DepEd Form 137-E Republika ng Pilipinas

(Republic of the Philippines)

Kagawaran ng Edukasyon
(Department of Education)
Rehiyon III
(Region III)
SANGAY NG BATAAN
(DIVISION OF BATAAN)

PALAGIANG TALAAN SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PERMANENT RECORD)
LRN:
Pangalan Sangay BATAAN Paaralan: ANTONIO G.
(Name) Apelyido Unang Pangalan M.I. (Division)

Kasarian Petsa ng Kapanganakan Pook Petsa ng Pagpasok

(Sex) (Date of Birth) (Place)Bayan/Lalawigan/Lungsod
(Town/Province/City)
Magulang/Tagapag-alaga
(Parent / Guardian) Pangalan Tirahan Hanapbuha
(Name) (Address) (Occupatio

PAG-UNLAD SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PROGRESS)
Grade I - School Grade II - School
School Year School Year

Periodic Rating Final Periodic Rating

Learning Areas Rating
Remarks Learning Areas
1 2 3 4 1 2 3
Mother Tounge Mother Tounge
Filipino Filipino
English English
Mathematics Mathematics
Araling Panlipunan Araling Panlipunan
Edukasyon sa Pagpapakatao Edukasyon sa Pagpapakatao
MAPEH MAPEH
*Music *Music
*Art *Art
*Physical Education *Physical Education
*Health *Health
General Average General Average
Eligible for Admission to Grade Eligible for Admission to Grade

Grade III - School Grade IV - School

School Year School Year

Periodic Rating Final Periodic Rating

Learning Areas Rating
Remarks Learning Areas
1 2 3 4 1 2 3
Mother Tongue Filipino
Filipino English
English Mathematics
Mathematics Science
Science Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao
Araling Panlipunan (AP) (EsP)
Edukasyon sa Pagpapakatao Edukasyong Pantahanan at
(EsP) Pangkabuhayan (EPP)
MAPEH MAPEH
*Music *Music
*Art *Art
*Physical Education *Physical Education
*Health *Health
General Average General Average
Eligible for Admission to Grade Eligible for Admission to Grade

Grade V - School Grade VI - School

School Year School Year
DepEd Form 137-EAreas Periodic Rating Final Periodic Rating
Learning Rating
Remarks Learning Areas
1 2 3 4 1 2 3
Filipino Filipino
English English
Mathematics Mathematics
Science Science
Araling Panlipunan (AP) Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao Edukasyon sa Pagpapakatao
(EsP) (EsP)
Edukaskong Pantahanan at Technology & Livelihood
Pangkabuhayan (EPP) Education (TLE)
MAPEH MAPEH
*Music *Music
*Art *Art
*Physical Education *Physical Education
*Health *Health
General Average General Average
Eligible for Admission to Grade Eligible for Admission to Grade
 lika DepEd
ng Pilipinas
Form 137-E
c of the Philippines)
ran ng Edukasyon
ment of Education)
Rehiyon III
(Region III)
AY NG BATAAN
ION OF BATAAN)

N SA MABABANG PAARALAN
OOL PERMANENT RECORD)

ANTONIO G. LLAMAS ES
(School)

(Date of Entrance)

Hanapbuhay
(Occupation)

MABABANG PAARALAN
Y SCHOOL PROGRESS)

Periodic Rating Final

Remarks
4 Rating

Periodic Rating Final

Remarks
4 Rating
DepEd Form 137-E Periodic Rating Final
Remarks
4 Rating
REPORT ON LEARNER'S OBSERVED VALUES

CORE VALUES / BEHAVIOR Gr Sch. Yr. Gr Sch. Yr. Gr Sch. Yr.

STATEMENTS
1 2 3 4 F.R. 1 2 3 4 F.R. 1 2 3 4 F.R.
MAKA-DIYOS
Expresses one's spiritual beliefs while
●●
respecting the spiritual beliefs of others.
●● Shows adherence to ethical principles by
upholding the truth.
MAKATAO
●● Is sensitive to individual, social and cultural
differences.
●● Demonstrates constributions toward solidarity
MAKA-KALIKASAN
●● Cares for the environment and utilizes
resources wisely, judiciously, and economic-
ally.
MAKA-BANSA
●● Demonstrates pride in being a Filipino;
excersise the rights and responsibilities of a
Filipino citizen.
●● Demonstrates appropriate behavior in carrying
out activities in school, community, and
country.
CORE VALUES / BEHAVIOR Gr Sch. Yr. Gr Sch. Yr. Gr Sch. Yr.
STATEMENTS
1 2 3 4 F.R. 1 2 3 4 F.R. 1 2 3 4 F.R.
MAKA-DIYOS
Expresses one's spiritual beliefs while
●●
respecting the spiritual beliefs of others.
●● Shows adherence to ethical principles by
upholding the truth.
MAKATAO
●● Is sensitive to individual, social and cultural
differences.
●● Demonstrates constributions toward solidarity
MAKA-KALIKASAN
●● Cares for the environment and utilizes
resources wisely, judiciously, and economic-
ally.
MAKA-BANSA
●● Demonstrates pride in being a Filipino;
excersise the rights and responsibilities of a
Filipino citizen.
●● Demonstrates appropriate behavior in carrying
out activities in school, community, and
country.
AO - Always Observed RO - Rarely Observed
SO - Sometimes Observed NO - Not Observed
IV. ATTENDANCE RECORD
No. of
No. of School No. of School
Grade No. of School Days Cause Times Cause
Days Absent Days Present
Tardy

CERTIFICATE OF TRANSFER
TO WHOM IT MAY CONCERN:
This is to certtify that this is the true record of the Elementary School Permanent record of
. He/She is eligible for transfer and admission to Grade/Year Seven
.
RUEL D. LINGAD, Ed.D.
Signature
Principal IV
Date Designation