Republika ng Pilipinas

DEP. ED FORM 137-E (Republic of the Philippines)

Kagawaran ng Edukasyon(Department of Education)

KAWANIHAN NG EDUKASYONG ELEMENTARYA(BUREAU OF ELEMENTARY EDUCATION)

Pambansang Punong Rehiyon(National Capital Region)

Sangay ng mga Paaralang LungsodLungsod ng Marikina

PALAGIANG TALAAN SA MABABANG PAARALAN(ELEMENTARY SCHOOL PERMANENT RECORD)

(Name) ApelyidoUnang Pangalan (M.I.) (Division) (School)

Kasarian ______________ Petsa ng Kapanganakan ___________________Pook ________________Petsa ng Pagpasok ___________(Sex) (Date of Birth) (Place) (Date of Entrance)

Magulang/Tagapag-alaga ________________________________ _____________________________________ ______________(Name) (Address) (Occupation)

PAG-UNLAD SA MABABANG PAARALAN(ELEMENTARY SCHOOL PROGRESS)

Grade I - School___________________ Grade II - School__________________

School Year__________________ School Year__________________

Learning Areas Periodic Rating Remarks Learning Areas Periodic Rating Remarks1 2 3 4 1 2 3 4

ENGLISH ENGLISHMATHEMATICS MATHEMATICSFILIPINO FILIPINO

CHARACTER EDUCATION CHARACTER EDUCATION

Eligible for Admission to Grade_______________________ Eligible for Admission to Grade_______________________

Grade III - School__________________ Grade IV - School__________________

School Year__________________ School Year__________________

Learning Areas Periodic Rating Remarks Learning Areas Periodic Rating Remarks1 2 3 4 1 2 3 4

ENGLISH ENGLISHMATHEMATICS MATHEMATICSSCIENCE AND HEALTH SCIENCE AND HEALTHFILIPINO FILIPINO

(Sibika at Kultura; MSEP)

CHARACTER EDUCATION

Eligible for Admission to Grade_______________________ Eligible for Admission to Grade_______________________

Grade V - School___________________ Grade VI - School__________________

School Year__________________ School Year__________________

Learning Areas Periodic Rating Remarks Learning Areas Periodic Rating Remarks1 2 3 4 1 2 3 4

ENGLISH ENGLISHMATHEMATICS MATHEMATICSSCIENCE AND HEALTH SCIENCE AND HEALTHFILIPINO FILIPINO

CHARACTER EDUCATION CHARACTER EDUCATION

I. Pangalan_____________________________________________Sangay___________________ Paaralang Elementarya ng FORTUNE

MAKABAYAN (Sibika at Kultura; MSEP)

MAKABAYAN (Sibika at Kultura; MSEP)

MAKABAYAN (Sibika at Kultura; MSEP)

MAKABAYAN (Sibika at Kultura; MSEP)HEOGRAPIYA/KASAYSAYAN/

SIBIKA(HKS)Edukasyong Pantahanan at

Pangkabuhayan (EPP)Musika,Sining at Edukasyon

Pagpapalakas ng Katawan(MSEP)

MAKABAYAN (Sibika at Kultura; MSEP)

MAKABAYAN (Sibika at Kultura; MSEP)HEOGRAPIYA/KASAYSAYAN/

SIBIKA(HKS)HEOGRAPIYA/KASAYSAYAN/

SIBIKA(HKS)Edukasyong Pantahanan at

Pangkabuhayan (EPP)Edukasyong Pantahanan at

Pangkabuhayan (EPP)Musika,Sining at Edukasyon

Pagpapalakas ng Katawan(MSEP)Musika,Sining at Edukasyon

Pagpapalakas ng Katawan(MSEP)

Eligible for Admission to Grade_______________________ Eligible for Admission to Grade_______________________

III. CHARACTER BUILDINGGr. _________ 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

3. Helpfulness and Cooperation

4. Resourcefulness and Creativeness

5. Consideration for Others

6. Sportsmanship

7. Obedience

8. Self-Reliance

9. Industry

10. Cleanliness and 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

3. Helpfulness and Cooperation

4. Resourcefulness and Creativeness

5. Consideration for Others

6. Sportsmanship

7. Obedience

8. Self-Reliance

9. Industry

10. Cleanliness and Orderliness

A - Very Good B - Good C - Fair D - PoorIV. ATTENDANCE RECORD

Grade Cause Cause

C E R T I F I C A T E O F T R A N S F E RTO 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 toGrade/Year ______________________________________.

____________________________Signature

____________________________

No. of School Days

No. of School Days Absent

No. of Times Tardy

No. of School Days Present

_____________________________________________ DesignationDate