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DepEd Form 137-E

Republic of the Philippines


DEPARTMENT OF EDUCATION
REGION __BARMM__
TAWI-TAWI__
Division

ELEMENTARY SCHOOL PERMANENT RECORD


(PALAGIANG TALAAN SA MABABANG PAARALAN)

Name ___________________________________ Division ________________ School ____________________________


Family Name First Name M.I.
Sex ____ Date of Birth ________________ Place of Birth ______________________ Date of Entrance _______________
Parent/Guardian __________________________________________ ______________________ ___________________
Name Address Occupation

ELEMENTARY SCHOOL PROGRESS


(PAG-UNLAD SA MABABANG PAARALAN)
Grade I – School ________________________________ Grade II – School __________________________
School Year ___________________________ School Year _____________________
Periodic Rating Final Periodic Rating Final
Learning Areas 1 2 Learning
3 4 AreasRating Rating Eligible for Admission to
Filipino Filipino Grade
English English _____________________
Mathematics Eligible for Admission
Mathematics
MAKABAYAN to Grade
MAKABAYAN
Sibika at Kultura ______________________
Sibika at Kultura
MSEP Grade III – School
MSEP
Character Educ. Character Educ.
Average Average
_________________________ Grade IV – School _________________________
School Year _____________________ School Year _____________________
Periodic Rating Final Periodic Rating Final
Learning Areas 1 2 Learning
3 4 AreasRating Rating Eligible for Admission to
Filipino Filipino
English English
Mathematics Mathematics
Science and Health Science and Health
MAKABAYAN MAKABAYAN
Sibika at Kultura Character Educ.
MSEP Heograpiya/Kasaysayan/
Character Educ. Sibika (HKS)
Edukasyong Pantahanan at
Pangkabuhayan (EPP)
Musika, Sining at Edukasyon Sa
Pagpapalakas ng Katawan (MSEP)
Arabic
Average Average
Grade_____________________ Eligible for Admission to Grade ______________
Grade v – School ________________________ Grade Iv – School __________________
School Year _____________________ School Year _______________
Periodic Rating Final Periodic Rating Final
Learning Areas 1 2 Learning
3 4 AreasRating Rating Eligible for Admission to
Filipino Filipino Grade
English English ____________________
Mathematics Mathematics Eligible for Admission
Science and Health to Grade
Science and Health
MAKABAYAN MAKABAYAN
Character Educ. Character Educ.
Heograpiya/Kasaysayan/Sibika (HKS) Heograpiya/Kasaysayan/Sibika (HKS)
Edukasyong Pantahanan at Pangkabuhayan Edukasyong Pantahanan at
(EPP) Pangkabuhayan (EPP)
Musika, Sining at Edukasyon Sa Musika, Sining at Edukasyon Sa
Pagpapalakas ng Katawan (MSEP) Pagpapalakas ng Katawan (MSEP)
Arabic Arabic
Average Average
______________________

CHARACTER BUILDING
Gr. ____ Sch. Yr. _________ Gr. ___ Sch. Yr. _______ Gr. ___ Sch. Yr. _________
1 2 3 4 1 2 3 4 1 2 3 4
1.Honesty
2.Courtesy
3.Helpfulness and cooperation
4.Resourcefulness and Creativeness
5.Consideration for others
6.Sportsmanship
7.Obedience
8.Industry
10.Cleanliness and orderliness

Gr. ____ Sch. Yr. _________ Gr. ___ Sch. Yr. _______ Gr. ___ Sch. Yr. _________
1 2 3 4 1 2 3 4 1 2 3 4
1.Honesty
2.Courtesy
3.Helpfulness and cooperation
4.Resourcefulness and Creativeness
5.Consideration for others
6.Sportsmanship
7.Obedience
8.Industry
10.Cleanliness and orderliness

A – Very Good C – Fair


B – Good D – Poor

ATTENDANCE RECORD
Grade No. of No. of No. of No. of
School Days School Days Present School Days Absent Times Tardy

CERTIFICATE OF TRANSFER
TO WHOM IT MAY CONCERN:

This is to certify that this is a true copy of the Elementary School Permanent Record of
___________________________________________. She/he is eligible for transfer and admission to
Grade/Year ____________________________.

______HADJI RUBEN S. MATOLO_____


Signature

__________________________________ ___________Principal - 1__________


Date Designation

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