REPUBLIKA NG PILIPINAS

(Republic of the Philippines)

KAGAWARAN NG EDUKASYON
(Department of Education)
Rehiyon VIII Eastern Visayas
Region VIII Eastern Visayas

DepEd FORM137-E
LRN: _______________________
PALAGIANG TALAAN SA PAARALANG ELEMENTARYA
(ELEMENTARY SCHOOL PERMANENT RECORD)

I. Pangalan Purok Paaralan

(Name) (Apelyido) (Unang Ngalan) (Gitnang Ngalan) (District) (School)
(Surname) (First Name) (Middle Name)

Kasarian Petsa ng Kapanganakan Pook Petsa ng Pagpasok

(Sex) (Date of Birth) (Place) (Town/Province/City) (Date of Entrance)
Bayan / Lalawigan / Lungsod
Magulang/Tagapag-alaga
Pangalan Tirahan Hanapbuhay
(Name) (Address) (Occupation)

II. PAG-UNLAD SA PAARALANG ELEMENTARYA

(ELEMENTARY SCHOOL PROGRESS)

Grade ____ School Grade ____ School

School Year Adviser School Year Adviser
Quarter Final Quarter Final
Learning Areas Grade Remarks Learning Areas Grade Remarks
1 2 3 4 1 2 3 4
Filipino Filipino
English English
Mathematics Mathematics
Science Science
Araling Panlipunan (AP) Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP) Edukasyon sa Pagpapakatao (EsP)
Edukasyong Pantahanan at Edukasyong Pantahanan at
Pangkabuhayan (EPP) Pangkabuhayan (EPP)
MAPEH MAPEH
Music Music
Arts Arts
P.E. P.E.
Health Health
Mother Tongue Mother Tongue
General Average General Average
Eligible for Admission to Grade Eligible for Admission to Grade

Grade ____ School Grade ____ School

School Year Adviser School Year Adviser

Learning Areas Quarter Final

Remarks Learning Areas Quarter Final
Remarks
1 2 3 4 Grade 1 2 3 4 Grade
Filipino Filipino
English English
Mathematics Mathematics
Science Science
Araling Panlipunan (AP) Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP) Edukasyon sa Pagpapakatao (EsP)
Edukasyong Pantahanan at Edukasyong Pantahanan at
Pangkabuhayan (EPP) Pangkabuhayan (EPP)
MAPEH MAPEH
Music Music
Arts Arts
P.E. P.E.
Health Health
Mother Tongue
General Average General Average
Eligible for Admission to Grade Eligible for Admission to Grade

Grade ____ School Grade ____ School

School Year Adviser School Year Adviser
Quarter Final Quarter Final
Learning Areas Grade
Remarks Learning Areas Grade
Remarks
1 2 3 4 1 2 3 4
Filipino Filipino
English English
Mathematics Mathematics
Science Science
Edukasyong Pantahanan at Edukasyong Pantahanan at
Pangkabuhayan (EPP) Pangkabuhayan (EPP)
Edukasyon sa Pagpapakatao (EsP) Edukasyon sa Pagpapakatao (EsP)
Araling Panlipunan (AP) Araling Panlipunan (AP)
MAPEH MAPEH
Music Music
Arts Arts
P.E. P.E.
Health Health

General Average General Average

Eligible for Admission to Grade Eligible for Admission to Grade
Grade ______ School Grade ____ School
School Year Adviser School Year: Adviser
Quarter Final Quarter Final
Learning Areas Remarks Learning Areas Remarks
1 2 3 4 Grade 1 2 3 4 Grade
Filipino Filipino
English English
Mathematics Mathematics
Science Science
Edukasyong Pantahanan at Araling Panlipunan (AP)
Pangkabuhayan (EPP) Edukasyon sa Pagpapakatao (EsP)
Edukasyon sa Pagpapakatao (EsP) Edukasyon Pantahanan at
Araling Panlipunan (AP) Pangkabuhayan (EPP)
MAPEH MAPEH
Music Music
Arts Arts
P.E. P.E.
Health Health

General Average General Average

Eligible for Admission to Grade ___________ Eligible for Admission to Grade ____________

III. LEARNER'S OBSERVED VALUES

Gr.___ Schl. Yr._______ Gr.___ Schl. Yr._______ Gr.___ Schl. Yr._______ Gr.___ Schl. Yr._______
Core Values Behavior Statements
1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4
Express one's spiritual beliefs while respecting
the spiritual beliefs of others
1. Maka-Diyos
Shows adherence to ethical principles by
upholding the truth in all undertakings
Is sensitive to individual, social, and cultural
2. Makatao differences; resists stereotyping people
Demonstrates contributions toward solidarity

Cares for the environment and utilizes

3. Makakalikasan resources wisely, judiciously and economically

Demonstrated appropriate behavior in carrying

4. Makabansa out activities in the school, community and
country.

Gr.___ Schl. Yr._______ Gr.___ Schl. Yr._______ Gr.___ Schl. Yr._______ Gr.___ Schl. Yr._______
Core Values Behavior Statements
1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4
Express one's spiritual beliefs while respecting
the spiritual beliefs of others
1. Maka-Diyos
Shows adherence to ethical principles by
upholding the truth in all undertakings
Is sensitive to individual, social, and cultural
2. Makatao differences; resists stereotyping people
Demonstrates contributions toward solidarity

Cares for the environment and utilizes

3. Makakalikasan resources wisely, judiciously and economically

Demonstrated appropriate behavior in carrying

4. Makabansa out activities in the school, community and
country.

AO - Always Observed SO - Sometimes Observed RO - Rarely Observed NO - Not Observed

IV. ATTENDANCE RECORD

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

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