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Principal of __________________
School on____________________

Republika ng Pilipinas
Kagawaran ng Edukasyon
Rehiyon IV B -MIMAROPA
DIVISION OF PALAWAN
Puerto Princesa City

DepEd Form 137-E

___________________________
_
Principal

LRN: ______________________
PALAGIANG TALAAN SA MABABANG PAARALAN
(ELEMENTARY SCHOOL PERMANENT RECORD)

I.

Pangalan
(Name)

Sangay
Apelyido

Unang Pangalan

M.I.

Paaralan
(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 PERMANENT RECORD)
Grade II - School
School Year

Grade I - School
School Year
Learning Areas

Periodic Rating

Final
Rating

Remarks

Learning Areas

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

No. of Years in School

Gen. Ave.
Adviser____________

Grade III - School

School Year
Learning Areas

Periodic Rating

Final
Rating

Remarks

Eligible for Admission to Grade

Gen. Ave.
No. of Years in School
Adviser__________
Grade IV - School
School Year

Periodic Rating

Final
Rating

Remarks

Learning Areas

English

English

Science and Health

Science and Health

Mathematics

Mathematics

Filipino

Filipino

Makabayan

Makabayan

* Sibika at Kultura

* HKS

* MSEP

* EPP

* Character Education

* MSEP

Periodic Rating

Final
Rating

Remarks

* Character Education

Eligible for Admission to Grade

No. of Years in School

Gen. Ave.
Adviser____________

Grade V - School
School Year
Learning Areas

Eligible for Admission to Grade

No. of Years in School

Gen. Ave.
Adviser____________

Grade VI - School
School Year
Periodic Rating

Final
Rating

Remarks

Learning Areas

English

English

Science and Health

Science and Health

Mathematics

Mathematics

Filipino

Filipino

Makabayan

Makabayan

* HKS

* HKS

* EPP

* EPP

* MSEP

* MSEP

* Character Education
Eligible for Admission to Grade

Periodic Rating

Final
Rating

* Character Education
GEN. AVE.

No. of Years in School ________Adviser____________

Eligible for Admission to Grade

GEN. AVE.
No. of Years in School
Adviser____________

Remarks

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
Date

Designation

No. of School
Days Present