DepEd Form 137-E

Republika ng Pilipinas
(Republic of the Philippines)
Kagawaran ng Edukasyon
(Department of Education
KAWANIHAN NG EDUKASYONG ELEMENTARYA
(BUREAU OF ELEMENTARY EDUCATION)
Rehiyon IV - B MIMAROPA
(Region IV - B MIMAROPA)
DIVISION OF PUERTO PRINCESA CITY

PALAGIANG TALAAN SA MABABANG PAARAL

(ELEMENTARY SCHOOL PERMANENT RECORD)

I. Pangalan: Sangay Romblon

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

Kasarian Petsa ng Kapanganakan Pook

(Sex) (Date of Birth) (Place) Bayan/Lalawigan/Lungs

Magulang/Tagapag-alaga:
Pangalan Tirahan
(Name) (Address)

II. PAG-UNLAD SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PROGRESS)

Grade I - School Grade II - School

School Year School Year
Quarter Final Remarks
Learning Areas Learning Area
1 2 3 4 Rating
Mother Tongue (MTB-MLE) Mother Tongue (MTB-MLE
Filipino Filipino
English English
Mathematics Mathematics
Araling Panlipunan (AP) Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP) Edukasyon sa Pagpapaka
MAPEH MAPEH
Music Music
Arts Arts
Physical Education Physical Education
Health Health

General Average General Average

Eligible for Admission to Grade Eligible for Adm
Grade III - School Grade IV - School
School Year School Year
Quarter Final Remarks
Learning Areas Learning Area
1 2 3 4 Rating
Mother Tongue (MTB-MLE) Filipino
Filipino English
English Mathematics
Mathematics Science
Science Araling Panlipunan (AP)
Araling Panlipunan (AP) Edukasyon sa Pagpapaka
Edukasyon sa Pagpapakatao (EsP) Edukasyong Pantahanan a
MAPEH Pangkabuhayan (EPP)
Music MAPEH
Arts Music
Physical Education Arts
 Health Physical Education
Health
General Average General Average
Eligible for Admission to Grade Eligible for Adm
Grade V - School Grade VI - School
School Year School Year
Quarter Final Remarks
Learning Areas Learning Area
1 2 3 4 Rating
Filipino Filipino
English English
Mathematics Mathematics
Science Science
Araling Panlipunan (AP) Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP) Edukasyon sa Pagpapaka
Edukasyong Pantahanan at Edukasyong Pantahanan a
Pangkabuhayan (EPP) Pangkabuhayan (EPP)
MAPEH MAPEH
Music Music
Arts Arts
Physical Education Physical Education
Health Health
General Average General Average
Eligible for Admission to Grade Eligible for Adm
z
 ng Pilipinas
the Philippines)
ng Edukasyon
nt of Education
KASYONG ELEMENTARYA
MENTARY EDUCATION)
- B MIMAROPA
B MIMAROPA)
RTO PRINCESA CITY
LRN:
A MABABANG PAARALAN
OL PERMANENT RECORD)

Paaralan
(School)

Petsa ng Pagpasok
Bayan/Lalawigan/Lungsod (Date of Entrance)

Tirahan Hanapbuhay
(Address) (Occupation)

MABABANG PAARALAN
SCHOOL PROGRESS)

Quarter Final Remarks

Learning Areas
1 2 3 4 Rating
Mother Tongue (MTB-MLE)
Filipino
English
Mathematics
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)
MAPEH
Music
Arts
Physical Education
Health

General Average
Eligible for Admission to Grade

Quarter Final Remarks

Learning Areas
1 2 3 4 Rating
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)
Edukasyong Pantahanan at
Pangkabuhayan (EPP)
MAPEH
Music
Arts
 Physical Education
Health
General Average
Eligible for Admission to Grade

Quarter Final Remarks

Learning Areas
1 2 3 4 Rating
Filipino
English
Mathematics
Science
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao (EsP)
Edukasyong Pantahanan at
Pangkabuhayan (EPP)
MAPEH
Music
Arts
Physical Education
Health
General Average
Eligible for Admission to Grade
 III. LEARNER'S OBSERVED VALUES

Grade: SY: Grade: SY:

Quarter Quarter
Core Values Bahavior Statements
1 2 3 4 1 2 3 4
Expresses one's spiritual beliefs whle
respecting the spiritual beliefs of others
1. Maka-Diyos
Shows adherence to ethical principles by
upholding truth
Is sensitive to individual, social, and cultural
differences
2. Makatao
Demonstrates contributions toward solidarity

Cares for the environment and utilizes

3. Makakalikasan
resources wisely, judiciously, and economically

Demonstrates pride in being a Filipino;

exercises the rights and responsibilities of a
Filipino citizen
4. Makabansa
Demonstrates appropriate behavior in carrying
out activities n the school, community, and
country

Grade: SY: Grade: SY:

Quarter Quarter
Core Values Bahavior Statements
1 2 3 4 1 2 3 4
Expresses one's spiritual beliefs whle
respecting the spiritual beliefs of others
1. Maka-Diyos
Shows adherence to ethical principles by
upholding truth
Is sensitive to individual, social, and cultural
2. Makatao differences
Demonstrates contributions toward solidarity

Cares for the environment and utilizes

3. Makakalikasan
resources wisely, judiciously, and economically

Demonstrates pride in being a Filipino;

exercises the rights and responsibilities of a
Filipino citizen
4. Makabansa
Demonstrates appropriate behavior in carrying
out activities n the school, community, and
country
Marking Non-Numerical Rating Marking Non-Nume
AO Always Observed RO Rarely Obse
SO Sometimes Observed NO Not Observe

IV. ATTENDANCE RECORD

No. of No. of
No. of School
Grade School Cause School Days Cause
Days Absent
Days Tardy
I
II
 III
IV
V
VI

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 to Grade/Year . .

Signature

Date Designation
S OBSERVED VALUES

Grade: SY:
Quarter
1 2 3 4

Grade: SY:
Quarter
1 2 3 4

Non-Numerical Rating
Rarely Observed
Not Observed

No. of School
Cause
Days Present
E OF TRANSFER

Signature

Designation