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DepEd FORM 137- E WF

Republic of the Philippines


Department of Education
Region V (BICOL
Division of Ligao City
Ligao South District
OMA-OMA ELEMENTARY SCHOOL

PALAGIANG TALAAN SA MABABANG PAARALAN


(ELEMENTARY SCHOOL PERMANENT RECORD)
I. Pangalan __________________________________________ Sangay ___________________ Paaralan _________________________
(Name) Apelyido Unang ngalan M.I. (Division) (School)
(Surname) (Given)
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_________________________________________________________________________________________
(Parent/Guardian) Pangalan Tirahan Hanapbuhay
(Name) (Address) (Occupation)

PAG-UNLAD SA MABABANG PAARALAN


(ELEMENTARY SCHOOL PROGRESS)
Grade I School _______________ Grade II School _______________
School Year ________________ School Year ______________
Periodic Rating Remarks Periodic Rating Remarks
Learning Areas 1 2 3 4 Learning Areas 1 2 3 4
FILIPINO FILIPINO
ENGLISH ENGLISH
MATHEMATICS MATHEMATICS
SCIENCE & HEALTH SCIENCE & HEALTH
MAKABAYAN MAKABAYAN
Sibika/HEKASI Sibika/HEKASI
Character Education Character Education
Average Average
Eligible for Admission to Grade ___________ Eligible for Admission to Grade __________

Grade III School ______________ Grade IV School ______________


School Year ___________ School Year __________
Periodic Rating Remarks Periodic Rating Remarks
Learning Areas 1 2 3 4 Learning Areas 1 2 3 4
FILIPINO FILIPINO
ENGLISH ENGLISH
MATHEMATICS MATHEMATICS
SCIENCE & HEALTH SCIENCE & HEALTH
MAKABAYAN MAKABAYAN
Sibika/HEKASI Sibika/HEKASI
Edukasyon Pantahan at Edukasyon Pantahan at
Pangkabuhayan (EPP) Pangkabuhayan (EPP)
Musika, Sining at Edukasyon Musika, Sining at Edukasyon
Pagpapalakas ng Katawan (MSEP) Pagpapalakas ng Katawan (MSEP)
Character Education Character Education

Average Average
Eligible for Admission to Grade ___________ Eligible for Admission to Grade __________

Grade V School ______________ Grade VI School ______________


School Year ____________ School Year _____________
Periodic Rating Remarks Periodic Rating Remarks
Learning Areas 1 2 3 4 Learning Areas 1 2 3 4
FILIPINO FILIPINO
ENGLISH ENGLISH
MATHEMATICS MATHEMATICS
SCIENCE & HEALTH SCIENCE & HEALTH
MAKABAYAN MAKABAYAN
Sibika/HEKASI Sibika/HEKASI
Edukasyon Pantahan at Edukasyon Pantahan at
Pangkabuhayan (EPP) Pangkabuhayan (EPP)
Musika, Sining at Edukasyon Musika, Sining at Edukasyon
Pagpapalakas ng Katawan (MSEP) Pagpapalakas ng Katawan (MSEP)
Character Education Character Education

Average Average
Eligible for Admission to Grade ___________ Eligible for Admission to grade _________
II. CHARACTER BUILDING

Gr. ___ Sch. Yr. ____ Gr. ____ Sch. Yr. ____ Gr. ____ Sch. Yr. ____
1. Honesty 1 2 3 4 F.R. 1 2 3 4 F.R. 1 2 3 4 F.R.
2. Courtesy
3. Helpfulness & Cooperation
4. Obedience
5. Consideration for others
6. Sportsmanship
7. Love of Country
8. Self-Reliance
9. Industry
10. Cleanliness & Orderliness

Gr. ___ Sch. Yr. ____ Gr. ____ Sch. Yr. ____ Gr. ____ Sch. Yr. ____
1. Honesty 1 2 3 4 F.R. 1 2 3 4 F.R. 1 2 3 4 F.R.
2. Courtesy
3. Helpfulness & Cooperation
4. Obedience
5. Consideration for others
6. Sportsmanship
7. Love of Country
8. Self-Reliance
9. Industry
10. Cleanliness & Orderliness

A - Outstanding C Satisfactory
B - Very Satisfactory D Needs Improvement

III.
TALAAN NG PAGPASOK
(RECORD OF ATTENDANCE)

Bilang ng
Baitang Bilang ng Araw Bilang ng Araw Pangunahing Dahilan Bilang na Pangunahing Dahilan Araw na
(Grade) na May Pasok na Lumiban sa (Chief Cause) Nahuli ng (Chief Cause) Pagpasok
(No. of School Klase Pagpasok (No. of
Days) (No. of Days Absent) (No. of School Days
Times Tardy) Present)

KATIBAYAN SA PAGLIPAT
(CERTIFICATE OF TRANSFER)

TO WHOM IT MAY CONCERN:

This is to certify that this is a true record of the Elementary Schools Permanent Record of ______________________
He/She is eligible for transfer and admission to Grade/Year ________________________________

_____________________
Signature
_______________
Date ____________________
Designation

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