FORM 137 Republika ng Pilipinas

Kagawaran ng Edukasyon
KAWANIHAN NG EDUKASYONG ELEMENTARYA
Rehiyon IX
SANGAY NG ZAMBOANGA DEL SUR

PALAGIANG TALAAN SA MABABANG PAARALAN

(Elementary School Permanent Record)

Pangalan: Sangay: Paaralan:

Learner's Reference Number:________________
_________________
Kasarian: DIANGGAL, JOHAIR E. ZAMBOANGA DEL
SUR
DATU AMPANAS ELEMENTARY
Apelyido Unang Ngalan M.I. Division SCHOOL
School
MAL Pook: JUNE 1,
Petsa ng Kapanganakan: Petsa ng Pagpasok:
E (Place) (Bayan/Lalawigan/Lungsod) 2015
Date of
Magulang/Tagapag-alaga:
Sex Date of Birth Entrance
(Town/Provinve/City)

(Parent/Guardian) (Pangalan) PAG-UNLAD SA MABABANG PAARALAN (Tirahan) (Hanapbuhay)

(Name) (Elementary School Permanent Record) (Address) (Occupation)
II.
Grade I - School: DATU AMPANAS ELEMENTARY SCHOOL Grade II - School: __________________________________________
School Year: 2015-2016 School Year: __________________________________________
Quarter Final Quarter Final
Learning Areas Learning Areas
1 2 3 4 Rating 1 2 3 4 Rating
Filipino #DIV/0! Mother Tongue
English #DIV/0! Filipino
Mathematics #DIV/0! English
Mother Tongue #DIV/0! Mathematics
Araling Panlipunan (AP) #DIV/0! Araling Panlipunan (AP)
MAPEH #DIV/0! MAPEH
*Music *Music
*Arts *Arts
*Physical Education *Physical Education
*Health *Health
Edukasyon sa Pagpapakatao #DIV/0! Edukasyon sa Pagpapakatao
ALIVE #DIV/0! ALIVE
General Average #DIV/0! General Average
Eligible for admission to Grade __II___ Eligible for admission to Grade_______
Grade III - School: ____________________________________________ Grade IV - School: ___________________________________________
School Year: __________________________________________ School Year: __________________________________________
Quarter Final Quarter Final
Learning Areas Learning Areas
1 2 3 4 Rating 1 2 3 4 Rating
Mother Tongue Filipino
Filipino English
English Science
Science Mathematics
Mathematics Araling Panlipunan (AP)
Araling Panlipunan (AP) EPP
MAPEH MAPEH
*Music *Music
*Arts *Arts
*Physical Education *Physical Education
*Health *Health
Edukasyon sa Pagpapakatao Edukasyon sa Pagpapakatao
ALIVE ALIVE
General Average General Average
Eligible for admission to Grade________________ Eligible for admission to Grade________________
Grade V - School: ____________________________________________ Grade VI - School: ___________________________________________
School Year: ___________________________________________ School Year: __________________________________________
Quarter Final Quarter Final
Learning Areas Learning Areas
1 2 3 4 Rating 1 2 3 4 Rating
Filipino Filipino
English English
Science Science
Mathematics Mathematics
Araling Panlipunan (AP) Araling Panlipunan (AP)
EPP EPP
MAPEH MAPEH
*Music *Music
*Arts *Arts
*Physical Education *Physical Education
*Health *Health
Edukasyon sa Pagpapakatao Edukasyon sa Pagpapakatao
ALIVE ALIVE
 General Average General Average
Eligible for admission to Grade________________ Eligible for admission to Grade________________
Descriptors Grading Scale Remarks
Outstanding 90- 100 Passed
Very Satisfactory 85 - 89 Passed
Satisfactory 80 - 84 Passed
Fairly Satisfactory 75 - 79 Passed
Did Not Meet Expectations Below 75 Failed
 ublika ng Pilipinas
waran ng Edukasyon
EDUKASYONG ELEMENTARYA
Rehiyon IX
NG ZAMBOANGA DEL SUR

AN SA MABABANG PAARALAN
School Permanent Record)

DATU AMPANAS ELEMENTARY

SCHOOL

A MABABANG PAARALAN
School Permanent Record)

Grade II - School: ___________________________________________

School Year: ___________________________________________
Final
Rating

Eligible for admission to Grade_______

Grade IV - School: ___________________________________________
School Year: __________________________________________
Final
Rating

Eligible for admission to Grade________________

Grade VI - School: ___________________________________________
School Year: __________________________________________
Final
Rating
Eligible for admission to Grade________________
U AMPANAS ELEMENTARY
OOL
III. LEARNER'S OBSERVED VALUES Grade I- S.Y 2015- Grade II- S.Y
2016 ________ Grade III- S.Y ________
Core Values Behavior Statements Quarter Quarter Quarter
1 2 3 4 1 2 3 4 1 2 3 4
Expresses one's spiritual beliefs while respecting
1. Maka- the spiritual belief's of others
Diyos Shows adherence to ethical principles by upholding
truth
Is sensitive to individual, social, and cultural
differences
2. Makatao
Demonstratescontributions toward solidarity

3. Maka Cares for the environment and utilizes resources

kalikasan wisely, judiciously, and economically
Demonstrates pride in being a Filipino exercises
4. Maka the rights and responsibilities of a Filipino citizen
bansa Demonstrates appropriate behavior in carrying out
activities in the school, community, and country

Grade IV- S.Y ________Grade V- S.Y ________Grade VI- S.Y ________

Core Values Behavior Statements Quarter Quarter Quarter
1 2 3 4 1 2 3 4 1 2 3 4
Expresses one's spiritual beliefs while respecting
1. Maka- the spiritual belief's of others
Diyos
Shows adherence to ethical principles by upholding
truth
Is sensitive to individual, social, and cultural
differences
2. Makatao
Demonstratescontributions toward solidarity

3. Maka Cares for the environment and utilizes resources

kalikasan wisely, judiciously, and economically
Demonstrates pride in being a Filipino exercises
4. Maka the rights and responsibilities of a Filipino citizen
bansa Demonstrates appropriate behavior in carrying out
activities in the school, community, and country

Marking Non-numerical Rating

AO Always Observed
SO Sometimes Observed
RO Rarely Observed
NO Not Observed

IV. ATTENDANCE RECORD

No. of School No. of School No. of Times No. of School
Grade Cause Cause
Days Days Absent Tardy Days Present
I
II
III
IV
V
VI

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 ______________________.

___________________________
Principal/School Head