Form 137 Kto 12 New Edited
Form 137 Kto 12 New Edited
Form 137 Kto 12 New Edited
KAGAWARAN NG EDUKASYON
(Department of Education)
National Capital Region
LRN: ________________________
Pangalan
(Name)
Apelyido
Kasarian
(Sex)
Unang ngalan
M.I.
Petsa ng Kapanganakan
(Date of Birth)
Purok
(District)
Paaralan
(School)
Pook
(Place) Bayan/Lalawigan/Lungsod
(Town/Province/City)
Petsa ng Pagpasok
(Date of Entrance)
Magulang/Tagapag-alaga
Pangalan
(Name)
Tirahan
(Address)
Hanapbuhay
(Occupation)
II.
Learning Areas
Periodic Rating
2
3
4
REMARKS
Learning Areas
Mother Tongue
Mother Tongue
Filipino
Filipino
English
English
Mathematics
Mathematics
Araling Panlipunan
Araling Panlipunan
EPP/TLE
EPP/TLE
MAPEH
MAPEH
Music
Music
Art
Art
Physical Education
Physical Education
Health
Edukasyon sa Pagpapakatao
FINAL
RATING
REMARKS
General Average
Periodic Rating
2
3
4
REMARKS
Learning Areas
Mother Tongue
Mother Tongue
Filipino
Filipino
English
English
Mathematics
Mathematics
Science
Science
Araling Panlipunan
Araling Panlipunan
EPP/TLE
EPP/TLE
MAPEH
MAPEH
Music
Music
Art
Art
Physical Education
Physical Education
Health
Edukasyon sa Pagpapakatao
Periodic Rating
2
3
4
FINAL
RATING
REMARKS
Health
Edukasyon sa Pagpapakatao
General Average
General Average
Learning Areas
Periodic Rating
2
3
4
Health
Edukasyon sa Pagpapakatao
General Average
Learning Areas
Periodic Rating
2
3
4
REMARKS
Learning Areas
Mother Tongue
Mother Tongue
Filipino
Filipino
English
English
Mathematics
Mathematics
Science
Science
Araling Panlipunan
Araling Panlipunan
EPP/TLE
EPP/TLE
MAPEH
MAPEH
Music
Music
Art
Art
Physical Education
Physical Education
Health
Edukasyon sa Pagpapakatao
General Average
Eligible for Admission to Grade _____________
Periodic Rating
2
3
4
FINAL
RATING
Health
Edukasyon sa Pagpapakatao
General Average
Eligible for Admission to Grade _____________
REMARKS
III.
CHARACTER BUILDING
Traits
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
Honesty
Courtesy
Helpfulness and Cooperation
Resourcefulness and Creativity
Consideration for Others
Sportsmanship
Obedience
Self-Reliance
Industry
Cleanliness and Orderliness
Promptness and punctuality
Sense of Responsibility
Love of God
Love of Country
Traits
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
Honesty
Courtesy
Helpfulness and Cooperation
Resourcefulness and Creativity
Consideration for Others
Sportsmanship
Obedience
Self-Reliance
Industry
Cleanliness and Orderliness
Promptness and punctuality
Sense of Responsibility
Love of God
Love of Country
Very
B. Good
Good
C.
Fair
E. Poor
ATTENDANCE RECORD
Grade
No. of
School
Days
No. of School
Days Absent
Cause
No. of
Times
Tardy
Cause
No. of School
Days Present
CERTIFICATE OF TRANSFER
PRINCIPAL
Designation