DepEd FORM 137- E WF

Republic of the Philippines

Department of Education
CARAGA Administrative Region
Division of Agusan del Sur
Bunawan District II
KALINGAYAN 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 Periodic Rating Remarks
Learning Areas 1 2 3 4 Remarks 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

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

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

Eligible for Admission to Grade ___________ Eligible for Admission to _________

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:

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

_____________________
Signature
_______________
Date ____________________
Designation