Republika ng Pilipinas

(Republic of the Philippines)

DepEd Form 137-E
Kagawaran ng Edukasyon
(Department of Education)
Rehiyon 04
(Region 04)
SANGAY NG BATANGAS
(DIVISION OF BATANGAS)

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/Lungsod (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 I - School Grade II - School
School Year School Year

Periodic Rating Final Periodic Rating Final

Learning Areas Rating
Remarks Learning Areas Rating
Remarks
1 2 3 4 1 2 3 4
Mother Tounge Mother Tounge
Filipino Filipino
English English
Mathematics Mathematics
Araling Panlipunan Araling Panlipunan
Edukasyon sa Pagpapakatao Edukasyon sa Pagpapakatao
MAPEH MAPEH
*Music *Music
*Art *Art
*Physical Education *Physical Education
*Health *Health
General Average General Average
Eligible for Admission to Grade Eligible for Admission to Grade

Grade III - School Grade IV - School

School Year School Year

Periodic Rating Final Periodic Rating Final

Learning Areas Rating
Remarks Learning Areas Rating
Remarks
1 2 3 4 1 2 3 4
Mother Tongue Filipino
Filipino English
English Mathematics
Mathematics Science
Science Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao
Araling Panlipunan (AP) (EsP)
Edukasyon sa Pagpapakatao Edukasyong Pantahanan at
(EsP) Pangkabuhayan (EPP)
MAPEH MAPEH
*Music *Music
*Art *Art
*Physical Education *Physical Education
*Health *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 Final Periodic Rating Final

Learning Areas Rating
Remarks Learning Areas Rating
Remarks
1 2 3 4 1 2 3 4
Filipino Filipino
English English
Mathematics Mathematics
Science Science
Araling Panlipunan (AP) Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao Edukasyon sa Pagpapakatao
(EsP) (EsP)
Edukaskong Pantahanan at Edukasyong Pantahanan at
Pangkabuhayan (EPP) Pangkabuhayan (EPP)
MAPEH MAPEH
*Music *Music
*Art *Art
*Physical Education *Physical Education
*Health *Health
General Average General Average
Eligible for Admission to Grade Eligible for Admission to Grade
REPORT ON LEARNER'S OBSERVED VALUES

CORE VALUES / BEHAVIOR Gr Sch. Yr. Gr Sch. Yr. Gr Sch. Yr.

STATEMENTS
1 2 3 4 F.R. 1 2 3 4 F.R. 1 2 3 4 F.R.
MAKA-DIYOS
●● Expresses one's spiritual beliefs while
respecting the spiritual beliefs of others.
●● Shows adherence to ethical principles by
upholding the truth.
MAKATAO
●● Is sensitive to individual, social and cultural
differences.
●● Demonstrates constributions toward solidarity
MAKA-KALIKASAN
●● Cares for the environment and utilizes
resources wisely, judiciously, and economic-
ally.
MAKA-BANSA
●● Demonstrates pride in being a Filipino;
excersise the rights and responsibilities of a
Filipino citizen.
●● Demonstrates appropriate behavior in carrying
out activities in school, community, and country.

CORE VALUES / BEHAVIOR Gr Sch. Yr. Gr Sch. Yr. Gr Sch. Yr.

STATEMENTS
1 2 3 4 F.R. 1 2 3 4 F.R. 1 2 3 4 F.R.
MAKA-DIYOS
●● Expresses one's spiritual beliefs while
respecting the spiritual beliefs of others.
●● Shows adherence to ethical principles by
upholding the truth.
MAKATAO
●● Is sensitive to individual, social and cultural
differences.
●● Demonstrates constributions toward solidarity
MAKA-KALIKASAN
●● Cares for the environment and utilizes
resources wisely, judiciously, and economic-
ally.
MAKA-BANSA
●● Demonstrates pride in being a Filipino;
excersise the rights and responsibilities of a
Filipino citizen.
●● Demonstrates appropriate behavior in carrying
out activities in school, community, and country.

AO - Always Observed RO - Rarely Observed

SO - Sometimes Observed NO - Not Observed
IV. ATTENDANCE RECORD
No. of
No. of School No. of School
Grade No. of School Days Cause Times Cause
Days Absent Days Present
Tardy

CERTIFICATE OF TRANSFER
TO WHOM IT MAY CONCERN:
This is to certtify that this is the true record of the Elementary School Permanent record of
. He/She is eligible for transfer and admission to Grade/Year
.

Signature

Date Designation