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Form 137-k To 12 New - Arab
Form 137-k To 12 New - Arab
Kasarian M Petsa ng Kapanganaka 11-05-2007 Pook DAVAO CITY Petsa ng PagpasokJUNE 02,2014
(Sex) (Date of Birth) (Place)Bayan/Lalawigan/Lungsod (Date of Entrance)
(Town/Province/City)
Magulang/Tagapag-alaga VIRGI BRGY 6-A BUSINESSWOMAN
(Parent / Guardian) Pangalan Tirahan Hanapbuhay
(Name) (Address) (Occupation)
*Music 82 87 79 85 *Music 82 82 79 83
*Art 81 85 82 86 *Art 76 85 78 80
*Physical Education 81 85 79 85 *Physical Education 78 80 76 82
*Health 80 86 79 86 *Health 81 82 84 82
General Average 81 PROM General Average 80 PROM
Eligible for Admission to Grade FOUR Eligible for Admission to Grade FIVE
Gr I Sch. Yr. 2014-15 Gr II Sch. Yr. 2015-16 Gr III Sch. Yr. 2016-17
CORE VALUES
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
●● S A S S S S S S S S
respecting the spiritual beliefs of others. O O O O O O O O O O
●● Shows adherence to ethical principles by S R R R R S S S S S
upholding the truth. O O O O O O O O O O
MAKATAO
●● Is sensitive to individual, social and cultural S A S S S S S S S S
differences. O O O O O O O O O O
S A A S S S S S S S
●● Demonstrates constributions toward solidarity
O O O O O O O O O O
MAKA-KALIKASAN
●● Cares for the environment and utilizes
resources wisely, judiciously, and economic- SO AO AO SO SO SO SO SO SO SO
ally.
MAKA-BANSA
●● Demonstrates pride in being a Filipino;
excersise the rights and responsibilities of a SO RO RO SO SO SO SO SO SO SO
Filipino citizen.
●● Demonstrates appropriate behavior in carrying
out activities in school, community, and
SO RO RO RO RO SO SO SO SO SO
country.
Gr IV Sch. Yr. 2017-18 Gr Sch. Yr. Gr Sch. Yr.
CORE VALUES
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
●● R R A A S
respecting the spiritual beliefs of others. O O O O O
●● Shows adherence to ethical principles by S A A A S
upholding the truth. O O O O O
MAKATAO
●● Is sensitive to individual, social and cultural
S R R R R
differences. O O O O O
S S A A S
●● Demonstrates constributions toward solidarity
O O O O O
MAKA-KALIKASAN
●● Cares for the environment and utilizes
resources wisely, judiciously, and economic- SO SO RO RO SO
ally.
MAKA-BANSA
●● Demonstrates pride in being a Filipino;
excersise the rights and responsibilities of a RO RO SO SO SO
Filipino citizen.
●● Demonstrates appropriate behavior in carrying
out activities in school, community, and
SO SO SO SO SO
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 r ARAB ZAM-ZAM AN-NUUBEREBER
. He/She is eligible for transfer and admission to Grade/Year
.
Signature
Date Designation