DepEd Form 137-E Republika ng Pilipinas

(Republic of the Philippines)

Kagawaran ng Edukasyon
(Department of Education)
KAWANIHAN NG EDUKASYONG ELEMENTARYA
(BUREAU OF ELEMENTARY EDUCATION)
Pambansang Punong Rehiyon
(National Capital Region)
SANGAY NG MGA PAARALANG LUNGSOD,LUNGSOD NG MALABON
(DIVISION OF MALABON CITY)
PALAGIANG TALAAN SA PAARALANG ELEMENTARYA
(ELEMENTARY SCHOOL PERMANENT RECORD)

Pangalan _______________________________________________ Sangay ______________ Paaralang Elementarya ng

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

Kasarian ________Petsa ng Kapanganakan _____________________Pook ______________________________________ Petsa ng Pagpasok ______________________________________

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

Magulang/Tagapag-alaga _________________________________________ _________________________________________________

(Parent / Guardian) Pangalan Tirahan Hanapbuhay
(Name) (Address) (Occupation)
PAG-UNLAD SA PAARALANG ELEMENTARYA
(ELEMENTARY SCHOOL PROGRESS)
Kinder - School ____________________________________________________ Sch. Yr.__________________ LRN ______________________________

Evaluation
Areas of Development
1 2 3 4 Remarks
I. Health, Well-Being, And Motor Rating Indicators
Development
Rarely demonstrates the expected competency
II. Socio-Emotional Development Beginning (B) Rarely participates in class activities and/or initiates
III. Language,Literacy and independent works
Communication Shows interest in doing tasks but needs
Sometimes demonstrates the competency
a.Pakikinig at Panunuod
Developing (D) Sometimes participates, minimal supervision
b. Pagsasalita Progresses continuously in doing assigned tasks
Always demonstrates the expected competency
c. Pagbasa
Consistent (C) Always participates in the activities, works
d. Pagsulat independently
Always performs tasks, advanced in some aspects
IV. Mathematics
V. Understanding the Physical and
Natural Environment
Eligible for Admission to Gr.___________________ Adviser __________________________________________________
Grade 1 - School ___________________________ Sch. Yr.__________ Grade 2 - School ___________________________ Sch. Yr.__________

Periodic Rating Periodic Rating

Learning Areas Remarks Learning Areas 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
*Physical Education *Physical Education
*Health *Health
General Average General Average
Eligible for Admission to Gr.____ Adviser ________________________________ Eligible for Admission to Gr._____ Adviser ______________________________
Grade 3 - School ___________________________ Sch. Yr._________ Grade 4 - School ___________________________ Sch. Yr._______

Periodic Rating Periodic Rating

Learning Areas Remarks Learning Areas Remarks
1 2 3 4 1 2 3 4
Mother Tongue Filipino
Filipino English
English Science
Science Mathematics
Mathematics Araling Panlipunan
Araling Panlipunan Eduk. sa Pagpapakatao
Eduk. sa Pagpapakatao EPP
MAPEH MAPEH
*Music *Music
*Arts *Arts
*Physical Education *Physical Education
*Health *Health
General Average General Average
Eligible for Admission to Gr._____ Adviser _______________________________ Eligible for Admission to Gr._____ Adviser _______________________________

Grade 5 - School ___________________________ Sch. Yr._______ Grade 6 - School ___________________________ Sch. Yr._______
 Periodic Rating Periodic Rating
Learning Areas Remarks Learning Areas Remarks
1 2 3 4 1 2 3 4
Filipino Filipino
English English
Science Science
Mathematics Mathematics
Araling Panlipunan Araling Panlipunan
Eduk. sa Pagpapakatao Eduk. sa Pagpapakatao
EPP EPP
MAPEH MAPEH
*Music *Music
*Arts *Arts
*Physical Education *Physical Education
*Health *Health
General Average General Average
Eligible for Admission to Gr._____ Adviser _______________________________ Eligible for Admission to Gr._____ Adviser _______________________________
 REPORT ON LEARNER'S OBSERVED VALUES

Behavior Gr. Sch. Yr. Gr. Sch. Yr. Gr. Sch. Yr.
Core Values Statements
1 2 3 4 F.R. 1 2 3 4 F.R. 1 2 3 4 F.R.
Expresses one’s spiritual beliefs
while respecting the spiritual
beliefs of others

1. Maka-Diyos
Shows adherence to ethical
principles by upholding truth

Is sensitive to individual, social,

and cultural differences

2. Makatao
Demonstrates contributions
toward solidarity

Cares for the environment and

utilizes resources wisely,
3. Makakalikasan judiciously, and economically

Demonstrates pride in being a

Filipino; exercises the rights and
responsibilities of a Filipino
citizen

4. Makabansa
Demonstrates appropriate
behaviour in carrying out
activities in the school,
community, and country

Behavior Gr. Sch. Yr. Gr. Sch. Yr. Gr. Sch. Yr.
Core Values
Statements
1 2 3 4 F.R. 1 2 3 4 F.R. 1 2 3 4 F.R.

Expresses one’s spiritual beliefs

while respecting the spiritual
beliefs of others

1. Maka-Diyos
Shows adherence to ethical
principles by upholding truth

Is sensitive to individual, social,

and cultural differences

2. Makatao
Demonstrates contributions
toward solidarity

Cares for the environment and

utilizes resources wisely,
3. Makakalikasan judiciously, and economically

Demonstrates pride in being a

Filipino; exercises the rights and
responsibilities of a Filipino
citizen

4. Makabansa
Demonstrates appropriate
behaviour in carrying out
activities in the school,
community, and country

Descriptors Grading Scale Remarks Marking Non-numerical Rating

Outstanding 90 – 100 Passed AO Always Observed
Very Satisfactory 85 – 89 Passed SO Sometimes Observed
Satisfactory 80 – 84 Passed RO Rarely Observed
Fairly Satisfactory 75 – 79 Passed NO Not Observed
Did Not Meet Expectations Below 75 Failed

No. of ATTENDANCE RECORD

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