DepEd Form 137-E

Republika ng Pilipinas
(Republic of the Philippines)
KAWANIHAN NG EDUKASYON ELEMENTARYA
(Department of Education)
Rehiyon: X
PALAGIANG TALAAN SA MABABANG PAARALAN
(Elementary School Permanent Record)
LRN: __________________________

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/Lunsod (Date of Entrance)
(Town/Province/City)
Magulang/Tagapag-alaga _________________________________________________________________________________________________________
(Parent/Guardian) Pangalan Tirahan Hanapbuhay
(Name) (Address) (Occupation)

PAG-UNLAD SA MABABANG PAARALAN

(Elementary School Progress)

Grade II-School______________________________________
Grade I-School_____ _____________________________________ School Year_ ____________________________________
School Year________________________________________________
LEARNING AREAS
Periodic Rating
LEARNING AREAS Remarks
Mother Tongue
Mother Tongue Filipino
Filipino English
English Mathematics
Mathematics Araling Panlipunan
Araling Panlipunan MAPEH
MAPEH Music
Music Arts
Arts Physical Education
Physical Education Health
Health Edukasyon sa Pagpapakatao
Edukasyon sa Pagpapakatao General Average
General Average Eligible for Admission to Grade_____ ___________________________
Eligible for Admission to Grade___________________________________
Grade IV-School______________________________________________
Grade III-School__ _______________________________________________ School Year____________________________________________
School Year______________________________ __________ Periodic Rating
LEARNING AREAS Remarks
Periodic Rating 1 2 3 4
LEARNING AREAS Remarks
1 2 3 4 Filipino
Mother Tongue English
Filipino Mathematics
English Science
Mathematics Araling Panlipunan
Science and Health Edukasyon sa
Araling Panlipunan Pagpapakatao
Edukasyong Pantahanan at
MAPEH
Pangkabuhayan (EPP)
Music MAPEH
Arts Music
Physical Education
Arts
Health
Physical Education
Edukasyon sa Pagpapakatao
Health
General Average
General Average
Eligible for Admission to Grade_______________________________
Eligible for Admission to Grade______________________________________________
Grade V-School_______________________________________________________________
Grade VI-School_______________________________________________________________
School Year__________________________________________________________________
School Year__________________________________________________________________
Periodic Rating
LEARNING AREAS Remarks Periodic Rating
1 2 3 4 LEARNING AREAS Remarks
1 2 3 4
Filipino
Filipino
English
English
Mathematics
Mathematics
Science Science
Araling Panlipunan (AP) Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao
Edukasyon sa Pagpapakatao
Edukasyong Pantahanan at
Pangkabuhayan (EPP) Edukasyong Pantahanan at
Pangkabuhayan (EPP)
MAPEH
MAPEH
Music
Music
Arts
Arts
Physical Education
Physical Education
Health
Health
General Average
General Average
Eligible for admission to Grade _________________________________ Eligible for admission to Grade _______________________________
III. CHARACTER BUILDING
Gr.1 S.Y. _____________ Gr. 2 S.Y. ________________ Gr. 3 S.Y. ________________
Core Values Quarter Quarter Quarter
Behavior Statements
1 2 3 4 1 2 3 4 1 2 3 4
Expresses one’s spiritual
1. Maka- beliefs while respecting the
Diyos spiritual beliefs of others
Shows adherence to ethical
principles by upholding
truth
Is sensitive to individual,
2. Makatao social and cultural
differences
Demonstrates contributions
toward solidarity
3. Maka- Cares for the environment
kalikasan and utilizes resources
wisely, judiciously, and
economically
Demonstrates pride in being
a Filipino; exercises the
rights and responsibilities of
4.Makabansa a Filipino citizen.
Demonstrates appropriate
behavior in carrying out
activities in the school,
community, and country

Gr. 4 S.Y. _____________ Gr. 5 S.Y. ________________ Gr. 6 S.Y. ________________

Core Values Quarter Quarter Quarter
Behavior Statements
1 2 3 4 1 2 3 4 1 2 3 4
Expresses one’s spiritual
1. Maka- beliefs while respecting the
Diyos spiritual beliefs of others
Shows adherence to ethical
principles by upholding
truth
Is sensitive to individual,
2. Makatao social and cultural
differences
Demonstrates contributions
toward solidarity
3. Maka- Cares for the environment
kalikasan and utilizes resources
wisely, judiciously, and
economically
Demonstrates pride in being
a Filipino; exercises the
rights and responsibilities of
4.Makabansa a Filipino citizen.
Demonstrates appropriate
behavior in carrying out
activities in the school,
community, and country
AO – Always Observed SO – Sometimes Observed RO – Rarely Observed NO – Not Observed

IV. ATTENDANCE RECORD

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

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 of Grade/Year____________________.

______________________________ _____________________________
Date Signature
_____________________________
Designation