FORM 137-E

Republika ng Pilipinas
(Republic of the Philippines)
Kagawaran ng Edukasyon
(Department of Education)
KAWANIHAN NG EDUKASYON ELEMENTARYA
(BUREAU OF ELEMENTARY EDUCATION)
Rehiyon: VIII
(Region)
PALAGIANG TALAAN SA MABABANG PAARALAN
(Elementary School Permanent Record) LRN: 124250150168

Pangalan: YMAS, JOVELYN B. Sangay: ____TACLOBAN CITY Paaralan: SAN JOSE CENTRAL SCHOOL
(Name) Apelyido Unang Pangalan M.I. (Division) (School)

Kasarian: BABAE Petsa ng Kapanganakan: 02-07-2010 Pook: TACLOBAN CITY Petsa ng Pagpasok: 06-13-2016
(Sex) (Date of Birth) (Place) Bayan/lalawigan/Lunsod (Date of Entrance)
(Town/Province/City)
Magulang/Tagapag-alaga: _______SUNNY A. YMAS BRGY. 105 SAN ISIDRO SUHI
(Parent/Guardian) Pangalan Tirahan Hanap buhay
(Name) (Address) (Occupation)
PAG-UNLAD SA MABABANG PAARALAN
(Elementary School Progress)

Grade I-School SAN JOSE CENTRAL SCHOOL___________ MAPEH 81 83 83 84 83 PASSED

School Year_________________S.Y. 2016 – 2017 Music 80 82 82 83
_________________________________
Arts 81 83 82 85
Periodic Rating 81 82 83 83
LEARNING AREAS Remarks Physical Education
1 2 3 4
Health 81 84 84 84
Mother Tongue 77 77 75 76 76 PASSED
Filipino - 77 74 75 75 PASSED General Average 82 PROMOTED
English - - 75 75 75 PASSED Eligible for admission to Grade __________________SIX______ ______________
Mathematics 77 79 74 75 76 PASSED Grade II-School GREENDALE RESIDENCES INTEGRATED
Araling Panlipunan 78 78 75 74 76 PASSED SCHOOL
Edukasyon sa Pagpapakatao (EsP) 78 79 76 76 77 PASSED School Year_________________S.Y. 2017 – 2018
MAPEH 78 79 76 76 77 PASSED _________________________________
Music 77 78 76 74
Periodic Rating
Arts 79 81 76 77 LEARNING AREAS Remarks
1 2 3 4
Physical Education 79 79 76 78 Mother Tongue 77 78 79 79 78PASSED
Filipino 77 77 78 79 78 PASSED
Health 77 79 76 76
English 76 77 77 78 77 PASSED
General Average 76 PROMOTED Mathematics 76 77 77 78 77 PASSED
Eligible for Admission to Grade____________________TWO____________________ Araling Panlipunan 77 79 79 79 79 PASSED
Edukasyon sa Pagpapakatao (EsP) 79 79 79 79 79 PASSED
Grade III-School GREENDALE RESIDENCES INTEGRATED SCHOOL MAPEH 75 77 77 78 77 PASSED
School Year_________________S.Y. 2018 – 2019 Music 75 76 76 77
_________________________________
Arts 75 77 77 79
Periodic Rating
LEARNING AREAS Remarks Physical Education 76 78 78 79
1 2 3 4
Mother Tongue 79 79 79 80 79 PASSED Health 75 76 76 77
Filipino 80 79 80 80 80 PASSED General Average 78 PROMOTED
English 79 78 79 79 79 PASSED
Eligible for Admission to Grade_________________THREE_____________________________
Mathematics 78 78 79 79 79 PASSED
Science 79 78 79 79 79 PASSED Grade IV-School GREENDALE RESIDENCES INTEGRATED SCHOOL
Araling Panlipunan 80 79 79 79 79 PASSED School Year_________________S.Y. 2019 – 2020
Edukasyon sa Pagpapakatao (EsP) 81 80 81 82 81 PASSED _________________________________
MAPEH 81 81 81 82 81 PASSED
Periodic Rating
Music 80 79 80 81 LEARNING AREAS Remarks
1 2 3 4
Arts 80 81 81 82 Filipino 75 76 79 78 77 PASSED
Physical Education 81 82 82 82 English 76 75 75 79 76 PASSED
81 81 81 81
Mathematics 75 78 78 79 78 PASSED
Health
Science 75 76 77 79 77 PASSED
Araling Panlipunan 75 77 77 79 77 PASSED
General Average 80 PROMOTED Edukasyon sa Pagpapakatao (EsP) 80 79 80 79 80 PASSED
Edukasyong Pantahan at 75 75 75 79 76 PASSED
Eligible for Admission to Grade________________FOUR__________________________
Pangkabuhayan (EPP)
Grade V-School GREENDALE RESIDENCES INTEGRATED SCHOOL MAPEH 79 78 77 76 76 PASSED
Music 78 78 77 75
School Year_________________S.Y. 2020 – 2021
_________________________________ Arts 77 78 76 77

