DepEd Form 137-E

Republic of the Philippines

Department of Education
Region IX, Zamboanga Peninsula
ZAMBOANGA DEL SUR
Division
ELEMENTARY SCHOOL PERMANENT RECORD
( PALAGIANG TALAAN SA MABABANG PAARALAN )
Name :__________________________________School:_________________________________Age: ______ LRN:____________
(Pangalan) ( Family Name) (First Name) (M.I.) (Paaralan) (Edad)
Sex: ______Date of Birth: _________________Place of Birth: ___________________________Date of Entrance:_____________
(Kasarian) (Petsang Kapanganakan) (Lugar ng Kapanganakan) (Petsang Pagpasok)
Parents/Guardian: ____________________________ ___________________________________ _________________________
(Magulang/Tagapangalaga) Name Address Occupation
ELEMENTARY SCHOOL PROGRESS
( PAG-UNLAD SA MABABANG PAARALAN)

Grade One Grade Two

School:_______________________ School Year:________ School:___________________________School Year:_______
Periodic Rating Final Periodic Final
Learning Areas 1 2 3 4 Rating Rating Rating
MOTHER TONGUE Learning
FILIPINO Areas
ENGLISH 1 2 3 4
MATHEMATICS
MOTHER TONGUE
ARALING PANLIPUNAN
FILIPINO
MAPEH
ENGLISH
*MUSIC
MATHEMATICS
*ART
ARALING PANLIPUNAN
*PHYSICAL EDUCATION
MAPEH
*HEALTH
EDUKASYON SA PAGPAPAKATAO
*MUSIC
*ART
GENERAL RATING
*PHYSICAL EDUCATION
Grade Three *HEALTH
Eligible for Admission to Grade _____________ Eligible for Admission to Grade __________
Grade Four EDUKASYON SA PAGPAPAKATAO
School:____________________________School Year:__________ GENERAL RATING
School:___________________________School Year:___________
Periodic Rating Final Periodic Final
Learning Areas 1 2 3 4 Rating Rating Rating
MOTHER TONGUE Learning
FILIPINO Areas
ENGLISH 1 2 3 4
SCIENCE FILIPINO
MATHEMATICS ENGLISH
ARALING PANLIPUNAN SCIENCE
MAPEH MATHEMATICS
*MUSIC ARALING PANLIPUNAN
*ART EPP
*PHYSICAL EDUCATION MAPEH
*HEALTH *MUSIC
EDUKASYON SA PAGPAPAKATAO *ART
GENERAL RATING *PHYSICAL EDUCATION
Eligible for Admission to Grade_____________ *HEALTH
EDUKASYON SA PAGPAPAKATAO
Eligible for Admission to Grade _____________
GENERAL RATING
Grade Five
Grade Six
School:________________________School Year:_________ School:_______________________School Year :________
Periodic Rating Final Periodic Final
Learning Areas 1 2 3 4 Rating Rating Rating
FILIPINO Learning
ENGLISH Areas
SCIENCE 1 2 3 4
MATHEMATICS FILIPINO
ARALING PANLIPUNAN ENGLISH
EPP SCIENCE
MAPEH MATHEMATICS
*MUSIC ARALING PANLIPUNAN
*ART EPP
*PHYSICAL EDUCATION MAPEH
*HEALTH *MUSIC
EDUKASYON SA PAGPAPAKATAO
*ART
GENERAL RATING >PHYSICAL EDUCATION
Eligible for Admission to Grade ______________ *HEALTH
Eligible for Admission to Grade ______________ EDUKASYON SA PAGPAPAKATAO
GENERAL RATING
CHARACTER BUILDING

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

1 2 3 4 1 2 3 4 1 2 3 4
1.Honesty
2.Courtesy
3.Helpfulness & Cooperation
4.Resourcefulness & Creativeness
5.Consideration for others
6.Sportmanship
7.Obedience
8.Self-Reliance
9.Industry
10.Cleanliness & Orderliness

Gr._____ Sch. Yr.______ Gr._______ Sch. Yr. _____ Gr.______ Sch. Yr. ______
1 2 3 4 1 2 3 4 1 2 3 4
1.Honesty
2.Courtesy
3.Helpfulness & Cooperation
4.Resourcefulness & Creativeness
5.Consideration for others
6.Sportmanship
7.Obedience
8.Self-Reliance
9.Industry
10.Cleanliness & Orderliness

A – Very Good C – Fair

B – Good D – Poor

ATTENDANCE RECORD

Grade No. of School No. of School No. of School No. of Times

Days Days Present Days Absent Tardy

CERTIFICATE OF TRANSFER

TO WHOM IT MAY CONCERN:

This is to certify that this is a true copy of the Elementary School Permanent Record of
__________________________________________________________.He/She is eligible for transfer and
admission to Grade/Year________________________________________________.

__________________________________

Signature
___________________________________
__________________________________
 Date
Designation