FORM 137
Republika ng Pilipinas
(Republic of the Philippines)
Kagawaran ng Edukasyon
(Department of Education)
KAWANIHAN NG EDUKASYON MATAAS NA PAARALAN
(BUREAU OF HIGH SCHOOL EDUCATION)
Rehiyon: 3
(Region III)
PALAGIANG TALAAN SA MATAAS NA PAARALAN
(High School Permanent Record)
Pangalan: Gonzales Janette De Guzman Sangay: High School Paaralan: PULO NATIONAL HIGH SCHOOL
(Name) Apelyido Unang Pangalan M.I. (Division) (School)
Kasarian: FEMALE Petsa ng Kapanganakan: 09/13/87 Pook: Mangga. San Isidro, NE Petsa ng Pagpasok: 06/13/01
(Sex) (Date of Birth) (Place)Bayan/lalawigan/Lungsod (Date of Entrance)
(Town/Province/City)
Magulang/Tagapag-alaga: Angelina De Guzman Gonzales Mangga. San Isidro, NE HOUSEWIFE
(Parent/Guardian) Pangalan Tirahan Hanapbuhay
(Name) (Address) (Occupation)
PAG-UNLAD SA MATAAS NA PAARALAN
(High School Progress)
Eligible for Admission to Year______________________________________________
1st Year-School_________________________________________________________________
School Year__________________________________________________________________ 2nd year-School________________________________________________________________
School Year__________________________________________________________________
Periodic Rating
LEARNING AREAS Remarks
1 2 3 4 Periodic Rating
LEARNING AREAS Remarks
Mother Tongue 86 88 86 87 PASSED 1 2 3 4
Filipino 85 87 85 88 PASSED Mother Tongue 86 87 86 87 PASSED
English 81 84 81 88 PASSED Filipino 85 88 85 88 PASSED
Mathematics 84 86 87 86 PASSED English 81 86 87 86 PASSED
Araling Panlipunan (AP) 86 85 88 85 PASSED Mathematics 84 85 88 85 PASSED
Edukasyon sa Pagpapakatao (EsP) 88 81 88 81 PASSED Araling Panlipunan (AP) 86 81 88 81 PASSED
MAPEH 85 84 88 84 PASSED Edukasyon sa Pagpapakatao (EsP) 85 84 88 84 PASSED
Music 85 86 87 86 PASSED MAPEH 81 86 87 86 PASSED
Art 85 85 88 85 PASSED Music 84 85 88 85 PASSED
Physical Education (PE) 85 81 88 81 PASSED Art 86 87 84 88 PASSED
Health 84 86 87 86 PASSED Physical Education (PE) 88 88 86 87 PASSED
General Average 88 Health 85 88 85 88 PASSED
Eligible for Admission to Grade______________________________________________ General Average 87
Eligible for Admission to Grade______________________________________________
3rd Year-School______________________________________________________________
School Year__________________________________________________________________ 4th -School_______________________________________________________________
School Year__________________________________________________________________
Periodic Rating
LEARNING AREAS Remarks Periodic Rating
1 2 3 4 LEARNING AREAS Remarks
Mother Tongue 86 86 87 86 PASSED 1 2 3 4
Filipino 85 85 88 85 PASSED Filipino 86 87 86 87 PASSED
English 86 81 88 81 PASSED English 85 88 85 88 PASSED
Mathematics 85 84 88 84 PASSED Mathematics 81 88 81 88 PASSED
Science 81 86 87 86 PASSED Science 86 87 86 87 PASSED
Araling Panlipunan (AP) 84 85 88 85 PASSED Araling Panlipunan (AP) 85 88 85 88 PASSED
Edukasyon sa Pagpapakatao (EsP) 86 81 88 81 PASSED Edukasyon sa Pagpapakatao (EsP) 81 88 81 88 PASSED
MAPEH 88 86 87 86 PASSED Edukasyong Pantahanan at 84 88 84 88 PASSED
Music 85 85 88 85 PASSED Pangkabuhayan (EPP)
Art 85 81 88 81 PASSED MAPEH 86 87 86 87 PASSED
Physical Education (PE) 85 84 88 84 PASSED Music 85 88 85 88 PASSED
Health 85 86 87 86 PASSED Art 81 88 81 88 PASSED
General Average 88 Physical Education (PE) 86 87 86 87 PASSED
Eligible for Admission to Grade______________________________________________ Health 85 88 85 88 PASSED
General Average 87
Eligible for Admission to Grade______________________________________________
III. REPORT ON LEARNER’S OBSERVED VALUES
1st S.Y. _____________ 2nd S.Y. _____________ 3rd S.Y. _____________
Quarter Quarter Quarter
Core Values Behavior Statements
1 2 3 4 1 2 3 4 1 2 3 4
Expresses one’s spiritual beliefs while A0 A0 A0 A0 A0 A0 A0 A0 A0 A0 A0 A0
respecting the spiritual beliefs of
1. Maka- others
Diyos Shows adherence to ethical principles A0 A0 A0 A0 A0 A0 A0 A0 A0 A0 A0 A0
by upholding truth
Shows adherence to ethical principles A0 A0 A0 A0 A0 A0 A0 A0 A0 A0 A0 A0
by upholding truth
2. Makatao Demonstrates contributions toward A0 A0 A0 A0 A0 A0 A0 A0 A0 A0 A0 A0
solidarity
3. Maka- Cares for the environment and utilizes S0 A0 A0 A0 A0 S0 S0 S0 S0 S0 S0 S0
resources wisely, judiciously, and
kalikasan economically
Demonstrates pride in being a Filipino; S0 S0 A0 A0 A0 A0 A0 S0 S0 S0 S0 S0
exercises the rights and
4.Makabansa responsibilities of a Filipino citizen.
Demonstrates appropriate behavior in S0 S0 A0 A0 A0 A0 A0 S0 S0 S0 S0 S0
carrying out activities in the school,
community, and country
4th S.Y. _____________
Quarter
Core Values Behavior Statements
1 2 3 4
Expresses one’s spiritual beliefs while A0 A0 A0 A0
respecting the spiritual beliefs of
1. Maka- others
Diyos Shows adherence to ethical principles A0 A0 A0 A0
by upholding truth
Shows adherence to ethical principles 0 A0 A0 A0
by upholding truth
2. Makatao
Demonstrates contributions toward A0 A0 A0 A0
solidarity
3. Maka- Cares for the environment and utilizes S0 S0 S0 S0
resources wisely, judiciously, and
kalikasan economically
Demonstrates pride in being a Filipino; A0 A0 A0 A0
exercises the rights and
4.Makabansa responsibilities of a Filipino citizen.
Demonstrates appropriate behavior in AO A0 A0 A0
carrying out activities in the school,
community, and country
