FORM 137 E New
FORM 137 E New
Republika ng Pilipinas
(Republic of the Philippines)
Kagawaran ng Edukasyon
Department of Education
LRN
Kasarian
(Sex)
Unang Ngalan
M.I.
(Division)
Petsa ng Kapanganakan
Pook
(Date of Birth)
(Place)
(School)
Petsa ng Pagpasok
Bayan/Lalawigan/Lugsod
(Town/Province/City)
(Date of Entrance)
Magulang/Tagapag-alaga
Pangalan
(Name)
II.
Tirahan
(Address)
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
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
Final
Rating
AP
Grade IV - School
School Year
Learning Areas
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
Periodic Ratin
1
Learning Areas
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
Grade II - School
School Year
Grade VI - School
School Year
Learning Areas
Filipino
English
Mathematics
Science
Araling Panlipunan
Edukasyong Pantahanan at
Pangkabuhayan
EPP
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
of Entrance)
Hanapbuhay
(Occupation)
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
Final
Rating
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
FIVE
Final
Rating
1.MAKADIYOS
F.R.
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
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
Teacher Adviser
Signature Over Printed Name
Principal IV
Signature Over Printed Name
Date
VI Sch. Yr.
3
bserved
F.R.
erved
No. of
School Days
Present
ecord of
______.
ted Name