DepEd Form 137-E

Republika ng Pilipinas
(Republic of the Philippines)
Kagawaran ng Edukasyon
(Department of Education)
KAWANIHAN NG EDUKASYONG ELEMENTARYA
(BUREAU OF ELEMENTARY EDUCATION)
Rehiyon XI
(Region XI)
SANGAY NG LUNGSOD NG TAGUM
(DIVISION OF TAGUM CITY)
PALAGIANG TALAAN SA MABABANG PAARALAN
(ELEMENTARY SCHOOL PERMANENT RECORD)
I.
Pangalan ____________________________________________________ Sangay _________________ Paaralan ___________________________________
(Name)
Apelyido
Unang Ngalan
M.I.
(Division)
(School)
Kasarian_______ Petsa ng Kapanganakan_________________ Pook___________________________ Petsa ng Pagpasok ____________________________
(Sex)
(Date of Birth)
(Place) Bayan/Lalawigan/Lungsod
(Date of Entrance)
(Town/Province/City)
Magulang/Tagapag-alaga___________________________________________________________________________________________________________
(Parent/Guardian)
Pangalan
Tirahan
Hanapbuhay
(Name)
(Address)
(Occupation)
II.

PAG-UNLAD SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PROGRESS)
Grade I - School_____________________
School Year_________________
Learning Areas

Periodic Rating
2
3

Grade II - School____________________
School Year________________
4

Remarks

Learning Areas

Periodic Rating
2
3

Mother Tongue
Filipino
English
Mathematics
MAKABAYAN
*Araling
Panlipunan
*MAPEH
*EsP
**ALIVE
General
Average
Eligible for Admission to Grade___________

Mother Tongue
Filipino
English
Mathematics
MAKABAYAN
*Araling
Panlipunan
*MAPEH
*EsP
**ALIVE
General
Average
Eligible for Admission to Grade___________

Grade III - School_____________________

School Year_________________

Grade IV - School____________________
School Year________________

Learning Areas

Periodic Rating
2
3

Remarks

Mother Tongue
Filipino
English
Mathematics
Science
*Araling
Panlipunan
*MAPEH
*EsP
**ALIVE
General
Average
Eligible for Admission to Grade___________

Periodic Rating
2
3

Remarks

* EPP
* MAPEH
* EsP
**ALIVE
General
Average
Eligible for Admission to Grade___________

Grade V School_____________________
School Year_________________

Filipino
English
Mathematics
Science
MAKABAYAN
* Araling
Panlipunan
* EPP
* MAPEH
* EsP
** ALIVE

Filipino
English
Mathematics
Science
MAKABAYAN
* Araling
Panlipunan

MAKABAYAN

Learning Areas

Learning Areas

Remarks

Periodic Rating
2
3

Grade VI School____________________
School Year________________
4

Remarks

Learning Areas

Filipino
English
Mathematics
Science
MAKABAYAN
* Araling
Panlipunan
* EPP
* MAPEH
* EsP
** ALIVE

Periodic Rating
2
3

Remarks

General
Average

General
Average

Eligible for Admission to Grade___________

Eligible for Admission to Grade___________

Legend: * - Makabayan Components

** - Muslim Class

III. CHARACTER BUILDING

Gr.________ Sch. Yr.________
1

Gr.________ Sch. Yr.________

F.R.

Gr.________ Sch. Yr.________

F.R.

F.R.

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

Gr.________ Sch. Yr.________

F.R.

Gr.________ Sch. Yr.________

F.R.

F.R.

1. Honesty
2. Courtesy
3. Helpfulness & Cooperation
4. Resourcefulness & Creativity
5. Consideration for Others
6. Sportsmanship
7. Obedience
8. Self-Reliance
9. Industry
10. Cleanliness & Orderliness
11. Promptness & 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

Cause

No. of
Times Tardy

Cause

No. of School
Days Present

CERTIFICATE OF TRANSFER
TO WHOM IT MAY CONCERN:
This is to certify that this is a true record of the Elementary School Record of
___________________________________. He/She is eligible for transfer and admission to
Grade/Year______________________.
______________________________

Signature
___________________________
Date

DepEd Form 137-E

Republika ng Pilipinas
(Republic of the Philippines)
Kagawaran ng Edukasyon
(Department of Education)
KAWANIHAN NG EDUKASYONG ELEMENTARYA
(BUREAU OF ELEMENTARY EDUCATION)
Rehiyon XI
(Region XI)
SANGAY NG LUNGSOD NG TAGUM
(DIVISION OF TAGUM CITY)
PALAGIANG TALAAN SA MABABANG PAARALAN
(ELEMENTARY SCHOOL PERMANENT RECORD)
I.
Pangalan ____________________________________________________ Sangay _________________ Paaralan ___________________________________
(Name)
Apelyido
Unang Ngalan
M.I.
(Division)
(School)
Kasarian_______ Petsa ng Kapanganakan_________________ Pook___________________________ Petsa ng Pagpasok ____________________________
(Sex)
(Date of Birth)
(Place) Bayan/Lalawigan/Lungsod
(Date of Entrance)
(Town/Province/City)
Magulang/Tagapag-alaga___________________________________________________________________________________________________________
(Parent/Guardian)
Pangalan
Tirahan
Hanapbuhay
(Name)
(Address)
(Occupation)
II.

PAG-UNLAD SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PROGRESS)
Grade I - School_____________________
School Year_________________
Learning Areas

Periodic Rating
2
3

Grade II - School____________________
School Year________________
4

Remarks

Learning Areas

Periodic Rating
2
3

Mother Tongue
Filipino
English
Mathematics
Araling Panlipunan
MAPEH
*Music
*Arts
*PE
*Health
EsP
**ALIVE
General Average
Eligible for Admission to Grade___________

Mother Tongue
Filipino
English
Mathematics
Araling Panlipunan
MAPEH
*Music
*Arts
*PE
*Health
EsP
**ALIVE
General Average
Eligible for Admission to Grade___________

Grade III - School_____________________

School Year_________________

Grade IV - School____________________
School Year________________

Learning Areas

Periodic Rating
2
3

Remarks

Learning Areas

Periodic Rating
2
3

Mother Tongue
Filipino
English
Mathematics
Science
Araling Panlipunan
MAPEH
*Music
*Arts
*PE
*Health
EsP
**ALIVE
General Average
Eligible for Admission to Grade___________
Legend: Grades 1-3: * - MAPEH Components, ** - Muslim
Class

Filipino
English
Mathematics
Science
MAKABAYAN
* Araling Panlipunan
* EPP
* MAPEH
* EsP
**ALIVE

Grade V School_____________________
School Year_________________
Periodic Rating
Learning Areas
1
2
3

Grade VI School____________________
School Year________________
Periodic Rating
Learning Areas
1
2
3

Filipino
English
Mathematics
Science
MAKABAYAN
* Araling Panlipunan
* EPP
* MAPEH
* EsP
** ALIVE

Remarks

Remarks

Remarks

General Average
Eligible for Admission to Grade___________

Filipino
English
Mathematics
Science
MAKABAYAN
* Araling Panlipunan
* EPP
* MAPEH
* EsP
** ALIVE

Remarks

General Average
Eligible for Admission to Grade___________
Legend: Grades 4-6: * - Makabayan Components, ** - Muslim Class

General Average
Eligible for Admission to Grade___________