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 VI - Kanlurang Visayas
(Region VI - Western Visayas)
Division of Aklan

PALAGIANG TALAAN SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PERMANENT RECORD)
I. Pangalan FLORES KATELYNN O. Sangay AKLAN Paaralan TAGAS ELEMENTARY SCHOOL
(Name) Apelyido Unang Pangalan M.I. (Division) (School)
(Surname) (Given)
Kasarian BABAE Petsa ng Kapanganakan 6/24/2008 Pook ILOILO CITY Petsa ng Pagpasok 6/4/2018
(Sex) (Date of Birth) (Place) Bayan/Lalawigan/Lungsod

Magulang/Tagapag-alaga JOSEPH MARLOU A. FLORES TAGAS, TANGALAN, AKLAN BUSINESSMAN

(Parent / Guardian) Pangalan Tirahan Hanapbuhay
(Name) (Address) (Occupation)
Learner Reference Number:
119975130442

II. PALAGIANG TALAAN SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PROGRESS)

Grade I - School BASAK ELEMENTARY SCHOOL Grade II - School BASAK ELEMENTARY SCHOOL
School Year 2014-2015 School Year 2015-2016

Periodic Rating Final Periodic Rating Final

Subject Areas Rating
Remarks Subject Areas Rating
Remarks
1 2 3 4 1 2 3 4
Promoted

Promoted
General Average 86.64 (P) General Average 86.00
Eligible for Admission to Grade II Eligible for Admission to Grade III

Grade III - School BASAK ELEMENTARY SCHOOL Grade IV - School BASAK ELEMENTARY SCHOOL
School Year 2016-2017 School Year 2017-2018

Periodic Rating Final Periodic Rating Final

Subject Areas Rating
Remarks Subject Areas Rating
Remarks
1 2 3 4 1 2 3 4
Promoted
Promoted

General Average 88.00 General Average 87.00

Eligible for Admission to Grade IV Eligible for Admission to Grade V
 Grade V - School TAGAS ELEMENTARY SCHOOL Grade VI - School
School Year 2018-2019 School Year

Periodic Rating Final Periodic Rating Final

Subject Areas Rating
Remarks Subject Areas Rating
Remarks
1 2 3 4 1 2 3 4
Filipino
English
Mathematics
Science
Araling Panlipunan
Eduk. sa Pagpapakatao
EPP
MAPEH
Music
Arts
PE
Health
Gen. Average
Eligible for Admission to Grade Eligible for Admission to Grade

III. TALAAN NG PAGPASOK

(RECORD OF ATTENDANCE)
Bilang ng Araw Bilang ng Araw Bilang na Bilang ng Araw
na May Pasok na Lumiban sa Nahuli ng na Pumasok
Baitang (No. of School Klase Pangunahing Dahilan Pagpasok Pangunahing Dahilan (No. of School
(Grade) Days) (No. of Days (Chief Cause) (No. of Times (Chief Cause) Days Present)
Absent) Tardy)
K 201 2 fever 199
I 201 3 cough 198
II 201 3 fever 198
III 202 2.5 fever 199.5
IV 204 1 fever 203
V

KATIBAYAN SA PAGLIPAT
(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
III. CHARACTER BUILDING

Gr. Sch. Yr. Gr. Sch. Yr. Gr. Sch. Yr.

1 2 3 4 F.R. 1 2 3 4 F.R. 1 2 3 4 F.R.

1 Honesty

2 Courtesy
Helpfulness and
3
Cooperation
4 Obedience
Consideration for
5
Others
6 Sportsmanship
Resourcefulness and
7
Creativeness
8 Self-Reliance

9 Industry
Cleanliness and
10
Orderliness

Gr. Sch. Yr. Gr. Sch. Yr. Gr. Sch. Yr.

1 2 3 4 F.R. 1 2 3 4 F.R. 1 2 3 4 F.R.

1 Honesty

2 Courtesy
Helpfulness and
3
Cooperation
4 Obedience
Consideration for
5
Others
6 Sportsmanship
Resourcefulness and
7
Creativeness
8 Self-Reliance

9 Industry
Cleanliness and
10
Orderliness
A - Outstanding C - Satisfactory
B - Very Satisfactory D - Needs Improvement
IV. ATTENDANCE RECORD

No. of
No. of School No. of Times No. of School
Grade School Cause Cause
Days Absent Tardy Days Present
Days

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
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)
DIVISION OF DAVAO CITY

PALAGIANG TALAAN SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PERMANENT RECORD)

I. Pangalan Sangay Paaralan

(Name) Apelyido Unang Pangalan M.I. (Division) (School)

Kasarian Petsa ng Kapanganakan Pook Petsa ng Pagpasok

(Sex) (Date of Birth) (Place) Bayan/Lalawigan/Lungsod

Magulang/Tagapag-alaga
(Parent / Guardian) Pangalan Tirahan Hanapbuhay
(Name) (Address) (Occupation)

PALAGIANG TALAAN SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PROGRESS)
Grade I - School Grade II - School
School Year School Year

Periodic Rating Final Periodic Rating Final

Learning Areas Rating
Remarks Learning Areas Rating
Remarks
1 2 3 4 1 2 3 4
English English
Mathematics Mathematics
Filipino Filipino
Makabayan Makabayan
* Sibika at Kultura * Sibika at Kultura
* MSEP * MSEP
* Character Education * Character Education

Eligible for Admission to Grade Eligible for Admission to Grade

Grade III - School Grade IV - School

School Year School Year

Periodic Rating Final Periodic Rating Final

Learning Areas Rating
Remarks Learning Areas Rating
Remarks
1 2 3 4 1 2 3 4
English English
Mathematics Mathematics
Science and Health Science and Health
Filipino Filipino
Makabayan Makabayan
* Sibika at Kultura * HKS
* MSEP * EPP
* Character Education * MSEP
* Character Education
Eligible for Admission to Grade Eligible for Admission to Grade

Grade V - School Grade VI - School

School Year School Year

Periodic Rating Final Periodic Rating Final

Learning Areas Rating
Remarks Learning Areas Rating
Remarks
1 2 3 4 1 2 3 4
English English
Mathematics Mathematics
Science and Health Science and Health
Filipino Filipino
Makabayan Makabayan
* HKS * HKS
* EPP * EPP
* MSEP * MSEP
* Character Education * Character Education
Eligible for Admission to Grade Eligible for Admission to Grade
Remarks

Remarks

Remarks