALLETO
URBANO, GI-AN REVILLA

NOVEMBER
1

10

11

12

13

14

15

16

17

18

19

20