Form 137-E
Form 137-E
Form 137-E
Republika ng Pilipinas
(Republic of the Philippines)
Kagawaran ng Edukasyon
(Department of Education)
Rehiyon
(Region)
I.
Pangalan
(Name)
Paaralan
(School)
Kasarian
(Sex)
Petsa ng Kapanganakan
(Date of Birth)
Pook
(Place)
Petsa ng Pagpasok
(Date of Entrance)
Magulang/Tagapag-alaga Pangalan
(Name)
Tirahan
(Address)
Hanapbuhay
(Occupation)
II.
Grade I School School Year Teacher Learning Areas ENGLISH MATHEMATICS FILIPINO MAKABAYAN Sibika at Kultura Character Education
General Average Eligible for Admission to Grade Grade I School School Year Teacher Learning Areas ENGLISH MATHEMATICS FILIPINO MAKABAYAN Sibika at Kultura Character Education Periodic Rating 1 2 3 4 Remarks
General Average Eligible for Admission to Grade Grade II School School Year Teacher Learning Areas ENGLISH MATHEMATICS FILIPINO MAKABAYAN HEKASI EPP MSEP CE Periodic Rating 1 2 3 4 Remarks
General Average Eligible for Admission to Grade Grade I School School Year Teacher Learning Areas ENGLISH MATHEMATICS FILIPINO MAKABAYAN HEKASI EPP MSEP CE General Average Eligible for Admission to Grade Periodic Rating 1 2 3 4 Remarks
General Average Eligible for Admission to Grade Grade II School School Year Teacher Learning Areas ENGLISH MATHEMATICS FILIPINO MAKABAYAN HEKASI EPP MSEP CE General Average Eligible for Admission to Grade Periodic Rating 1 2 3 4 Remarks
III.
CHARACTER BUILDING
GR: 1 2 Sch. Yr: 3 4 FR GR: 1 2 Sch. Yr: 3 4 FR GR: 1 2 Sch. Yr: 3 4 FR
Honesty Courtesy
Helpfulness & Cooperation Resourcefulness & Creativity
Consideration for Others Sportsmanship Obedience Self-Reliance Industry Cleanliness & Orderliness Promptness & Punctuality Sense of Responsibility Love of God
Patriotism & Love of Country
Sch. Yr: 2 3 4 FR
GR: 1 2
Sch. Yr: 3 4 FR
GR: 1 2
Sch. Yr: 3 4 FR
Consideration for Others Sportsmanship Obedience Self-Reliance Industry Cleanliness & Orderliness Promptness & Punctuality Sense of Responsibility Love of God
Patriotism & Love of Country
F Poor
ATTENDANCE RECORD
No. of School Days No. of School Days Absent Cause Cause No. of School Days Present
Grade
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 .
MARPE B. BOCO
Signature ESHT III Date Designation