DepEd Form 137-E

Republika ng Pilipinas
(Republic of the Philippines)
Kagawaran ng Edukasyon
(Department of Education)
Rehiyon XII
(Region XII)

PALAGIANG TALAAN SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PERMANENT RECORD)

Pangalan: __________________________________ Sangay: __________________Paaralan: ___________________

(Name) Apelyedo Unang Pangalan M.I (Division) (School)
(Surname) (Given)

Kasarian: ___ Petsa ng Kapanganakan: __________Pook: _______________________Petsa ng Pagpasok: _______

(Sex) (Date of Birth) (Place) Bayan/Lalawigan/Lungsod (Date of Entrance)
(Town/Province/City)

Magulang/Tapag-alaga: ____________________________________________________________________________
Pangalan Tirahan Hanapbuhay
(Name) (Address) (Occupation)

PAG-UNLAD SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PROGRESS)
 Grade V School: Grade VI School:
Grade I School: Grade I I School: _____________________ _____________________
_____________________ _____________________ ______ ______
______ ______ School School
School School Year: Year:
Year: Year: _____________________ _____________________
_____________________ _____________________ _ _
_ _
Periodic Rating Period
Learning Areas Learning Areas
Periodic Rating Periodic Rating 1 1 2
Learning Areas Learning Areas
1 1 English English
English English Mathematics Mathematics
Mathematics Mathematics Science and Health Science and Health
Filipino Filipino Filipino Filipino
Makabayan Makabayan ) Makabayan Makabayan
(Sibika at Kultura) (Sibika at Kultura) Heograpiya / Heograpiya /
(Eduk. sa Kagandahang (Eduk. sa Kagandahang Kasaysayan / Sibika Kasaysayan / Sibika
Asal at Wastong Pag- Asal at Wastong Pag- (HKS) (HKS)
uugali)- EKAWP uugali)- EKAWP Musika, Sining at Musika, Sining at
Science & Health Science & Health Edukasyon Pagpapalakas Edukasyon Pagpapalakas
Edukasyon sa Pagpapalakas Edukasyon sa Pagpapalakas ng Katawan (MSEP) ng Katawan (MSEP)
ng Katawan ng Katawan Eduk. Pantahanan at Eduk. Pantahanan at
Pangkabuhayan (EPP) Pangkabuhayan (EPP)
AVERAGE AVERAGE Eduk. sa Kagandahang Eduk. sa Kagandahang
Eligible for Admission Eligible for Admission Asal at Wastong Pag- Asal at Wastong Pag-
to Grade _____ to Grade _____ uugali (EKAWP) uugali (EKAWP)
AVERAGE AVERAGE
Grade I II School: Grade IV School: Eligible for Admission Eligible for Admission
_____________________ _____________________
______ to Grade _____ to Grade _____
______
School School
Year: Year:
_____________________ _____________________
_ _

Periodic Rating Periodic Rating

Learning Areas Learning Areas
1 1
English English
Mathematics Mathematics
Science Science and Health
Filipino Filipino
Makabayan Makabayan
(Sibika at Kultura) Heograpiya /
(Eduk. sa Kagandahang Kasaysayan / Sibika
Asal at Wastong Pag- (HKS)
uugali) EKAWP Musika, Sining at
Science & Health Edukasyon Pagpapalakas
Edukasyon sa Pagpapalakas ng Katawan (MSEP)
ng Katawan
Eduk. Pantahanan at
Pangkabuhayan (EPP)
Eduk. sa Kagandahang
Asal at Wastong Pag-uugali
(EKAWP)
AVERAGE AVERAGE
Eligible for Admission Eligible for Admission
to Grade _____ to Grade _____
 A – Outstanding C – Satisfactory
B – Very Satisfactory D – Needs Improvement

TALAAN NG PAGPASOK
(RECORD OF ATTENDANCE)

Bilang Bilang ng
Bilang ng Bilang ng
ng Araw Araw
Nahuli ng Araw na
ng may Lumiban Pangunahing Pangunahing
Baitang Pagpasok Pagpasok
Pasok sa Klase Dahilan Dahilan
(Grade) (No. of (No. of
(No. of (No. of (Chief Cause) (Chief Cause)
Times Days
School Days
Tardy) Present)
Days) Absent)

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 ___________________.

