REPORT ON LEARNER'S OBSERVED VALUES

CORE VALUES

1. MAKADIYOS

Gr.: One Sch. Yr.:__________

BEHAVIORAL STATEMENTS

Gr.:_____ Sch. Yr.: ______

1

Expressing one's spiritual beliefs while respecting the

spiritual beliefs of others.

Shows adherence to ethical principles by upholding truth

2. MAKATAO

Is sensitive to individual, social and cultural differences

Demonstrates contributions toward solidarity

3. MAKAKALIKASAN

4. MAKABANSA

Cares for the environment and utilizes resources wisely,

judiciously, and economically
Demonstrates pride in being a Filipino; exercises the
rights and responsibilities of a Filipino citizen
Demonstrates appropriate behavior in carrying out
activities in the school, community, and country
Gr.: _____ Sch. Yr.:__________

CORE VALUES

1. MAKADIYOS

BEHAVIORAL STATEMENTS

Gr.:_____ Sch. Yr.: ______

1

Expressing one's spiritual beliefs while respecting the

spiritual beliefs of others.

Shows adherence to ethical principles by upholding truth

2. MAKATAO

Is sensitive to individual, social and cultural differences

Demonstrates contributions toward solidarity

3. MAKAKALIKASAN

4. MAKABANSA

Cares for the environment and utilizes resources wisely,

judiciously, and economically
Demonstrates pride in being a Filipino; exercises the
rights and responsibilities of a Filipino citizen
Demonstrates appropriate behavior in carrying out
activities in the school, community, and country

Marking
AO
SO
RO
NO

Non-numerical
Always Observed
Sometimes Observed
Rarely Observed
Not Obseved

III. ATTENDANCE RECORD

Grade

No. of School Days

No. of School Days

Absent

Cause

No. of School Days

Tardy

Cause

Yrs. in Grade

1
2
3
4
5
6

CERTIFICATE OF TRANSFER
TO WHOM IT MAY CONCERN
This is to certify that this is a true record/ Elementary School Permanent Record of ___________________.
He/ She is eligible to transfer and admission to Grade ________.

_________________________________
Signature

________________________
Date

_________________________________
Designation

EARNER'S OBSERVED VALUES

Gr.:_____ Sch. Yr.: _____
1

Gr.:_____ Sch. Yr.: _____

1

Yrs. in Grade

No. of School Days Present

TIFICATE OF TRANSFER

_____________________________________
Signature

_____________________________________
Designation

Republic of the Philippines

DepED Form 137-E

Department of Education
Region VII, Central Visayas
DIVISION OF CEBU CITY

ELEMENTARY SCHOOL PERMANENT RECORD

I. Name:________________________________________________ Division: Cebu City
(Last Name)

(First Name)

School: Barrio Luz Elem Sch

(Middle Name)

Sex: _________________ Date of Birth: ______________________________ Place of Birth: ________________________

Date of Entrance: ______________ Parent / Guardian: _____________________, _________________, _______________
(Name)

LRN: _______________________________

(Address)

ELEMENTARY SCHOOL PROGRESS

II.
Grade I School: Barrio Luz Elem. School
School Year :___________________
Date Enrolled : ___________________
QUARTER
Learning Areas
1
2
3

English
Filipino
Mathematics
Science

Date Left: _________

Final
Remarks
4
Grade

Araling Panlipunan

Grade II School: ___________________

School Year : ___________________
Date Enrolled : ___________________
Learning Areas

English
Filipino
Mathematics
Science

Date Left: ________

QUARTER
2
3

Araling Panlipunan

ESP
EPP
Mother Tongue
MAPEH
Music
Arts
PE
Health

ESP
EPP
Mother Tongue
MAPEH
Music
Arts
PE
Health

Average
General Average . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _______
Eligible for Admission to Grade ________
Teacher: ____________________________

Average
General Average . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _______
Eligible for Admission to Grade ________
Teacher__________________________

