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DepEd Form 137-E ( Grade 1-6 ) K to 12 ( BEP)

Republika ng Pilipinas
( Republic of the Philippines)
18996
LRN __________________
Kagawaran g Edukasyon
(Department of Education)
REHIYON IV-A CALABARZON
(Region IV - A CALABARZOn)

PALAGIANG TALAAN SA MABABANG PAARALAN


(Elementary School Permanent Record)

K TO 12 BASIC EDUACTION PROGRAM (BEP)


Pangalan ____________________________________________
(Name )
Apelyido
Unang Pangalan
M.I.
Kasarian: _______
Petsa ng Kapanganakan _______________
(Sex)
(Date of Birth)

Sangay__________________
Paa
(Division)
Pook:___________________
Pet
(Place) Bayan/Lalawigan/Lunsod
(Town/Province/City)
Magulang/Tagapag-alaga_______________________________________________________________________________
(Parent/ Guardian)
Pangalan
Tirahan
(Name )
(Address)

ULAT NG PAG-UNLAD SA PAARALAN

(REPORT ON LEARNING PROGRESS AND ACHIEVEMENT)


Grade I - School :________________________________________________________________________________________
School Year___________________________
Quarter
Learning Area
1
2
3
Mother Tongue
Filipino
English
Mathematics
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)
MAPEH
Music
Arts
Physical Education
Health

GENERAL AVERAGE
Eligible for Admission to Grade _________________

Teac
Grade II - School :_______________________________________________________________________________________
School Year___________________________
Quarter
Learning Area
1
2
3
Mother Tongue
Filipino
English
Mathematics
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)
MAPEH
Music
Arts
Physical Education
Health

GENERAL AVERAGE
Eligible for Admission to Grade _________________

Teac
Grade III - School :______________________________________________________________________________________
School Year___________________________
Quarter
Learning Area
1
2
3
Mother Tongue
Filipino

English
Mathematics
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)
MAPEH
Music
Arts
Physical Education
Health

GENERAL AVERAGE
Eligible for Admission to Grade _________________

Teac

6
________________

AARALAN

rd)

M (BEP)

____

Paaralan _____________________________
(School)
___
Petsa ng Pagpasok ____________________
an/Lunsod
ce/City)
_________________________________
Hanapbuhay
(Occupation)

LAN

EVEMENT)
_______________________________

Final
Grade

Remarks

Teacher's Signature over Printed Name


_______________________________

Final
Grade

Remarks

Teacher's Signature over Printed Name


_______________________________

Final
Grade

Remarks

Teacher's Signature over Printed Name

Pangalan __________________________________________________________________________________________________
(Name )
Apelyido
Unang Pangalan
REPORT ON LEARNER'S OBSERVED VALUES
Gr. _________
Core Values

S.Y. _______
Quarter
2
3
4

Gr. _________

Gr. _________
S.Y. _________
Quarter
1
2
3
4

Gr. _________

Bahavior Statement
1

1. MakaDiyos

2. Makatao

3. Makakalikasan

4. Makabansa

Expresses one's spiritual beliefs while


respecting the spiritual beliefs of
others
Show adherence to ethical principles
by upholding truth
Is sensitive to individual, social and
cultural differences
Demonstrates contributions toward
solidarity
Cares for the environment and utilizes
resources wisely, judiciously, and
economically
Demonstrates pride in being a Filipino,
exercises the right and responsibilities
of a Filipino citizen
Demonstrates appropriate behavior
in carrying out activities in the school,
community, and country

Core Values

1. MakaDiyos

2. Makatao

3. Makakalikasan

4. Makabansa

Quarte
1

Bahavior Statement

Quarte
1

Expresses one's spiritual beliefs while


respecting the spiritual beliefs of
others
Show adherence to ethical principles
by upholding truth
Is sensitive to individual, social and
cultural differences
Demonstrates contributions toward
solidarity
Cares for the environment and utilizes
resources wisely, judiciously, and
economically
Demonstrates pride in being a Filipino,
exercises the right and responsibilities
of a Filipino citizen
Demonstrates appropriate behavior
in carrying out activities in the school,
community, and country
MARKING
AO
SO

NON-NUMERICAL RATING
Always Observed
Sometimes Observed

MARKING
RO
NO

ATTENDANCE RECORD
Grade

N0. of School Days

N0. of Days Absent

Caus

CERTIFICATE OF TRANSFER
TO WHOM IT MAY CONCERN
This
is
to

certify

( Date )

that

this

is

a true

record
of
the
Element
.
He/She is eligible for transfer a

LRN________________________

__________________________________
g Pangalan

_______

S.Y. _______
Quarter
2
3
4

_______

S.Y. _________
Quarter
2
3
4

M.I.

Gr. _________
1

S.Y. _________
Quarter
2
3
4

Gr. _________
1

S.Y. __________
Quarter
2
3
4

NON-NUMERICAL RATING
Rarely Observed
Not observed

Cause

N0. of Days
Present

TRANSFER

e
Elementary
School
Permanent
e for transfer and admission to Grade

Record

( Signature over Printed Name )

(Designation)

of