JOEL A. MONTOJO. JR.

Principal

DepEd Form 137-E

Republika ng Pilipinas
(Republic of the Philippines)
Kagawaran ng Edukasyon
(Department of Education)
Rehiyon XII
(Region XII)

PALAGIANG TALAAN SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PERMANENT RECORD)

Pangalan: __________________________________ Sangay: __________________Paaralan: ___________________

(Name) Apelyedo Unang Pangalan M.I (Division) (School)
(Surname) (Given)

Kasarian: ___ Petsa ng Kapanganakan: __________Pook: _______________________Petsa ng Pagpasok: _______

(Sex) (Date of Birth) (Place) Bayan/Lalawigan/Lungsod (Date of Entrance)
(Town/Province/City)

Magulang/Tapag-alaga: ____________________________________________________________________________
Pangalan Tirahan Hanapbuhay
(Name) (Address) (Occupation)

PAG-UNLAD SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PROGRESS)
 Grade V School: Grade VI School:
Grade I School: Grade I I School: _____________________ _____________________
_____________________ _____________________ ______ ______
______ ______ School School
School School Year: Year:
Year: Year: _____________________ _____________________
_____________________ _____________________ _ _
_ _
Periodic Rating Period
Learning Areas Learning Areas
Periodic Rating Periodic Rating 1 1 2
Learning Areas Learning Areas
1 1 Mother Toungue English
English English Filipino Mathematics
Mathematics Mathematics English Science and Health
Filipino Filipino Mathematics Filipino
Makabayan Makabayan ) Araling Makabayan
Panlipunan(AP)
(Sibika at Kultura) (Sibika at Kultura) Edukasyong Heograpiya /
(Eduk. sa Kagandahang (Eduk. sa Kagandahang Pantahanan at Kasaysayan / Sibika
Asal at Wastong Pag- Asal at Wastong Pag- Pangkabuhayan (HKS)
(EPP)
uugali)- EKAWP uugali)- EKAWP MAPEH
Musika, Sining at
Edukasyon Pagpapalakas
Music
ng Katawan (MSEP)
Art
Eduk. Pantahanan at
Physical
AVERAGE AVERAGE Education
Pangkabuhayan (EPP)
Eligible for Admission Eligible for Admission Health Eduk. sa Kagandahang
to Grade _____ to Grade _____ Edukasyon sa Asal at Wastong Pag-
Pagpapakatao (EsP) uugali (EKAWP)
AVERAGE
Grade I II School: Grade IV School: AVERAGE
_____________________ _____________________ Eligible for Admission Eligible for Admission
______ ______ to Grade _____ to Grade _____
School School
Year: Year:
_____________________ _____________________
_ _ A – Outstanding
C – Satisfactory
Periodic Rating Periodic Rating B – Very Satisfactory
Learning Areas Learning Areas
1 1 D – Needs Improvement
English English
Mathematics Mathematics
Science Science and Health TALAAN NG PAGPASOK
Filipino Filipino (RECORD OF ATTENDANCE)
Makabayan Makabayan
(Sibika at Kultura) Heograpiya / Bilang Bilang ng
(Eduk. sa Kagandahang Kasaysayan / Sibika ng Araw Araw
Asal at Wastong Pag- (HKS) ng may Lumiban Pangunahing
Baitang
uugali) EKAWP Musika, Sining at Pasok sa Klase Dahilan
(Grade)
Edukasyon Pagpapalakas (No. of (No. of (Chief Cause)
ng Katawan (MSEP) School Days
Eduk. Pantahanan at Days) Absent)
Pangkabuhayan (EPP)
Eduk. sa Kagandahang
Asal at Wastong Pag-
uugali (EKAWP)
AVERAGE AVERAGE
Eligible for Admission Eligible for Admission
to Grade _____ to Grade _____

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
___________________.

JOEL A. MONTOJO, JR.

Principal