deped form 137

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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 XI (Region XI) SANGAY NG LUNGSOD NG TAGUM (DIVISION OF TAGUM CITY) PALAGIANG TALAAN SA MABABANG PAARALAN (ELEMENTARY SCHOOL PERMANENT RECORD) I. Pangalan ____________________________________________________ Sangay _________________ Paaralan ___________________________________ (Name) Apelyido Unang Ngalan 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) II. PAG-UNLAD SA MABABANG PAARALAN (ELEMENTARY SCHOOL PROGRESS) Grade I - School_____________________ School Year_________________ Grade II - School____________________ School Year________________ Learning Areas Periodic Rating Remarks Learning Areas Periodic Rating Remarks 1 2 3 4 1 2 3 4 Mother Tongue Mother Tongue Filipino Filipino English English Mathematics Mathematics MAKABAYAN MAKABAYAN *Araling Panlipunan *Araling Panlipunan *MAPEH *MAPEH *EsP *EsP **ALIVE **ALIVE General Average General Average Eligible for Admission to Grade___________ Eligible for Admission to Grade___________ Grade III - School_____________________ School Year_________________ Grade IV - School____________________ School Year________________ Learning Areas Periodic Rating Remarks Learning Areas Periodic Rating Remarks 1 2 3 4 1 2 3 4 Mother Tongue Filipino Filipino English English Mathematics Mathematics Science Science MAKABAYAN MAKABAYAN * Araling Panlipunan *Araling Panlipunan * EPP *MAPEH * MAPEH *EsP *EsP **ALIVE **ALIVE General Average General Average

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Page 1: DepEd Form 137

DepEd Form 137-ERepublika ng Pilipinas

(Republic of the Philippines)Kagawaran ng Edukasyon(Department of Education)

KAWANIHAN NG EDUKASYONG ELEMENTARYA(BUREAU OF ELEMENTARY EDUCATION)

Rehiyon XI(Region XI)

SANGAY NG LUNGSOD NG TAGUM(DIVISION OF TAGUM CITY)

PALAGIANG TALAAN SA MABABANG PAARALAN(ELEMENTARY SCHOOL PERMANENT RECORD)

I.

Pangalan ____________________________________________________ Sangay _________________ Paaralan ___________________________________ (Name) Apelyido Unang Ngalan 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)II.

PAG-UNLAD SA MABABANG PAARALAN(ELEMENTARY SCHOOL PROGRESS)

Grade I - School_____________________ School Year_________________

Grade II - School____________________ School Year________________

Learning AreasPeriodic Rating

Remarks Learning AreasPeriodic Rating

Remarks1 2 3 4 1 2 3 4

Mother Tongue Mother TongueFilipino FilipinoEnglish EnglishMathematics Mathematics MAKABAYAN MAKABAYAN *Araling Panlipunan *Araling Panlipunan *MAPEH *MAPEH*EsP *EsP **ALIVE **ALIVEGeneral Average General AverageEligible for Admission to Grade___________ Eligible for Admission to Grade___________

Grade III - School_____________________ School Year_________________

Grade IV - School____________________ School Year________________

Learning AreasPeriodic Rating

Remarks Learning AreasPeriodic Rating

Remarks1 2 3 4 1 2 3 4

Mother Tongue FilipinoFilipino EnglishEnglish Mathematics Mathematics Science Science MAKABAYAN MAKABAYAN * Araling Panlipunan*Araling Panlipunan * EPP*MAPEH * MAPEH*EsP *EsP**ALIVE **ALIVEGeneral Average General AverageEligible for Admission to Grade___________ Eligible for Admission to Grade___________

Grade V – School_____________________ School Year_________________

Grade VI – School____________________ School Year________________

Learning AreasPeriodic Rating

Remarks Learning AreasPeriodic Rating

Remarks1 2 3 4 1 2 3 4

Filipino FilipinoEnglish EnglishMathematics Mathematics Science ScienceMAKABAYAN MAKABAYAN * Araling Panlipunan * Araling Panlipunan* EPP * EPP* MAPEH * MAPEH*EsP *EsP** ALIVE ** ALIVEGeneral Average General AverageEligible for Admission to Grade___________ Eligible for Admission to Grade___________

Legend: * - Makabayan Components** - Muslim Class

Page 2: DepEd Form 137

III. CHARACTER BUILDING

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

1 2 3 4 F.R. 1 2 3 4 F.R. 1 2 3 4 F.R.

1. Honesty

2. Courtesy

3. Helpfulness & Cooperation

4. Resourcefulness & Creativity

5. Consideration for Others

6. Sportsmanship

7. Obedience

8. Self-Reliance

9. Industry

10. Cleanliness & Orderliness

11. Promptness & Punctuality

12. Sense of Responsibility

13. Love of God

14. Patriotism & Love of Country

Average

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

1 2 3 4 F.R. 1 2 3 4 F.R. 1 2 3 4 F.R.

1. Honesty

2. Courtesy

3. Helpfulness & Cooperation

4. Resourcefulness & Creativity

5. Consideration for Others

6. Sportsmanship

7. Obedience

8. Self-Reliance

9. Industry

10. Cleanliness & Orderliness

11. Promptness & Punctuality

12. Sense of Responsibility

13. Love of God

14. Patriotism & Love of Country

Average

A – Outstanding C – Good D – Fair

B – Very Good E – Poor

IV. ATTENDANCE RECORD

GradeNo. of School Days

No. of School Days Absent

C a u s eNo. of Times Tardy

C a u s eNo. of School Days Present

CERTIFICATE OF TRANSFER

TO WHOM IT MAY CONCERN:This is to certify that this is a true record of the Elementary School Record of

___________________________________. He/She is eligible for transfer and admission to Grade/Year______________________.

______________________________ Signature

___________________________ Date