DepEd Form 137 E Blank Form 2

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Republika ng Pilipinas (Republic of the Philippines) Kagawaran ng Edukasyon (Department of Education) KAWANIHAN NG EDUKASYONG ELEMENTARYA

DepEd Form 137-E

(BUREAU OF ELEMENTARY EDUCATION)

Rehiyon I Region I PALAGIANG TALAAN SA MABABANG PAARALAN (ELEMENTARY SCHOOL PERMANENT RECORD)

I.

Pangalan (Name)

Kasarian: (Sex)

Sangay: ILOCOS SUR Paaralan: MIRAMAR ELEMENTARY SCHOOL Apelyido

Unang Pangalan

M.I.

Petsa ng Kapanganakan: (Date of Birth)

(Division) Pook (Place) Bayan/Lalawigan/Lungsod

Magulang/Tagapag-alaga (Parent / Guardian)

Pangalan (Name)

Tirahan (Address)

(School) Petsa ng Pagpasok

Hanapbuhay (Occupation)

PALAGIANG TALAAN SA MABABANG PAARALAN (ELEMENTARY SCHOOL PROGRESS) Grade I - School School Year Learning Areas

Grade II - School School Year Periodic Rating

1

2

3

4

Final Rating

Remarks

Learning Areas

Periodic Rating

1

General Average

General Average

Eligible for Admission to Grade

Eligible for Admission to Grade

Grade III - School School Year

Grade IV - School School Year

Learning Areas

Periodic Rating

1

2

3

4

Final Rating

Remarks

Learning Areas

General Average

Eligible for Admission to Grade Grade V - School School Year

Eligible for Admission to Grade Grade VI - School School Year Periodic Rating

1

2

3

4

Final Rating

Remarks

Learning Areas

3

4

Final Rating

Remarks

4

Final Rating

Remarks

4

Final Rating

Remarks

Periodic Rating

1

General Average

Learning Areas

2

2

3

Periodic Rating

1

2

3

General Average

General Average

Eligible for Admission to Grade

Eligible for Admission to Grade

MENTARYA

ION)

PAARALAN

ECORD)

MIRAMAR ELEMENTARY SCHOOL

PAARALAN ESS)

Remarks

Remarks

Remarks

III. CHARACTER BUILDING ACTIVITIES Gr. _____ Sch. Yr. _____ 1

2

3

4

Gr. _____ Sch. Yr. _____ F.R.

1

2

3

4

Gr. _____ Sch. Yr. _____ F.R.

1

2

3

4

F.R.

1 Honesty 2 Courtesy 3 Helpfulness and Cooperation 4 Obedience 5 Consideration for Others 6 Sportsmanship 7 Resourcefulness and Creativeness 8 Self-Reliance 9 Industry 10 Cleanliness and Orderliness 11 Promptness and Punctuality 12 Sense of Responsibility 13 Love of God 14 Patriotism/Love of Country AVERAGE Gr. _____ Sch. Yr. _____

1

2

3

4

Gr. _____ Sch. Yr. _____

F.R.

1

2

3

4

Gr. _____ Sch. Yr. _____

F.R.

1

2

3

4

F.R.

1 Honesty 2 Courtesy 3 Helpfulness and Cooperation 4 Obedience 5 Consideration for Others 6 Sportsmanship 7 Resourcefulness and Creativeness 8 Self-Reliance 9 Industry 10 Cleanliness and Orderliness 11 Promptness and Punctuality 12 Sense of Responsibility 13 Love of God 14 Patriotism/Love of Country AVERAGE A - Outstanding

C - Good

B - Very Good

D - Fair

E - Poor

IV. ATTENDANCE RECORD Grade

No. of School Days

No. of School Days Absent

No. of Times Tardy

Cause

Cause

No. of School Days Present

One Two Three Four Five Six

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

Date

Designation