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Form 137-E

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DepEd Form 137-E

Republika ng Pilipinas
(Republic of the Philippines)

Kagawaran ng Edukasyon
(Department of Education)

KAWANIHAN NG EDUKASYONG ELEMENTARYA


(BUREAU OF ELEMENTARY EDUCATION)

Rehiyon
(Region)

PALAGIANG TALAAN SA MABABANG PAARALAN


(ELEMENTARY SCHOOL PERMANENT RECORD)

I.

Pangalan
(Name)

Sangay Apelyido Unang Ngalan M.I.


(Division)

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

PAG-UNLAD SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PROGRESS)


Grade II School School Year Teacher Periodic Rating 1 2 3 4 Remarks 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 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

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14.

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

GR: 1 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. Honesty Courtesy


Helpfulness & Cooperation Resourcefulness & Creativity

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

A Outstanding B Very Good IV.

C Good D Fair No. of Times Tardy

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

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