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FORM 137 E New

This document is a student's permanent record from elementary school. It contains the following information: 1) Personal details of the student like name, sex, date and place of birth. 2) Academic performance of the student from Grade 1 to Grade 6. It lists the subjects and the student's periodic and final ratings in each subject. 3) Record of the student's demonstration of core values like being God-loving, people-loving, nature-loving and patriotic. The values are rated on a non-numerical scale. 4) Attendance details of the student from Grade 1 to Grade 6 including the number of school days, days absent and the cause of absence

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0% found this document useful (0 votes)
141 views8 pages

FORM 137 E New

This document is a student's permanent record from elementary school. It contains the following information: 1) Personal details of the student like name, sex, date and place of birth. 2) Academic performance of the student from Grade 1 to Grade 6. It lists the subjects and the student's periodic and final ratings in each subject. 3) Record of the student's demonstration of core values like being God-loving, people-loving, nature-loving and patriotic. The values are rated on a non-numerical scale. 4) Attendance details of the student from Grade 1 to Grade 6 including the number of school days, days absent and the cause of absence

Uploaded by

Che LV
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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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)
Region III
SANGAY NG LUNGSOD NG CABANATUAN
(DIVISION OF CABANATUAN CITY)

LRN

PALAGIANG TALAAN SA MABABANG PAARALAN


(ELEMENTARY SCHOOL PERMANENT RECORD)
I. Pangalan
(Name)

Kasarian
(Sex)

Sangay Cabanatuan City Paaralan


Apelyido

Unang Ngalan

M.I.

(Division)

Petsa ng Kapanganakan

Pook

(Date of Birth)

(Place)

San Josef Elem

(School)

Petsa ng Pagpasok
Bayan/Lalawigan/Lugsod
(Town/Province/City)

(Date of Entrance)

Magulang/Tagapag-alaga
Pangalan
(Name)

II.

Tirahan
(Address)

PAG-UNLAD SA MABABANG PAARALAN


(ELEMENTARY SCHOOL PROGRESS)
San Josef Elementary School

Grade I - School
School Year

Periodic Rating
1
2
3
4

Learning Areas
Filipino
English
Mathematics
Araling Panlipunan
MAPEH
* Music
*Art
*Physical Education
*Health
Mother Tongue

Final
Rating

0.00
0.00
0.00
0.00
0.00

AP

Grade III - School


School Year
Filipino
English
Mathematics
Araling Panlipunan
MAPEH
* Music
*Art
*Physical Education
*Health
Mother Tongue
Edukasyon sa Pagpapakatao

General Average
Eligible for Admission to Grade

Grade V - School
School Year
Learning Areas
Filipino
English
Mathematics
Science
Araling Panlipunan
Edukasyong Pantahanan at
Pangkabuhayan
EPP

0.00
0.00
0.00
FOUR

San Josef Elementary School


Periodic Rating
1
2
3
4

Final
Rating

AP

Grade IV - School
School Year
Learning Areas

San Josef Elem

Periodic Ratin
1

Filipino
English
Mathematics
Science
Araling Panlipunan
Edukasyong Pantahanan at
Pangkabuhayan
EPP
MAPEH
*Music
*Art
*Physical Education
*Health
Edukasyon sa Pagpapakatao
General Average
Eligible for Admission to Grade

0.00
0.00
0.00
0.00
0.00

AP

Filipino
English
Mathematics
Araling Panlipunan
MAPEH
* Music
*Art
*Physical Education
*Health
Mother Tongue

General Average
Eligible for Admission to Grade

San Josef Elementary School


Final
Rating

Periodic Ratin
1

Learning Areas

Edukasyon sa Pagpapakatao EsP

TWO

Periodic Rating
1
2
3
4

Learning Areas

P
A
S
S
E
D

0.00
0.00
0.00

Edukasyon sa Pagpapakatao

General Average
Eligible for Admission to Grade

San Josef Elem

Grade II - School
School Year

Grade VI - School
School Year
Learning Areas
Filipino
English
Mathematics
Science
Araling Panlipunan
Edukasyong Pantahanan at
Pangkabuhayan
EPP

San Josef Elem

Periodic Ratin
1

MAPEH
*Music
*Art
*Physical Education
*Health

MAPEH
*Music
*Art
*Physical Education
*Health

Edukasyon sa Pagpapakatao

Edukasyon sa Pagpapakatao

General Average
Eligible for Admission to Grade

SIX

General Average
Eligible for Admission to Grade

LRN

San Josef Elementary School


ng Pagpasok

of Entrance)

Hanapbuhay
(Occupation)

San Josef Elementary School


Periodic Rating
2
3
4

Final
Rating

0.00
0.00
0.00
0.00
0.00

R
P
A
S
S
E
D

0.00
0.00
0.00

THREE

San Josef Elementary School


Periodic Rating
2
3
4

Final
Rating

0.00
0.00
0.00
0.00
0.00
0.00
0.00

0.00
0.00

FIVE

San Josef Elementary School


Periodic Rating
2
3
4

Final
Rating

III. REPORT ON LEARNER'S OBSERVES VALUES


CORE
BEHAVIOR
Gr.I Sch. Yr.
VALUES
STATEMENTS
1
2
3
4

1.MAKADIYOS

F.R.

Gr.II Sch. Yr.


2
3
4 F.R.

Gr. III Sch.


1
2

Expresses one's spiritual beliefs


while respecting the spiritual
beliefs of others

Shows adherence to
ethical principles by
upholding truth
Is sensitive to individual
social, and cultural
2. MAKA differences
TAO
Demonstrates
contributions toward
solidarity
Cares for the environment
3. MAKA - and utilizes resources
KALIKASAN wisely, judiciously, and
economically
Demonstrates pride in
being a Filipino; exercises
the rights and
responsibilities of a
4. MAKA
Filipino citizen
BANSA
Demonstrates appropriate
behavior in carrying out
activities in the school,
community and country

CORE
VALUES

BEHAVIOR
STATEMENTS

Gr.IV Sch.Yr.
1
2
3

Gr.V Sch. Yr.


F.R. 1
2
3

Gr.VI Sch. Yr.


F.R. 1
2

Expresses one's spiritual


beliefs while respecting
1.MAKA- the spiritual beliefs of others
DIYOS
Shows adherence to
ethical principles by
upholding truth
Is sensitive to individual
social, and cultural
2. MAKA differences
TAO
Demonstrates
contributions toward
solidarity
Cares for the environment
3. MAKA - and utilizes resources
KALIKASAN wisely, judiciously, and
economically
Demonstrates pride in
being a Filipino; exercises
the rights and
responsibilities of a
4. MAKA
Filipino citizen
BANSA
Demonstrates appropriate
behavior in carrying out
activities in the school,
community and country

MARKING - NON- NUMERICAL RATING


AO -Always Observed
RO - Rarely Observed

SO - Sometimes Observed
IV. ATTENDANCE RECORD
No. of
No. of
Grade
School
School Days
Days
Absent
I
II
III
IV
V
VI
CERTIFICATE OF TRANSFER

NO - Not Observed

Cause

TO WHOM IT MAY CONCERN:


This is to certify that this is a true record of Elementary School Permanent Record of
_____________________________ He / She is eligible for and admission to Grade/Year ______.

Teacher Adviser
Signature Over Printed Name

Principal IV
Signature Over Printed Name

Date

Gr. III Sch. Yr.


3
4 F.R.

VI Sch. Yr.
3

bserved

F.R.

erved
No. of
School Days
Present

ecord of
______.

ted Name

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