DEPED FORM 137-E (1-4).xlsx

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    Republic of the PhilippinesDepartment of Education

    REGION IX, ZAMBOANGA PENINSULA

    Division of Zamboanga Sibugay

    TALUSAN DISTRICT

    ELEMENTARY SC!!L "ERMANENT REC!RDDivision:

    Sex:

    Parent/Guardian:

    ELEMENTARY SC!!L "R!#RESS

    Learning AreasQuarter

    Remarks Learning Areas1 2 3 4 1

    Mother Tongue Mother Tongue

    Filipino Filipino

    English English

    Mathematics Mathematics

     Araling Panlipunan (AP) Araling Panlipunan (AP)

    Edukasyon sa Pagpapakatao Edukasyon sa Pagpapakatao

    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

    I. a!e

    &&.

      Grade I - School: ____________________________________________ Grade II - School: ________________________    School Year: ____________________________________________ School Year: ________________________  

    FinalRating

    "#$% &'(-)

    Surname Name M.I

    School

    Date o* +irth: Date

    (Town/Provinve/Cit!

    Name  "ddress

    Place o* +irth

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      g b e o ad ss o to G ade g b e o ad ss o to G ade

    Outst!n"in# $%& '%% P!sse"

    (e)* S!tisf!cto)* + & +$ P!sse"

    S!tisf!cto)* +% & +- P!sse"!i)l* S!tisf!cto)* / & /$ P!sse"0i" Not Meet E1pect!tions Belo2 / !ile"

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    QuarterRemarks

    3 4

     

     __________________ __________________

    FinalRating

      * )ntrance

    #$$u%ation

    LRN

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    III. LEARNER'S OBSERVED VALUES

    Core 'a$ues (e)avior Statements

    #rade *****S+Y ***** #rade *****S+Y

    ,uarter ,uarter

    - . / 0 - . /

    -+ Ma%a1 Diyos

    .+ Ma%ataoIs sensiti3e to in"i3i"u!l, soci!l, !n" cultu)!l "i4e)ences

    0e5onst)!tescont)ibutions to2!)" soli"!)it*

    /+ Ma%a%a$i%asan

    0+ Ma%abansa

    Core 'a$ues (e)avior Statements

    #rade ***1 S+Y *** #rade ***1 S+Y,uarter ,uarter

    - . / 0 - . /

    -+ Ma%a1 Diyos

    .+ Ma%ataoIs sensiti3e to in"i3i"u!l, soci!l, !n" cultu)!l "i4e)ences

    0e5onst)!tescont)ibutions to2!)" soli"!)it*

    E1p)esses one7s spi)itu!l beliefs 2hile )espectin# thespi)itu!l belief7s of othe)s

    Sho2s !"he)ence to ethic!l p)inciples b* uphol"in#t)uth

    8!)es fo) the en3i)on5ent !n" utili9es )esou)ces 2isel*, :u"iciousl*, !n" econo5ic!ll*

    0e5onst)!tes p)i"e in bein# ! ilipino e1e)cises the)i#hts !n" )esponsibilities of ! ilipino citi9en

    0e5onst)!tes !pp)op)i!te beh!3io) in c!))*in# out!cti3ities in the school, co55unit*, !n" count)*

    E1p)esses one7s spi)itu!l beliefs 2hile )espectin# thespi)itu!l belief7s of othe)s

    Sho2s !"he)ence to ethic!l p)inciples b* uphol"in#

    t)uth

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    &ate

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    **** #rade *****S+Y *****

    ,uarter

    0 - . / 0

    *** #rade ***1 S+Y ***,uarter

    0 - . / 0

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    CLASS 25ND

    Name of Learner N!'EM(ER' ; < - = / + $ '% '' '; '< '-

    MALEPAN"N'#A! AEN 'OM*ATE

    SE$#!#O !A+AN OANO

    TAN&A A,A#-E SA&&A#

    TAP#A !ONN#E T"MAMPA

    2EMALE

    &"MAN&AN ."&+ TE!O

    ESNE!O .A#MA SA.A!O

    #SNA#N N"!S#MA SAAP"&N.AAN# ESA TE!O

    MA/AA' A#!EN #*!ES

    PO'ON0 MA!#A MAE 'OM*ATE

    SAAM ,H#SMA SA&&AN0

    S"A+ NE!FA .AAPA

    TAN&A &A!#NA AME!#

    TE!O PAMEA 0AETO

    "!*ANO 0#1AN !E$#A

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    ' '= '/ '+ '$ ;%