FORM 137-E

Republic of the Philippines

Autonomous Region in Muslim Mindanao
Department of Education
DIVISION OF MAGUINDANAO I
PALAGIANG TALAAN SA MABABANG PAARALAN
(ELEMENTARY PUPIL'S PERMANENT RECORD)
LRN:__________________________

Pangalan: Sangay: MAGUINDANAO I Paaralan: DATU IDON S'PI E/S

(Name) Apelyido Unang Pangalan M.I. (Division) (School)
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 Final Periodic Rating Final
Learning Areas Remarks Learning Areas Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Mother Tongue Mother Tongue
Filipino Filipino
English English
Mathematics Mathematics
Araling Panlipunan Araling Panlipunan
Edukasyon sa Pagpapakatao Edukasyon sa Pagpapakatao
MAPEH MAPEH
*Music *Music
*Art *Art
*Physical Education *Physical Education
*Health *Health
ALIVE ALIVE
General Average General Average
Eligible for Admission to Grade: Eligible for Admission to Grade:
Grade III - School: Grade IV - School:
School Year: School Year:
Periodic Rating Final Periodic Rating Final
Learning Areas Remarks Learning Areas Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Mother Tongue Filipino
Filipino English
English Mathematics
Mathematics Science
Science Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao
Araling Panlipunan (AP) (EsP)
Edukasyon sa Pagpapakatao Edukasyong Pantahanan at
(EsP) Pangkabuhayan (EPP)
MAPEH MAPEH
*Music *Music
*Art *Art
*Physical Education *Physical Education
*Health *Health
ALIVE ALIVE
General Average General Average
Eligible for Admission to Grade: Eligible for Admission to Grade:
Grade V - School: Grade VI - School:
School Year: School Year:
Periodic Rating Final Periodic Rating Final
Learning Areas Remarks Learning Areas Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino Filipino
English English
Mathematics Mathematics
Science Science
Araling Panlipunan (AP) Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao Edukasyon sa Pagpapakatao
(EsP) (EsP)
Edukaskong Pantahanan at Edukasyong Pantahanan at
Pangkabuhayan (EPP) Pangkabuhayan (EPP)
MAPEH MAPEH
*Music *Music
*Art *Art
*Physical Education *Physical Education
*Health *Health
ALIVE ALIVE
General Average General Average
Eligible for Admission to Grade ____________________________ Eligible for Admission to Grade ____________________
III. CHARACTER BUILDING ACTIVITIES

Gr. Sch. Yr. Gr. Sch. Yr. Gr. Sch. Yr.

CORE VALUES
1 2 3 4 F.R. 1 2 3 4 F.R. 1 2 3 4 F.R.
MAKA-DIYOS
Expresses one's spiritual beliefs while
●●
respecting the spiritual beliefs of others.
●● Shows adherence to ethical principles by
upholding the truth.
MAKATAO
●● Is sensitive to individual, social and cultural
differences.
●● Demonstrates constributions toward solidarity
MAKA-KALIKASAN
●● Cares for the environment and utilizes
resources wisely, judiciously, and economic-
ally.
MAKA-BANSA
●● Demonstrates pride in being a Filipino;
excersise the rights and responsibilities of a
Filipino citizen.
●● Demonstrates appropriate behavior in carrying
out activities in school, community, and
country.
Gr. Sch. Yr. Gr. Sch. Yr. Gr. ______ Sch. Yr. ______
CORE VALUES
1 2 3 4 F.R. 1 2 3 4 F.R. 1 2 3 4 F.R.
MAKA-DIYOS
Expresses one's spiritual beliefs while
●●
respecting the spiritual beliefs of others.
●● Shows adherence to ethical principles by
upholding the truth.
MAKATAO
●● Is sensitive to individual, social and cultural
differences.
●● Demonstrates constributions toward solidarity
MAKA-KALIKASAN
●● Cares for the environment and utilizes
resources wisely, judiciously, and economic-
ally.
MAKA-BANSA
●● Demonstrates pride in being a Filipino;
excersise the rights and responsibilities of a
Filipino citizen.
●● Demonstrates appropriate behavior in carrying
out activities in school, community, and
country.
AO - Always Observed RO - Rarely Observed
SO - Sometimes Observed NO - Not Observed
IV. ATTENDANCE RECORD
No. of
No. of School No. of School
Grade No. of School Days Cause Times Cause
Days Absent Days Present
Tardy

CERTIFICATE OF TRANSFER
TO WHOM IT MAY CONCERN:
This is to certtify that this is the true record of the Elementary School Permanent record of
He/She is eligible for transfer and admission to Grade/Year ___________________

.
TATO B. KAMENZA
Signature
PRINCIPAL
Date Designation