Dept Form 137-€ Republic ofthe Philippines DEPARTMENT OF EDUCATION Region 1V-A (CALABARZON) Division of Lipa City Lipa City ELEMENTARY SCHOOL PERMANENT RECORD 1 Name it School Sumame Fist Name Mr sex Date of Bith ____ Place Date of Entrance —_ ParenGuardian 7 i ane “raess ‘Occupation 4 ELEMENTARY SCHOOL PROGRESS Grade | Schoo! i Grade it- Schoo! School Year Schoo! Year _ Periodic Rating | Final cosa Periodic Rating Learning Areas earning Areas ad T7212] | Rating id 213] | Rating Filipino Filipino English English Mathematies Mathematics MAKABAYAN MAKABAVAN + Sibika at Kula, MSEP > _Sibika at Kultura, MEP + Character Education fea + Character Education erage ‘Average Eligible for Admission to Grade Eligible for Admission to Grade Teacher i Teacher Grade Ii - School : Grade 1V - Schoo! Schoo! Year = Schoo! ear Period Final eee Periodic Rating | Final Learning Areas Rating earernie 1 [2 [3 [4 | Rating Ty] Bae Tg Filipino Ts Matera English Seen & Hea ‘Mathematis MARABAYAN + Teoarapia Rema Science & Heath Eeagrante MAKABAYAN, 7 Eiiayong Panahanan ar Panghabutavan (EP?) > Sibika ot Kudara, MSEP Mitta, Sining ot Edeharvon sa Sicaaaae baal Poppa Katowar (SEP) Character Edeation ‘Average ‘Rrerage Eligible for Admission to Grade Eligible for Admision to Grade ‘Teacher Teacher Grade V - Schoo} Grade VI - Schoo! School Wear Schoo! Year : Periodic Rating | Final ae Periodic Rating [Final tanks Are T P2735 [4] Rating oe TPZ 73 [4] Rating Fi Tia English Engst Matera [stskerates Seinee & HEE ence & TEST THARABAYAN MARABAYAN + Heograpiva Kap eaon + HeograpivaTarayaan7 Sika (HK) Sis KS) Edulasyong Partahanan at Panghabuhavan (EPP) + Edukavone Paniahanan at Panghabuhavan (EPP, Muska Sming at Ednkanyon sa Pagpapatakas ne Katara (MSEP) 7 Misika Sining at Edvlanvon sa Pagpepolatas ng Katou (SEP) = Character Edcaion = Character Econ ‘Average’ ‘Average Eligible for Admission to Grade ‘Teacher Eligible for Admission to Grade TeacherI, CHARACTER BUILDING Cr 1 Hones ‘Counesy Helpfulness & Cooperation Resourceful & Creativity Consideraiion or Others ‘Sportsmanship ‘Obedience ‘SelbReliance Indust Cleanliness & Orderliness Promptness & Punctuality Sense of Responsbily Love of God Patriot Lave of County Honesty ‘Courtesy Helpfulness & Cooperation ResourceTiness & Creativity ‘Consideration for thes ‘Sponsmanshin bedience SelP Reliance Indust Cleanliness & Orderliness Prompiness & Punctuality Sense of Responsibility Love of God! Paton & Love of County ‘A = Outstanding C+ Good j B - Very Good D Fair Pane UL. ATTENDANCE RECORD No.of | No.of Novot aereacal Grade School] Schoo! Days Cause Times No-atssehod Days | Absent” Tardy Days 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/Year ‘(Signature Over Printed Name) Date Designation