DepEd Form 137-E

Republika ng Pilipinas
(Republic of the Philippines)
KAWANIHAN NG EDUKASYON ELEMENTARYA
(Department of Education)
Rehiyon: X
PALAGIANG TALAAN SA MABABANG PAARALAN
(Elementary School Permanent Record)
LRN: __________________________

Pangalan ________________________________________________________ Sangay ___________________ Paaralan _______________________

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

Kasarian ___________ Petsa ng Kapanganakan ___________ Pook________________________________ Petsa ng Pagpasok _________________

(Sex) (Date of Birth) (Place) Bayan/lalawigan/Lunsod (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_____ _____________________________________ Eligible for admission to Grade _________________________________

Periodic Rating Grade II-School______________________________________
LEARNING AREAS Remarks School Year_ ____________________________________
Mother Tongue
LEARNING AREAS
Filipino
English Mother Tongue
Mathematics Filipino
Araling Panlipunan English
MAPEH Mathematics
Music Araling Panlipunan
Arts MAPEH
Physical Education Music
Health Arts
Edukasyon sa Pagpapakatao Physical Education
General Average Health
School Year________________________________________________ Edukasyon sa Pagpapakatao
Eligible for Admission to Grade___________________________________ General Average
Eligible for Admission to Grade_____ ___________________________
Grade III-School__ _______________________________________________
School Year______________________________ __________ Grade IV-School______________________________________________
School Year____________________________________________
Periodic Rating
LEARNING AREAS Remarks Periodic Rating
1 2 3 4 LEARNING AREAS Remarks
Mother Tongue 1 2 3 4
Filipino Filipino
English English
Mathematics Mathematics
Science and Health Science
Araling Panlipunan Araling Panlipunan
MAPEH Edukasyon sa
Pagpapakatao
Music
Edukasyong Pantahanan at
Arts Pangkabuhayan (EPP)
Physical Education MAPEH
Health Music
Edukasyon sa Pagpapakatao
Arts
General Average Physical Education
Eligible for Admission to Grade_______________________________
Health
Grade V-School_______________________________________________________________ General Average
School Year__________________________________________________________________ Eligible for Admission to Grade______________________________________________

Periodic Rating Grade VI-School_______________________________________________________________

LEARNING AREAS Remarks
1 2 3 4 School Year__________________________________________________________________
Filipino Periodic Rating
English LEARNING AREAS Remarks
1 2 3 4
Mathematics Filipino
Science English
Araling Panlipunan (AP) Mathematics
Edukasyon sa Pagpapakatao
Science
Edukasyong Pantahanan at
Pangkabuhayan (EPP) Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao
MAPEH
Edukasyong Pantahanan at
Music
Pangkabuhayan (EPP)
Arts
MAPEH
Physical Education
Music
Health
Arts
General Average
Physical Education
 Health General Average
Eligible for admission to Grade _______________________________
III. CHARACTER BUILDING
Gr.1 S.Y. _____________ Gr. 2 S.Y. ________________ Gr. 3 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
principles by upholding
truth
Is sensitive to individual,
2. Makatao social and cultural
differences
Demonstrates contributions
toward solidarity
3. Maka- Cares for the environment
kalikasan and utilizes resources
wisely, judiciously, and
economically
Demonstrates pride in being
a Filipino; exercises the
rights and responsibilities of
4.Makabansa a Filipino citizen.
Demonstrates appropriate
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
principles by upholding
truth
Is sensitive to individual,
2. Makatao social and cultural
differences
Demonstrates contributions
toward solidarity
3. Maka- Cares for the environment
kalikasan and utilizes resources
wisely, judiciously, and
economically
Demonstrates pride in being
a Filipino; exercises the
rights and responsibilities of
4.Makabansa 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 School Cause No. of Cause No. of School
School Days Absent Times Days Present
Days Tardy
 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____________________.

______________________________ _____________________________
Date Signature
_____________________________
Designation