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DepEd Form 137-E Republic of the Philippines

Department of Education
Region VIII (Eastern Visayas)
BAYBAY CITY DIVISION

ELEMENTARY SCHOOL PERMANENT RECORD

Pangalan Paaralan
(Name) Apelyido Unang Pangalan M.I. (School)

Kasarian Petsa ng Kapanganakan Pook Petsa ng Pagpasok


(Sex) (Date of Birth) (Place) Bayan/Lalawigan/Lungsod

Magulang/Tagapag-alaga
(Parent / Guardian) Pangalan Tirahan Hanapbuhay
(Name) (Address) (Occupation)

(ELEMENTARY SCHOOL PROGRESS)


Kindergarten: School LRN
School Year

ASSESSMENT SCORE REMARKS


START OF THE YEAR
MIDDLE OF TH EYEAR
END OF THE YEAR
Eligible for Admission to Grade

Grade I - School Grade II - School


School Year School Year

Periodic Rating Final Periodic Rating Final


Learning Areas Rating
Remarks Learning Areas Rating
Remarks
1 2 3 4 1 2 3 4
Mother Tongue Mother Tongue
Filipino Filipino
English English
Mathematics Mathematics
Araling Panlipunan Araling Panlipunan
Eduk. sa Pagpapakatao Eduk. sa Pagpapakatao
MAPEH MAPEH
Music Music
Arts Arts
PE PE
Health Health
Gen. Average Gen. 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 Final


Learning Areas Rating
Remarks Learning Areas Rating
Remarks
1 2 3 4 1 2 3 4
Mother Tongue Filipino
Filipino English
English Mathematics
Mathematics Science
Science Araling Panlipunan
Araling Panlipunan Eduk. sa Pagpapakatao
Eduk. sa Pagpapakatao Eduk.Pangtahanan at
MAPEH Pangkabuhayan
Music MAPEH
Arts Music
PE Arts
Health PE
Gen. Average Health
Eligible for Admission to Grade Gen. Average
Eligible for Admission to Grade
Grade V - School Grade VI - School
School Year School Year

Periodic Rating Final


Learning Areas Rating
Remarks Learning Areas
1 2 3 4 Periodic Rating Final
Remarks
1 2 3 4 Rating
Filipino Filipino
English English
Mathematics Mathematics
Science Science
Araling Panlipunan Araling Panlipunan
Eduk. sa Pagpapakatao Eduk. sa Pagpapakatao

Eduk.Pangtahanan at Eduk.Pangtahanan at
Pangkabuhayan Pangkabuhayan
MAPEH MAPEH
Music Music
Arts Arts
PE PE
Health Health
Gen. Average Gen. Average
Eligible for Admission to Grade Eligible for Admission to Grade
III. CHARACTER BUILDING

Gr. Sch. Yr. Gr. Sch. Yr. Gr. Sch. Yr.


Behavioral Values
1 2 3 4 FR 1 2 3 4 FR 1 2 3 4 FR

Expresses one’s spiritual beliefs while


respecting the spiritual beliefs of others
Maka-Diyos
Shows adherence to ethical principles by
upholding truth

Is sensitive to individual, social, and


cultural differences
Makatao
Demonstrates contributions toward
solidarity

Cares for the environment and utilizes


Makakali resources wisely, judiciously, and
kasan economically

Demonstrates pride in being a Filipino;


exercises the rights and responsibilities
of a Filipino citizen
Makabansa
Demonstrates appropriate behaviour in
carrying out activities in the school,
community, and country

Average

Gr. Sch. Yr. Gr. Sch. Yr. Gr. Sch. Yr.


Behavioral Values
1 2 3 4 FR 1 2 3 4 FR 1 2 3 4 FR
Expresses one’s spiritual beliefs while
respecting the spiritual beliefs of others
Maka-Diyos
Shows adherence to ethical principles by
upholding truth

Is sensitive to individual, social, and


cultural differences
Makatao
Demonstrates contributions toward
solidarity

Cares for the environment and utilizes


Makakali resources wisely, judiciously, and
kasan economically

Demonstrates pride in being a Filipino;


exercises the rights and responsibilities
of a Filipino citizen
Makabansa
Demonstrates appropriate behaviour in
carrying out activities in the school,
community, and country

Average

AO - Always Observed RO - Rarely Observed


SO - Sometimes Observed NO - Not Observed
IV. ATTENDANCE RECORD

No. of No. of
No. of School Days No. of School
Grade School Cause Times Cause
Absent Days Present
Days Tardy

K
I
II
III
IV
V
VI

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 .

Signature

Date Designation