Periodic Rating Physical Education 80 78 77 77

LEARNING AREAS Remarks
1 2 3 4 Health 80 78 76 76
Filipino 85 83 85 85 85 PASSED
English 79 80 82 83 81 PASSED General Average 78 PROMOTED
Mathematics 78 78 81 83 80 PASSED Eligible for Admission to Grade_______________FIVE________________________
Science 80 80 82 82 81 PASSED
Araling Panlipunan 83 84 84 85 84 PASSED Grade VI-School_______________________________________________________________
Edukasyon sa Pagpapakatao (EsP) 82 80 83 84 82 PASSED School Year__________________________________________________________________
Edukasyong Pantahan at 81 80 83 84 82 PASSED Periodic Rating
Pangkabuhayan (EPP) LEARNING AREAS Remarks
1 2 3 4
Filipino Pangkabuhayan (EPP)
English MAPEH

Mathematics Music

Science Arts

Araling Panlipunan Physical Education

Edukasyon sa Pagpapakatao (EsP) Health

Edukasyong Pantahan at General Average

Eligible for admission to Grade _________________________________
III. REPORT ON LEARNER’S OBSERVED VALUES
Gr. 1 S.Y. 2017-2018__ Gr. 2 S.Y._ 2017-2018 Gr. 3 S.Y. 2018-2019__
Core Values Quarter Quarter Quarter
Behavior Statements
1 2 3 4 FR 1 2 3 4 FR 1 2 3 4 FR
Expresses one’s spiritual beliefs
1. Maka- while respecting the spiritual RO RO SO SO SO SO SO SO SO SO SO SO SO SO SO
Diyos beliefs of others.
Shows adherence to ethical
RO RO SO SO SO SO SO SO SO SO SO SO SO SO SO
principles by upholding truth.
Is sensitive to individual, social
RO RO SO SO SO SO SO SO SO SO SO SO SO SO SO
2. Makatao and cultural differences.
Demonstrates contributions
RO RO SO SO SO SO SO SO SO SO SO SO SO SO SO
toward solidarity.
Cares for the environment and
3. Maka- utilizes resources wisely, RO RO SO SO SO SO SO SO SO SO SO SO SO SO SO
kalikasan judiciously, and economically.
Demonstrates pride in being a
Filipino; exercises the rights and
responsibi-lities of a Filipino RO RO SO SO SO SO SO SO SO SO SO SO SO SO SO
citizen.
4.Makabansa
Demonstrates appropriate
behavior in carrying out activities
RO RO SO SO SO SO SO SO SO SO SO SO SO SO SO
in the school, community, and
country
Gr. 4 S.Y. 2019-2020__ Gr. 5 S.Y. 2020-2021 Gr. 6 S.Y. _______________
Core Values Quarter Quarter Quarter
Behavior Statements
1 2 3 4 FR 1 2 3 4 FR 1 2 3 4 FR
Expresses one’s spiritual beliefs
1. Maka- while respecting the spiritual SO SO SO SO SO
Diyos beliefs of others.
Shows adherence to ethical
SO SO SO SO SO
principles by upholding truth.
Is sensitive to individual, social
SO SO SO SO SO
2. Makatao and cultural differences.
Demonstrates contributions
SO SO SO SO SO
toward solidarity.
Cares for the environment and
3. Maka- utilizes resources wisely, SO SO SO SO SO
kalikasan judiciously, and economically.
Demonstrates pride in being a
Filipino; exercises the rights and
responsibi-lities of a Filipino SO SO SO SO SO
citizen.
4.Makabansa
Demonstrates appropriate
behavior in carrying out activities
SO SO SO SO SO
in the school, community, and
country

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

IV. ATTENDANCE RECORD

Grade No. of No. of Cause No. of Cause No. of
School School Days Times School Days
Days Absent Tardy Present
I 202 10 Sickness - - 192
II 195 0 Sickness - - 195
III 195 6 Sickness - - 189
IV 203 6 Sickness - - 197
V 205 7 Sickness - - 198
VI

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 of Grade/Year_____________________.
 _____________________________________________
Signature

___________________________________________ ____________________________________________
Date Designation