Grade III School: Barrio Luz Elem. School

School Year :___________________
Date Enrolled : ___________________
QUARTER
Learning Areas
1
2
3

Grade IV School: ___________________

School Year : ___________________
Date Enrolled : ___________________
QUARTER
Learning Areas
1
2
3

English
Filipino
Mathematics
Science

Date Left: _________

Final
Remarks
4
Grade

Araling Panlipunan

English
Filipino
Mathematics
Science

Date Left: ________

4

Araling Panlipunan

ESP
EPP
Mother Tongue
MAPEH
Music
Arts
PE
Health

ESP
EPP
MAPEH

Music
Arts
PE
Health

Average
General Average . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _______
Eligible for Admission to Grade ________
Teacher: ____________________________

Average
General Average . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _______
Eligible for Admission to Grade ________
Teacher__________________________

Grade V School: Barrio Luz Elem. School

School Year :___________________
Date Enrolled : ___________________
QUARTER
Learning Areas
1
2
3

Grade VI School: ___________________

School Year : ___________________
Date Enrolled : ___________________
QUARTER
Learning Areas
1
2
3

English
Filipino
Mathematics
Science

Date Left: _________

Final
Remarks
4
Grade

Araling Panlipunan

ESP
EPP
MAPEH

Music
Arts
PE
Health

Average
General Average . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _______

English
Filipino
Mathematics
Science

Date Left: ________

4

Araling Panlipunan

ESP
EPP
MAPEH

Music
Arts
PE
Health

Average
General Average . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _______

Eligible for Admission to Grade ________

Teacher: ____________________________

Eligible for Admission to Grade ________

Teacher__________________________

ORD
School: Barrio Luz Elem Sch

(Occupation)

Date Left: _________

Final
Remarks
Grade

. . . . . . . . . . . . . . . . . . . . . . . . . . _______

Date Left: _________

Final
Remarks
Grade

. . . . . . . . . . . . . . . . . . . . . . . . . . _______

Date Left: _________

Final
Remarks
Grade

. . . . . . . . . . . . . . . . . . . . . . . . . . _______

CHARACTER BUILDING ACTIVITIES

PERSONAL TRAITS
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.

Honesty
Courtesy
Helpfulness and Cooperation
Resourcefulness and Creativity
Consideration for others
Sportsmanship
Obedience
Self-Reliance
Industry
Cleanliness and Orderliness
Promptness and Punctuality
Sense of Responsibility
Love of God

14.

Patriotism/ Love of Country

Gr.: One Sch. Yr.:__________

1

FR

Gr.:_____ Sch. Yr.: ______

1

Gr.:_____ S
FR

AVERAGE
PERSONAL TRAITS
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.

Honesty
Courtesy
Helpfulness and Cooperation
Resourcefulness and Creativity
Consideration for others
Sportsmanship
Obedience
Self-Reliance
Industry
Cleanliness and Orderliness
Promptness and Punctuality
Sense of Responsibility
Love of God

14.

Patriotism/ Love of Country

Gr.:_____ Sch. Yr.: ______

1

Gr.:_____ Sch. Yr.: ______

FR

Gr.:_____ S
FR

AVERAGE
Guidelines for Rating:

A - Outstanding

B - Very Good

C - Good

D - Fair

III. ATTENDANCE RECORD

Grade

No. of School Days

No. of School Days

Absent

Cause

No. of Times
Tardy

1
2
3
4
5
6
CERTIFICATE OF TRANSFER

Cause

Yrs. in Grade

TO WHOM IT MAY CONCERN

This is to certify that this is a true record/ Elementary School Permanent Record of ___________________.

He/ She is eligible to transfer and admission to Grade ________.

________________________
Date

_______________________________
Signature
_______________________________
Designation

TIFICATE OF TRANSFER

Gr.:_____ Sch. Yr.: ______

2

FR

Gr.:_____ Sch. Yr.: ______

2

FR

E - Poor

Yrs. in Grade

No. of School Days

Present

Signature

Designation