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REPUBLIKA NG PILIPINAS
(Republic of the Philippines)
KAGAWARAN NG EDUKASYON
(Department of Education)
Rehiyon III
(Region III)
SANGAY NG BULACAN
DepEd Form 137-E
LRN 112110120218
(Division of Bulacan)
PALAGIANG TALAAN SA MABABANG PAARALAN
(ELEMENTARY SCHOOL PERMANENT RECORD)
Varona
Crystal Jane
Aballe
I. Pangalan: _______________________________________
Purok Marilao North Paaralan Paaralang Elementarya ng Heritage Homes
(Name)
Apelyido
(Surname)
Unang Pangalan
(Given Name)
M. Name
(District)
(School)
Mandaluyong City
Babae Petsa ng Kapanganakan ________________
06-13-2016
02-02-2007
Medical Center
Kasarian: ________
Pook _______________________
Petsa ng Pagpasok ______________
(Sex)
(Date of Birth)
(Place)
Bayan/Lalawigan/Lungsod
(Town/Province/City)
(Date of Entrance)
Christopher Varona
Heritage Homes
Wala
Magulang/Tagapag-alaga__________________________________________________________________________________
Pangalan
(Name)
Tirahan
(Address)
II.
Hanapbuhay
(Occupation)
PAG-UNLAD SA MABABANG PAARALAN
(Elementary School Progress)
Grade – 1 School ________________________________________
School Year __________________Adviser: ___________________
Learning Areas
Periodic Rating
1
2
3
4
Final
Rating
Grade ___ School ________________________________________
School Year __________________Adviser: ___________________
Action
Taken
Learning Areas
Periodic Rating
1
2
3
4
Final
Rating
Action
Taken
FILIPINO
ENGLISH
MATHEMATICS
ARALINGPANLIPUNAN
MAPEH
Music
Arts
Physical Education
Health
MOTHER TONGUE
EdukasyonsaPagpapakatao
General Average
FILIPINO
ENGLISH
MATHEMATICS
ARALINGPANLIPUNAN
MAPEH
Music
Arts
Physical Education
Health
MOTHER TONGUE
EdukasyonsaPagpapakatao
General Average
Eligible for admission to Grade _________
Eligible for admission to Grade _________
Grade ___ School ________________________________________
School Year __________________Adviser: ___________________
Grade ___ School ________________________________________
School Year __________________Adviser: ___________________
Learning Areas
Periodic Rating
1
2
3
4
Final
Rating
Action
Taken
Learning Areas
Periodic Rating
1
2
3
4
Final
Rating
FILIPINO
ENGLISH
SCIENCE
MATHEMATICS
ARALINGPANLIPUNAN
Edukasyong Pantahanan at
Pangkabuhayan (EPP)
MAPEH
Music
Arts
Physical Education
Health
EdukasyonsaPagpapakatao
General Average
FILIPINO
ENGLISH
SCIENCE
MATHEMATICS
ARALINGPANLIPUNAN
MAPEH
Music
Arts
Physical Education
Health
MOTHER TONGUE
EdukasyonsaPagpapakatao
General Average
Eligible for admission to Grade _________
Eligible for admission to Grade _________
Grade ___ School ________________________________________
School Year __________________Adviser: ___________________
Grade ___ School ________________________________________
School Year __________________Adviser: ___________________
Learning Areas
Action
Taken
Periodic Rating
1
2
3
4
Final
Rating
Action
Taken
Learning Areas
Periodic Rating
1
2
FILIPINO
ENGLISH
SCIENCE
MATHEMATICS
ARALINGPANLIPUNAN
Edukasyong Pantahanan at
Pangkabuhayan (EPP)
MAPEH
Music
Arts
Physical Education
Health
EdukasyonsaPagpapakatao
General Average
FILIPINO
ENGLISH
SCIENCE
MATHEMATICS
ARALINGPANLIPUNAN
Edukasyong Pantahanan at
Pangkabuhayan (EPP)
MAPEH
Music
Arts
Physical Education
Health
EdukasyonsaPagpapakatao
General Average
Eligible for admission to Grade _________
Eligible for admission to Grade _________
3
4
Final
Rating
Action
Taken
Grade ___ School ________________________________________
School Year __________________Adviser: ___________________
Learning Areas
Periodic Rating
1
2
3
4
Final
Rating
Grade ___ School ________________________________________
School Year __________________Adviser: ___________________
Action
Taken
Periodic Rating
Learning Areas
1
2
3
FILIPINO
ENGLISH
SCIENCE
MATHEMATICS
ARALINGPANLIPUNAN
Edukasyong Pantahanan at
Pangkabuhayan (EPP)
MAPEH
Music
Arts
Physical Education
Health
EdukasyonsaPagpapakatao
General Average
FILIPINO
ENGLISH
SCIENCE
MATHEMATICS
ARALINGPANLIPUNAN
Edukasyong Pantahanan at
Pangkabuhayan (EPP)
MAPEH
Music
Arts
Physical Education
Health
EdukasyonsaPagpapakatao
General Average
Eligible for admission to Grade _________
Eligible for admission to Grade _________
Final
Rating
4
Action
Taken
III. CHARACTER BUILDING ACTIVITIES
Gr. _________ S.Y. _________
1
2
3
4
F.R.
Gr. _________ S.Y. _________
1
2
3
4
F.R.
Gr. _________ S.Y. _________
1
2
3
4
F.R.
Gr. _________ S.Y. _________
1
2
3
4
F.R.
1. Honesty
2. Courtesy
3. Helpfulness & Cooperation
4. Resourcefulness & Creativeness
5. Consideration for Others
6. Sportsmanship
7. Obedience
8. Self – Reliance
9. Industry
10.Cleanliness & Orderliness
11. Promptness & Punctuality
12. Sense of Responsibility
13. Love of God
14. Patriotism & Love of Country
Gr. _________ S.Y. _________
1
2
3
4
F.R.
Gr. _________ S.Y. _________
1
2
3
4
F.R.
Gr. _________ S.Y. _________
1
2
3
4
F.R.
Gr. _________ S.Y. _________
1
2
3
4
F.R.
1. Honesty
2. Courtesy
3. Helpfulness & Cooperation
4. Resourcefulness & Creativeness
5. Consideration for Others
6. Sportsmanship
7. Obedience
8. Self – Reliance
9. Industry
10.Cleanliness & Orderliness
11. Promptness & Punctuality
12. Sense of Responsibility
13. Love of God
14. Patriotism & Love of Country
A – Very Good
B – Good
C – Fair
D – Poor
ATTENDANCE RECORD
Grade
SCHOOL YEAR
No. of School Days
No. of School Days
Absent
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 / admission to Grade/Year _________________________________.
______________________________________
Signature
______________________________________
________________
Designation
Date
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