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

KAWANIHAN NG EDUKASYONG ELEMENTARYA(BUREAU OF ELEMENTARY EDUCATION)

Rehiyon I Region I

PALAGIANG TALAAN SA MABABANG PAARALAN(ELEMENTARY SCHOOL PERMANENT RECORD)

I. Pangalan Sangay: ILOCOS SUR MIRAMAR ELEMENTARY SCHOOL(Name) Apelyido Unang Pangalan M.I. (Division) (School)

Petsa ng Kapanganakan: Pook Petsa ng Pagpasok

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

Magulang/Tagapag-alaga

(Parent / Guardian) Pangalan Tirahan Hanapbuhay

(Name) (Address) (Occupation)

PALAGIANG TALAAN SA MABABANG PAARALAN(ELEMENTARY SCHOOL PROGRESS)

Grade I - School Grade II - School

School Year School Year

Learning AreasPeriodic Rating

Remarks Learning AreasPeriodic Rating

Remarks1 2 3 4 1 2 3 4

General Average General Average Eligible for Admission to Grade Eligible for Admission to Grade

Grade III - School Grade IV - School School Year School Year

Learning AreasPeriodic Rating

Remarks Learning AreasPeriodic Rating

Remarks1 2 3 4 1 2 3 4

General Average General Average Eligible for Admission to Grade Eligible for Admission to Grade

Grade V - School Grade VI - School

School Year School Year

Learning AreasPeriodic Rating

Remarks Learning AreasPeriodic Rating

Remarks1 2 3 4 1 2 3 4

DepEd Form 137-E

Paaralan:

Kasarian:

Final Rating

Final Rating

Final Rating

Final Rating

Final Rating

Final Rating

General Average General Average Eligible for Admission to Grade Eligible for Admission to Grade

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

KAWANIHAN NG EDUKASYONG ELEMENTARYA(BUREAU OF ELEMENTARY EDUCATION)

Rehiyon I Region I

PALAGIANG TALAAN SA MABABANG PAARALAN(ELEMENTARY SCHOOL PERMANENT RECORD)

MIRAMAR ELEMENTARY SCHOOL

PALAGIANG TALAAN SA MABABANG PAARALAN(ELEMENTARY SCHOOL PROGRESS)

Remarks

Remarks

Remarks

III. CHARACTER BUILDING ACTIVITIES

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 and Cooperation

4 Obedience

5 Consideration for Others

6 Sportsmanship

7 Resourcefulness and Creativeness

8 Self-Reliance

9 Industry

10 Cleanliness and Orderliness

11 Promptness and 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 and Cooperation

4 Obedience

5 Consideration for Others

6 Sportsmanship

7 Resourcefulness and Creativeness

8 Self-Reliance

9 Industry

10 Cleanliness and Orderliness

11 Promptness and Punctuality

12 Sense of Responsibility

13 Love of God

14 Patriotism/Love of Country

AVERAGEA - Outstanding C - Good E - Poor

B - Very Good D - Fair

IV. ATTENDANCE RECORD

Grade No. of School Days No. of School Days Absent Cause Cause No. of School Days Present

One

Two

Three

Four

FiveSix

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

No. of Times Tardy