Republic of the Philippines

Department of Education
DIVISION OF PAMPANGA
LANANG ELEMENTARY SCHOOL
Lanang, Candaba, Pampanga

ELEMENTARY STUDENT'S EVALUATION FORM

Name: Date of Birth: Year Month
Place of Birth: Province Town CANDABA
Parent or Guardian
Address of Parent or Guardian
Pre-School Completed SY
Level School Year: Level
School Location: School
Action
SUBJECTS C.S. Ave SUBJECTS
Taken
Filipino Filipino
English English
Mathematics Mathematics
Science Science
Araling Panlipunan Araling Panlipunan
Edukasyon sa Pagpapakatao Edukasyon sa Pagpapakatao
Technology and Livelihood Education (TLE) Technology and Livelihood Education (TLE)
MAPEH MAPEH
Music Music
Arts Arts
PE PE
Health Health
Total Days of School Total Days of School
Total Days Present Total Days Present
Total Number of Years in school to Date: Total Number of Years in school to Date:

Level School Year: Level

School Location: School
Action
SUBJECTS C.S. Ave SUBJECTS
Taken
Filipino Filipino
English English
Mathematics Mathematics
Science Science
Araling Panlipunan Araling Panlipunan
Edukasyon sa Pagpapakatao Edukasyon sa Pagpapakatao
Technology and Livelihood Education (TLE) Technology and Livelihood Education (TLE)
MAPEH MAPEH
Music Music
Arts Arts
PE PE
Health Health
Total Days of School Total Days of School
Total Days Present Total Days Present
Total Number of Years in school to Date: Total Number of Years in school to Date:

Level School Year: Level FIRST YEAR

School Location: School Cordova NHS
Action
SUBJECTS C.S. Ave SUBJECTS
Taken
 Action
SUBJECTS C.S. Ave SUBJECTS
Taken
Filipino Filipino
English English
Mathematics Mathematics
Science Science
Araling Panlipunan Araling Panlipunan
Edukasyon sa Pagpapakatao Edukasyon sa Pagpapakatao
Technology and Livelihood Education (TLE) Technology and Livelihood Education (TLE)
MAPEH MAPEH
Music Music
Arts Arts
PE PE
Health Health
Total Days of School Total Days of School
Total Days Present Total Days Present
Total Number of Years in school to Date: Total Number of Years in school to Date:

SUMMARY OF SUBJECTS EARNED/ TAKEN

COMPLETE INCOMPLETE I hereby certify that this is a true record of
SUBJECTS Grade 1-6
Grade
Level/Subject (X)

Filipino
English as per requirements.This certifies further that he/she
Mathematics has completed the academic requirements of
Science Elementary Education and eligible for admission to
Araling Panlipunan Secondary School.
Edukasyon sa Pagpapakatao
Technology and Livelihood Educa Date of Checking:
MAPEH
Music Checked against Form 137A:
Arts
PE Principal
Health
RM
Date
Barrio

2006-2007 Ave
School Year:

Location: Action
S C.S. Ave
Taken

akatao
Education (TLE)

ol to Date:

School Year:

Location: Action
S C.S. Ave
Taken

akatao
Education (TLE)

ol to Date:

RST YEAR School Year:

rdova NHS Location: Action

First Second
S Grading Grading
Taken
 Action
First Second
S Grading Grading
Taken

akatao
Education (TLE)

ol to Date:

rue record of

further that he/she

rements of
for admission to

f Checking:

ncipal