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FORM 137-A

Identification card issued REPUBLIC OF THE PHILIPPINES Copy of this record sent to
on________________________ DEPARTMENT OF EDUCATION Principal of __________________
__________________________ BUREAU OF SECONDARY EDUCATION School on____________________
____ ____________________________
Principal
SECONDARY STUDENTS PERMANENT RECORD Principal
Name: ___________________________________________________________ Date of Birth: Year ___________ Month___________ Day__ _______
Place of Birth: Province __________________________________ Town_______________________________ Barrio__________________________
Parent or Guardian: ____________________________________________________________ Occupation ____________________________________
Address of Parent or Guardian: _________________________________________________________________________________________________
Intermediate course completed (School): _____________________________________________ Year____________ General Average______________

CLASSIFIED AS Total number of years in the school to date: ______


_______ YEAR: ___________ School: ______________________________________________________ School Year: ___________ _______
CURRI- CLASS STANDING C.S. ACTION

Remarks on the health, character and habits of the student_____________________________________


_____________________________________________________________________________________________________________________________________________
CULUM SUBJECT
AVERAGE TAKEN
YEAR 1 2 3 4
Filipino
English
Mathematics
Science
Araling Panlipunan
Technology & Livelihood Educ. (TLE)
MAPEH

DEPED TAMBAYAN
Music
Arts
Physical Education

Principal I
Health
Edukasyon sa Pagpapakatao (EsP)
Kabuuang Marka
JUNE JULY AUG SEPT OCT NOV DEC JAN FEB MARCH APRIL TOTAL
Days of School
Days Present

CLASSIFIED AS Total number of years in the school to date: _______


________ YEAR: __________ School: ____________________________________________________________ School Year: ______________
CURRI- CLASS STANDING C.S. ACTION
CULUM SUBJECT
AVERAGE TAKEN
YEAR 1 2 3 4
Filipino
English
Mathematics
Science
Araling Panlipunan REMARKS
Technology & Livelihood Educ. (TLE)
MAPEH
Music
Arts
Physical Education
Health
Edukasyon sa Pagpapakatao (EsP)
Kabuuang Marka
JUNE JULY AUG SEPT OCT NOV DEC JAN FEB MARCH APRIL TOTAL
Days of School
Days Present

CLASSIFIED AS Total number of years in the school to date: _______


________ YEAR: __________ School: __________________________________________ School Year: ______________
CURRI- CLASS STANDING C.S. ACTION
CULUM SUBJECT
AVERAGE TAKEN
YEAR 1 2 3 4
Filipino
English
Mathematics
Science
Araling Panlipunan
Technology & Livelihood Educ. (TLE)
MAPEH
Music
Arts
Physical Education
Health
Edukasyon sa Pagpapakatao (EsP)
Kabuuang Marka
JUNE JULY AUG SEPT OCT NOV DEC JAN FEB MARCH APRIL TOTAL
Days of School
Days Present
Note: - In the record for any given school year, all subjects actually taken by the students are to be listed in the column under subject. Under Curriculum
Year is indicated for each subject the year to which it corresponds in the school curriculum. To illustrate, a student may be taking in his second year I Algebra a
First curriculum year subject.

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