REPUBLIKA NG PILIPINAS

(Republic of the Philippines)

KAGAWARAN NG EDUKASYON
(Department of Education)
Rehiyon IV
Region IV
SANGAY NG MGA PAARALANG PANGLUNGSOD
Division of Rizal

DepEd FORM 137 - E

PALAGIANG TALAAN SA MABABANG PAARALAN LRN: ________________________
(ELEMENTARY SCHOOL PERMANENT RECORD)

I. Pangalan Purok Paaralan

(Name) Apelyido Unang ngalan M.I. (District) (School)
Kasarian Petsa ng Kapanganakan Pook Petsa ng Pagpasok
(Sex) (Date of Birth) (Place) Bayan/Lalawigan/Lungsod (Date of Entrance)
(Town/Province/City)
Magulang/Tagapag-alaga
Pangalan Tirahan Hanapbuhay
(Name) (Address) (Occupation)

II. PAG-UNLAD SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PROGRESS)

Grade I School _________________________________ Grade II School ________________________________

School Year _________________ School Year _________________
Periodic Rating FINAL Periodic Rating FINAL
Learning Areas RATING REMARKS Learning Areas RATING
REMARKS
1 2 3 4 1 2 3 4
Mother Tongue Mother Tongue
Filipino Filipino
English English
Mathematics Mathematics
Araling Panlipunan Araling Panlipunan
EPP/TLE EPP/TLE
MAPEH MAPEH
Music Music
Art Art
Physical Education Physical Education
Health Health
Edukasyon sa Pagpapakatao Edukasyon sa Pagpapakatao
General Average General Average

Eligible for Admission to Grade ____________ Eligible for Admission to Grade ____________

Grade III School ________________________________ Grade IV School _______________________________

School Year ________________ School Year ________________

Periodic Rating FINAL Periodic Rating FINAL

Learning Areas RATING REMARKS Learning Areas RATING
REMARKS
1 2 3 4 1 2 3 4
Mother Tongue Mother Tongue
Filipino Filipino
English English
Mathematics Mathematics
Science Science
Araling Panlipunan Araling Panlipunan
EPP/TLE EPP/TLE
MAPEH MAPEH
Music Music
Art Art
Physical Education Physical Education
Health Health
Edukasyon sa Pagpapakatao Edukasyon sa Pagpapakatao
General Average General Average

Eligible for Admission to Grade ____________ Eligible for Admission to Grade ____________

Grade V School ________________________________ Grade VI School _______________________________

School Year ________________ School Year ________________
Periodic Rating FINAL Periodic Rating FINAL
Learning Areas RATING REMARKS Learning Areas RATING
REMARKS
1 2 3 4 1 2 3 4
Mother Tongue Mother Tongue
Filipino Filipino
English English
Mathematics Mathematics
Science Science
Araling Panlipunan Araling Panlipunan
EPP/TLE EPP/TLE
MAPEH MAPEH
Music Music
Art Art
Physical Education Physical Education
Health Health
Edukasyon sa Pagpapakatao Edukasyon sa Pagpapakatao
General Average General Average

Eligible for Admission to Grade _____________ Eligible for Admission to Grade _____________
Grade V School ________________________________ Grade VI School ______________________________

School Year ________________ School Year ________________

Periodic Rating FINAL Periodic Rating FINAL
Learning Areas RATING REMARKS Learning Areas RATING
REMARKS
1 2 3 4 1 2 3 4
Mother Tongue Mother Tongue
Filipino Filipino
English English
Mathematics Mathematics
Science Science
Araling Panlipunan Araling Panlipunan
EPP/TLE EPP/TLE
MAPEH MAPEH
Music Music
Art Art
Physical Education Physical Education
Health Health
Edukasyon sa Pagpapakatao Edukasyon sa Pagpapakatao
General Average General Average

Eligible for Admission to Grade ________ Eligible for Admission to Grade _______

Legend:
Beginning (B) 74% and above
Developing (D) 75-79%
Approaching Proficiency (AP) 80-84 %
Proficient (P) 85-89 %
Advance (A) 90 % and above

III. CHARACTER BUILDING

Gr. ___ Sch. Yr. _____________ Gr. ___ Sch. Yr. _____________ Gr. ___ Sch. Yr. ______________
Traits
1 2 3 4 F.R. 1 2 3 4 F.R. 1 2 3 4 F.R.
1. Honesty
2. Courtesy
3. Helpfulness and Cooperation
4. Resourcefulness and Creativity
5. Consideration for Others
6. Sportsmanship
7. Obedience
8. Self-Reliance
9. Industry
10. Cleanliness and Orderliness
11. Promptness and punctuality
12. Sense of Responsibility
13. Love of God
14. Love of Country

Gr. ___ Sch. Yr. _____________ Gr. ___ Sch. Yr. _____________ Gr. ___ Sch. Yr. ______________
Traits
1 2 3 4 F.R. 1 2 3 4 F.R. 1 2 3 4 F.R.
1. Honesty
2. Courtesy
3. Helpfulness and Cooperation
4. Resourcefulness and Creativity
5. Consideration for Others
6. Sportsmanship
7. Obedience
8. Self-Reliance
9. Industry
10. Cleanliness and Orderliness
11. Promptness and punctuality
12. Sense of Responsibility
13. Love of God
14. Love of Country

Guidelines for Rating

A. Outstanding B. Very Good C .Good D. Fair E. Poor

ATTENDANCE RECORD
No. of No. of
No. of School No. of School Days
Grade School Cause Times Cause
Days Absent Present
Days Tardy

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 ______________________

___________________________________
Signature

______________________ ____________________________________
Date Designation