Republic of the Philippines
FORM 137-E
Department of Education REGION IX, ZAMBOANGA PENINSULA Division of Zamboanga Sibugay TALUSAN DISTRICT
ELEMENTARY SCHOOL PERMANENT RECORD I. Name
Division: Surname
Name
School:
M.I
Sex:
Place of Birth
Date of Birth:
Date of (Town/Provinve/City)
Parent/Guardian: Name
Address
ELEMENTARY SCHOOL PROGRESS
II.
Grade I - School: ____________________________________________ School Year: ____________________________________________ Quarter Learning Areas 1 2 3 4
Final Rating
Grade II - School: __________________________ School Year: __________________________ Q Learning Areas 1 2
Remarks
Mother Tongue
Mother Tongue
Filipino
Filipino
English
English
Mathematics
Mathematics
Araling Panlipunan (AP)
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao
Edukasyon sa Pagpapakatao
MAPEH
MAPEH
*Music
*Music
*Arts
*Arts
*Physical Education
*Physical Education
*Health
*Health General Average
General Average
Eligible for admission to Grade _____ Grade III - School: ____________________________________________ School Year: __________________________________________
Learning Areas
Quarter 1
2
3
4
Eligible for admission to Grade_______ Grade IV - School: ____________________________ School Year: ____________________________
Final Rating
Learning Areas
Remarks
Mother Tongue
Filipino
Filipino
English
English
Mathematics
Mathematics
Science
Science
Araling Panlipunan (AP)
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao
Edukasyon sa Pagpapakatao
EPP
MAPEH
MAPEH
*Music
*Music
*Arts
*Arts
*Physical Education
*Physical Education
*Health
*Health General Average
General Average
Eligible for admission to Grade________________
Eligible for admission to Grade________________
Grade V - School: ____________________________________________ School Year: ___________________________________________
Learning Areas
Quarter 1
2
3
4
Grade VI - School: ____________________________ School Year: ____________________________
Final Rating
Learning Areas
Remarks
Filipino
Filipino
English
English
Mathematics
Mathematics
Science
Science
Araling Panlipunan (AP)
Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao
Edukasyon sa Pagpapakatao
EPP
EPP
MAPEH
MAPEH
*Music
*Music
*Arts
*Arts
*Physical Education
*Physical Education
*Health
*Health General Average
1
General Average
Eligible for admission to Grade________________ Descriptors
1
Q 2
Grading Scale
Eligible for admission to Grade________________ Remarks
Q 2
Outstanding Very Satisfactory Satisfactory Fairly Satisfactory Did Not Meet Expectations
90- 100 85 - 89 80 - 84 75 - 79 Below 75
Passed Passed Passed Passed Failed
the Philippines
LRN:
t of Education
BOANGA PENINSULA mboanga Sibugay N DISTRICT
L PERMANENT RECORD Date of Entrance
Occupation
CHOOL PROGRESS Grade II - School: ___________________________________________ School Year: ___________________________________________ Quarter 2 3 4
Final Rating
Remarks
4
Final Rating
Remarks
4
Final Rating
Remarks
General Average
Eligible for admission to Grade_______ Grade IV - School: ___________________________________________ School Year: __________________________________________
Quarter 2 3
General Average
Eligible for admission to Grade________________ Grade VI - School: ___________________________________________ School Year: __________________________________________
Quarter 2 3
General Average
Eligible for admission to Grade________________
III. LEARNER'S OBSERVED VALUES Core Values
1. Maka- Diyos
Behavior Statements
Grade _____S.Y _____ Quarter
Grade _____S.Y _____ Quarter
1
1
2
3
4
2
3
Expresses one's spiritual beliefs while respecting the spiritual belief's of others Shows adherence to ethical principles by upholding truth Is sensitive to individual, social, and cultural differences
2. Makatao Demonstratescontributions toward solidarity 3. Makakalikasan
Cares for the environment and utilizes 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 in the school, community, and country
Core Values
Grade ___- S.Y ___ Quarter
Behavior Statements
1
2
3
4
Grade ___- S.Y ___ Quarter 1
2
3
Expresses one's spiritual beliefs while respecting the spiritual belief's of others 1. Maka- Diyos Shows adherence to ethical principles by upholding truth
2. Makatao
Is sensitive to individual, social, and cultural differences Demonstratescontributions toward solidarity
3. Makakalikasan
Cares for the environment and utilizes 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 in the school, community, and country
Marking AO SO RO NO
Non-numerical Rating Always Observed Sometimes Observed Rarely Observed Not Observed
IV. ATTENDANCE RECORD Grade
No. of School Days
No. of School Days Absent
Cause
No. of Times Tardy
Cause
ONE TWO THREE FOUR FIVE SIX
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 ___________________ eligible for transfer and admission to Grade/Year ______________________.
_______________ Principal/Sch
Date
_____ 4
Grade _____S.Y _____ Quarter 1
___ 4
ause
2
3
4
Grade ___- S.Y ___ Quarter 1
2
3
4
No. of School Days Present
_________ . He/She is
_________________ al/School Head
CLASS FUND Name of Learner MALE PANUNCIAR, ALLEN COMBATE SELVIRIO, RAYAN OWANO TANDA, ALKAIZEL SADDALI TAPIA, RONNIE TUMAMPAL
FEMALE DUMANDAN, JUDY TERO ESNEROL, JAIMA SAJAROL ISNAIN, NURSIMA SALAPUDDIN JAANI, ELSA TERO MAÑALAC, AIREN LIBRES POCONG, MARIA MAE COMBATE SALAM, KHISMA SADDANG SULAY, NERFA JAAPAL TANDA, DARWINA AMERI TERO, PAMELA GALLETO URBANO, GI-AN REVILLA
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