REPUBLIKA NG PILIPINAS
(Republic of the Philippines)
KAGAWARAN NG EDUKASYON
(Department of Education)
Rehiyon IV
Region IV
SANGAY NG MGA PAARALANG PANGLUNGSOD
Division of Rizal
DepEd FORM 137 - E
PALAGIANG TALAAN SA MABABANG PAARALAN
LRN: ________________________
(ELEMENTARY SCHOOL PERMANENT RECORD)
I.
Pangalan
(Name)
Apelyido
Kasarian
(Sex)
Unang ngalan
M.I.
Petsa ng Kapanganakan
(Date of Birth)
Purok
(District)
Paaralan
(School)
Pook
(Place) Bayan/Lalawigan/Lungsod
(Town/Province/City)
Petsa ng Pagpasok
(Date of Entrance)
Magulang/Tagapag-alaga
Pangalan
(Name)
II.
Tirahan
(Address)
Hanapbuhay
(Occupation)
PAG-UNLAD SA MABABANG PAARALAN
(ELEMENTARY SCHOOL PROGRESS)
Grade I – School _________________________________
School Year _________________
Learning Areas
1
Periodic Rating
2
3
4
Grade II – School ________________________________
School Year _________________
FINAL
RATING
REMARKS
Learning Areas
Mother Tongue
Mother Tongue
Filipino
Filipino
English
English
Mathematics
Mathematics
Araling Panlipunan
Araling Panlipunan
EPP/TLE
EPP/TLE
MAPEH
MAPEH
Music
Music
Art
Art
Physical Education
Physical Education
Health
Edukasyon sa Pagpapakatao
1
Periodic Rating
2
3
4
FINAL
RATING
REMARKS
FINAL
RATING
REMARKS
General Average
Eligible for Admission to Grade ____________
Eligible for Admission to Grade ____________
Grade III – School ________________________________
School Year ________________
Grade IV – School _______________________________
School Year ________________
1
Periodic Rating
2
3
4
FINAL
RATING
REMARKS
Learning Areas
Mother Tongue
Mother Tongue
Filipino
Filipino
English
English
Mathematics
Mathematics
Science
Science
Araling Panlipunan
Araling Panlipunan
EPP/TLE
EPP/TLE
MAPEH
MAPEH
Music
Music
Art
Art
Physical Education
Physical Education
Health
Edukasyon sa Pagpapakatao
1
Periodic Rating
2
3
4
Health
Edukasyon sa Pagpapakatao
General Average
General Average
Eligible for Admission to Grade ____________
Eligible for Admission to Grade ____________
Grade V – School ________________________________
School Year ________________
Grade VI – School _______________________________
School Year ________________
Learning Areas
REMARKS
Health
Edukasyon sa Pagpapakatao
General Average
Learning Areas
FINAL
RATING
1
Periodic Rating
2
3
4
FINAL
RATING
REMARKS
Learning Areas
Mother Tongue
Mother Tongue
Filipino
Filipino
English
English
Mathematics
Mathematics
Science
Science
Araling Panlipunan
Araling Panlipunan
EPP/TLE
EPP/TLE
MAPEH
MAPEH
Music
Music
Art
Art
Physical Education
Physical Education
Health
Edukasyon sa Pagpapakatao
General Average
Eligible for Admission to Grade _____________
1
Periodic Rating
2
3
4
Health
Edukasyon sa Pagpapakatao
General Average
Eligible for Admission to Grade _____________
Grade V – School ________________________________
Grade VI – School ______________________________
School Year ________________
School Year ________________
Periodic Rating
1
2
3
4
Learning Areas
FINAL
RATING
REMARKS
Learning Areas
Mother Tongue
Mother Tongue
Filipino
Filipino
English
English
Mathematics
Mathematics
Science
Science
Araling Panlipunan
Araling Panlipunan
EPP/TLE
EPP/TLE
MAPEH
MAPEH
Music
Music
Art
Art
Physical Education
Physical Education
Health
Edukasyon sa Pagpapakatao
1
Periodic Rating
2
3
4
FINAL
RATING
REMARKS
Health
Edukasyon sa Pagpapakatao
General Average
General Average
Eligible for Admission to Grade ________
Eligible for Admission to Grade _______
Legend:
Beginning (B)
Developing (D)
Approaching Proficiency (AP)
Proficient (P)
Advance (A)
III.
74% and above
75-79%
80-84 %
85-89 %
90 % and above
CHARACTER BUILDING
Traits
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
Gr. ___ Sch. Yr. _____________
1
2
3
4
F.R.
Gr. ___ Sch. Yr. ______________
1
2
3
4
F.R.
Gr. ___ Sch. Yr. _____________
1
2
3
4
F.R.
Gr. ___ Sch. Yr. _____________
1
2
3
4
F.R.
Gr. ___ Sch. Yr. ______________
1
2
3
4
F.R.
Honesty
Courtesy
Helpfulness and Cooperation
Resourcefulness and Creativity
Consideration for Others
Sportsmanship
Obedience
Self-Reliance
Industry
Cleanliness and Orderliness
Promptness and punctuality
Sense of Responsibility
Love of God
Love of Country
Traits
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
Gr. ___ Sch. Yr. _____________
1
2
3
4
F.R.
Honesty
Courtesy
Helpfulness and Cooperation
Resourcefulness and Creativity
Consideration for Others
Sportsmanship
Obedience
Self-Reliance
Industry
Cleanliness and Orderliness
Promptness and punctuality
Sense of Responsibility
Love of God
Love of Country
Guidelines for Rating
A.
Outstanding
B. Very Good
C .Good
D. Fair
E. Poor
ATTENDANCE RECORD
Grade
No. of
School
Days
No. of School
Days Absent
Cause
No. of
Times
Tardy
Cause
No. of School Days
Present
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 ______________________
___________________________________
Signature
______________________
Date
____________________________________
Designation