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Form 137 school permanent record
- 1. FORM 137-E Republika ng Pilipinas (Republic of the Philippines) Kagawaran ng Edukasyon (Department of Education) KAWANIHAN NG EDUKASYON ELEMENTARYA (BUREAU OF ELEMENTARY EDUCATION) Rehiyon: ________ (Region) PALAGIANG TALAAN SA MABABANG PAARALAN (Elementary School Permanent Record) LRN:_______________________ Pangalan ___________________________________________________________________ Sangay__________________Paaralan______________________________ (Name) Apelyido Unang Pangalan M.I. (Division) (School) Kasarian__________Petsa ng Kapanganakan__________________Pook___________________________________Petsa ng Pagpasok__________________ (Sex) (Date of Birth) (Place) Bayan/lalawigan/Lunsod (Date of Entrance) (Town/Province/City) Magulang/Tagapag-alaga____________________________________________________________________________________________________________________ (Parent/Guardian) Pangalan Tirahan Hanapbuhay (Name) (Address) (Occupation) PAG-UNLAD SA MABABANG PAARALAN (Elementary School Progress) Eligible for Admission to Grade______________________________________________ Grade I-School_________________________________________________________________ SchoolYear__________________________________________________________________ LEARNING AREAS Periodic Rating Remarks 1 2 3 4 Mother Tongue Filipino English Mathematics AralingPanlipunan MAPEH Music Art Physical Education Health Edukasyon saPagpapakatao (EsP) GeneralAverage Eligible for Admission to Grade______________________________________________ Grade III-School______________________________________________________________ SchoolYear__________________________________________________________________ LEARNING AREAS Periodic Rating Remarks 1 2 3 4 Mother Tongue Filipino English Mathematics AralingPanlipunan MAPEH Music Art Physical Education Health Edukasyon saPagpapakatao (EsP) GeneralAverage Eligible for Admission to Grade______________________________________________ Grade V-School_______________________________________________________________ SchoolYear__________________________________________________________________ LEARNING AREAS Periodic Rating Remarks 1 2 3 4 Filipino English Mathematics Science AralingPanlipunan Edukasyon saPagpapakatao (EsP) Edukasyong Pantahanan at Pangkabuhayan (EPP) MAPEH Music Art Physical Education Health GeneralAverage Eligible for admission to Grade _________________________________ Grade II-School________________________________________________________________ School Year__________________________________________________________________ LEARNING AREAS Periodic Rating Remarks 1 2 3 4 Mother Tongue Filipino English Mathematics AralingPanlipunan MAPEH Music Art Physical Education Health Edukasyon saPagpapakatao (EsP) GeneralAverage Eligible for Admission to Grade______________________________________________ Grade IV-School_______________________________________________________________ SchoolYear__________________________________________________________________ LEARNING AREAS Periodic Rating Remarks 1 2 3 4 Filipino English Mathematics Science AralingPanlipunan Edukasyon saPagpapakatao (EsP) Edukasyong Pantahanan at Pangkabuhayan (EPP) MAPEH Music Art Physical Education Health GeneralAverage Eligible for Admission to Grade______________________________________________ Grade VI-School_______________________________________________________________ School Year__________________________________________________________________ LEARNING AREAS Periodic Rating Remarks 1 2 3 4 Filipino English Mathematics Science AralingPanlipunan Edukasyon saPagpapakatao (EsP) Edukasyong Pantahanan at Pangkabuhayan (EPP) MAPEH Music Art Physical Education Health GeneralAverage Eligible for admission to Grade _________________________________
- 2. III. REPORT ON LEARNER’S OBSERVED VALUES Gr. 1 S.Y. ________________ Gr. 2 S.Y. ________________ Gr. 3 S.Y. ________________ Core Values Behavior Statements Quarter Quarter Quarter 1 2 3 4 1 2 3 4 1 2 3 4 1. Maka- Diyos Expresses one’s spiritual beliefs while respecting the spiritual beliefs of others 2. Makatao Shows adherence to ethical principles by upholding truth 3. Maka- kalikasan Cares for the environment and utilizes resources wisely, judiciously, and economically 4.Makabansa Demonstrates pride in being a Filipino; exercises the rights and responsibi- lities of a Filipino citizen. Demonstrates appropriate behavior in carrying out activities in the school, community, and country Gr. 4 S.Y. _______________ Gr. 5 S.Y. ________________ Gr. 6 S.Y. ________________ Core Values Behavior Statements Quarter Quarter Quarter 1 2 3 4 1 2 3 4 1 2 3 4 1. Maka- Diyos Expresses one’s spiritual beliefs while respecting the spiritual beliefs of others 2. Makatao Shows adherence to ethical principles by upholding truth 3. Maka- kalikasan Cares for the environment and utilizes resources wisely, judiciously, and economically 4.Makabansa Demonstrates pride in being a Filipino; exercises the rights and responsibi- lities of a Filipino citizen. Demonstrates appropriate behavior in carrying out activities in the school, community, and country AO – Always Observed SO – Sometimes Observed RO – Rarely Observed NO – Not Observed IV. ATTENDANCE RECORD Grade No. of School Days No. of School Days Absent Cause No. of Times Tardy Cause No. of School Days Present CERTIFICATE OF TRANSFER TO WHOMIT 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 of Grade/Year_____________________. _____________________________________________ Signature ___________________________________________ ____________________________________________ Date Designation