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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: ____X____
(Region)
PALAGIANG TALAAN SA MABABANG PAARALAN
(Elementary School Permanent Record) LRN: 127929150042

Pangalan ALIMOREN JOHN MARK R. Sangay MISAMIS ORIENTAL Paaralan LINANGKAYAN


(Name) Apelyido Unang Pangalan M.I. (Division) (School)

Kasarian__M_____Petsa ng Kapanganakan 08-13-2010 Pook__Linangkayan, Naawan Mis.Or. Petsa ng Pagpasok_06-04-18


(Sex) (Date of Birth) (Place) Bayan/lalawigan/Lunsod (Date of Entrance)
(Town/Province/City)
Magulang/Tagapag-alaga BARTOLOME JR. C. ALIMOREN LINANGKAYAN,NAAWAN MIS. OR. BODY WELDER________________
(Parent/Guardian) Pangalan Tirahan Hanapbuhay
(Name) (Address) (Occupation)

PAG-UNLAD SA MABABANG PAARALAN


(Elementary School Progress)

Eligible for Admission to Grade I GradeII-


School Linangkayan ES____________________________________ School_Linangkayan_ES_______________________________________________________
School Year_______2016 - 2017 ____________________________________________ School Year 2017-2018
Periodic Rating Periodic Rating
LEARNING AREAS Remarks LEARNING AREAS Remarks
1 2 3 4 1 2 3 4
Mother Tongue 75 75 75 75 Passed Mother Tongue 71 75 76 77 Passed
Filipino - 76 75 75 Passed Filipino 70 76 76 77 Passed
English - - 75 75 Passed English 71 75 77 77 Passed
Mathematics 75 72 75 76 Passed Mathematics 70 75 76 78 Passed
Araling Panlipunan 75 75 75 75 Passed Araling Panlipunan 70 75 77 77 Passed
MAPEH 76 76 76 80 Passed MAPEH 76 78 77 80 Passed
Music 75 77 77 79 Music 76 77 77 80
Art 76 75 75 79 Art 76 78 79 79
Physical Education 77 75 75 80 Physical Education 75 78 76 79
Health 75 75 75 81 Health 75 77 76 81
Edukasyon sa Pagpapakatao (EsP) 78 75 75 78 Passed Edukasyon sa Pagpapakatao (EsP) 75 78 75 80 Passed
General Average 76 Prom. General Average 76 Prom.
% %
Eligible for Admission to Grade_____________II______________________________ Eligible for Admission to Grade III

Grade III-School______________________________________________________________ Grade IV-School_________________________ ____________________________________


School Year 2018-2019 School Year__________________________________________________________________
Periodic Rating Periodic Rating
LEARNING AREAS Remarks LEARNING AREAS Remarks
1 2 3 4 1 2 3 4

General Average General Average


Eligible for Admission to Grade____________ IV______________________________ Eligible for Admission to Grade______________________________________________

Grade V-School_______________________________________________________________ Grade VI-School_______________________________________________________________


School Year__________________________________________________________________ School Year__________________________________________________________________
Periodic Rating Periodic Rating
LEARNING AREAS Remarks LEARNING AREAS Remarks
1 2 3 4 1 2 3 4

General Average General Average


Eligible for admission to Grade _________________________________ Eligible for admission to Grade _________________________________
III. REPORT ON LEARNER’S OBSERVED VALUES
Gr. 1 S.Y. 2016-2017 Gr. 2 S.Y. 2017-2018 Gr. 3 S.Y. 2018-2019
Core Values Quarter Quarter Quarter
Behavior Statements
1 2 3 4 1 2 3 4 1 2 3 4
Expresses one’s spiritual RO RO RO SO RO RO RO RO RO RO RO S0
1. Maka- beliefs while respecting the
Diyos spiritual beliefs of others
Shows adherence to ethical RO RO RO RO RO RO RO RO RO RO RO RO
2. Makatao principles by upholding
truth
Cares for the environment RO RO RO SO RO RO RO RO RO RO RO RO
3. Maka- and utilizes resources
kalikasan wisely, judiciously, and
economically
Demonstrates pride in RO RO RO RO RO RO RO RO RO RO RO S0
being a Filipino; exercises
the rights and responsibi-
4.Makabansa lities of a Filipino citizen.
Demonstrates appropriate RO RO RO RO RO RO RO RO RO RO RO RO
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 Quarter Quarter Quarter
Behavior Statements
1 2 3 4 1 2 3 4 1 2 3 4
Expresses one’s spiritual
1. Maka- beliefs while respecting the
Diyos spiritual beliefs of others
Shows adherence to ethical
2. Makatao principles by upholding
truth
Cares for the environment
3. Maka- and utilizes resources
kalikasan wisely, judiciously, and
economically
Demonstrates pride in
being a Filipino; exercises
the rights and responsibi-
4.Makabansa 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 No. of Cause No. of Cause No. of
School School Days Times School Days
Days Absent Tardy Present
I 0
II 0
III Cough and fever 0

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 of Grade/Year_____________________.

_____________________________________________
Signature

___________________________________________ ____________________________________________
Date Designation

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