DepEd FORM 137

Republic of the Philippines

Autonomous Region in Muslim Mindanao
Department of Education
DIVISION OF MAGUINDANAO - I
DISTRICT OF TALITAY

PALAGIANG TALAAN SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PERMANENT RECORD)
LRN:__134207170045

I. Pangalan _UMISALAM, TUWA BALAWAG__ Sangay: _MAGUINDANAO-1 Paaralan: __GADUNGAN ELEM. SCHOOL_
(Name) (Division) (School)
Kasarian: __BABAE__Petsa ng Kapanganakan:_ 1/10/2010 Pook: GADUNGAN TALITAY MAG. Petsa ng Pagpasok:06/05/2017
(Sex) (Date of Birth) (Place) Bayan/Lalawigan/Lungsod (Date of Entrance)
(Town/Province/City)
Magulang/Tagapag-alaga:________________________ GADUNGAN TALITAY MAG __ MAGSASAKA
(Parent/Guardian) Pangalan Tirahan Hanapbuhay
(Name) (Address) (Occupation)
II.
PAG-UNLAD SA MABABANG PAARALAN
(ELEMENTARY SCHOOL PROGRESS)
Grade I – School ___Gadungan Elementary_School___ Grade II – School Gadungan Elementary_School__
School Year: ____2017-2018_____ School Year :__2018-2019____________
Final Final
Periodic Rating Grade Remark
Learning Areas Periodic Rating Grade Remarks
Learning Areas
1 2 3 4
Mother Tongue 78 78 79 79 79 PASSED Mother Tongue 79 79 79 79 79
Filipino 78 78 79 78 PASSED Filipino 78 78 79 79 79
English 78 77 77 PASSED English 78 77 78 77 78
Mathematics 76 76 77 78 77 PASSED Mathematics 76 77 77 78 77
Araling Panlipunan Araling Panlipunan 78 79 79 79 79
MAPEH 76 76 76 77 78 PASSED MAPEH 77 77 78 79 78
- Music 77 77 78 78 - Music 76 77 78 79 78
- Art 78 79 79 79 - Art 78 78 77 79
-Physical Educ. 79 79 79 78 -Physical Educ. 76 76 79 78
- Health 79 79 79 79 - Health 78 78 77 79
Eduk. Sa Pagpapakatao 78 78 79 79 79 PASSED Eduk. Sa Pagpapakatao 79 80 80 81

General Average 78% General Average 79%

Eligible for Admission to Grade _____Two____________ Eligible for Admission to Grade ____Three____________
Grade III – School: GADUNGAN ELEMENTARY SCHOO Grade IV – Schoo:l GADUNGAN ELEMENTARY SCHOO
School Year _______________________ School Year:
Periodic Rating Final Periodic Rating Final
Learning Areas Grade Remarks Learning Areas Grade Remarks
Mother Tongue Filipino
Filipino English
English Mathematics
Mathematics Science
Science Araling Panlipunan
Araling Panlipunan E. P. P.
MAPEH MAPEH
- Music - Music
- Art - Art
-Physical Education - Physical Education
- Health - Health
Eduk. Sa Pagpapakatao Eduk. Sa Pagpapakatao

General Average General Average

Eligible for Admission to Grade ____Four________________ Eligible for Admission to Grade _____Five______________
Grade V – School: GADUNGAN ELEMENTARY SCHOO Grade VI – School: GADUNGAN ELEMENTARY SCHOOL
School Year: School Year
Periodic Rating Final Periodic Rating Final
Learning Areas Grade Remarks Learning Areas Grade Remarks
Filipino Filipino
English English
Mathematics Mathematics
Science Science
Araling Panlipunan Araling Panlipunan
E. P. P. E. P. P.
MAPEH MAPEH
- Music - Music
- Art - Art
-Physical Education - Physical Education
- Health - Health
Eduk. Sa Pagpapakatao Eduk. Sa Pagpapakatao

General Average General Average

Eligible for Admission to Grade ___Six___________ Eligible for Admission to ____Grade 7_______

III. REPORT ON LEARNER’S OBSERVED VALUES

Character Traits Behavior Statements Grade_I_ Grade_II_ Grade_III_
Sch.Yr. 2017-2018 Sch.Yr.:2018-2019 Sch.Yr.:2019-2020
1 2 3 4 1 2 3 4 1 2 3 4
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. Maka-kalikasan judiciously, and economically

Demonstrates pride in being a Filipino; exercises the

rights and responsibilities of a Filipino Citizen
4. Maka-bansa
Demonstrates appropriate behavior in carrying out
activities in the school, community and country

Character Traits Behavior Statements Grade_IV_ Grade_V_ Grade_VI_

Sch.Yr.: 2020-2021 Sch.Yr.2021-2022 Sch.Yr.:_2022 - 2023
1 2 3 4 1 2 3 4 1 2 3 4
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. Maka-kalikasan judiciously, and economically
Demonstrates pride in being a Filipino; exercises the
rights and responsibilities of a Filipino Citizen
4. Maka-bansa
Demonstrates appropriate behavior in carrying out
activities in the school, community and country

Marking Non-numerical
AO Always Observed
SO Sometimes Observed
RO Rarely Observed
NO Not Observed

IV. ATTENDANCE RECORD

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

I 200 3 Sickness 118

II 201 1 Sickness 200
III 201
IV 201
V 202
VI 203

CERTIFICATE TO TRANSFER
TO WHOM IT MAY CONCERN:

This is to certify that this is true record of the Elementary School Permanent Record of ___
_____________ . He/ She is eligible for transfer and admission to Grade/Year _____ _

GUIMELA A. BANSUAN

Teacher In-Charge

____________________________
(Date)