DECS Form 137-E

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

KAWANIHAN NG EDUKASYONG ELEMENTARYA

(BUREAU OF ELEMENTARY EDUCATION) Rehiyon III (Region III)

PALAGIANG TALAAN SA MABABANG PAARALAN (ELEMENTARY SCHOOL PERMANENT RECORD) I. Pangalan: ________________________________
(Name) Apelyido Unang Ngalan (Date of Birth) Pangalan (Name) II. M.I.

Sangay: TARLAC PROVINCE Paaralan: _________________l

(Division) (School)

Kasarian: _____ Petsa ng Kapanganakan: ___________ Pook: _______________

(Sex)
(Place)Bayan/Lalawigan/Lungsod Tirahan (Address)

Petsa ng Pagpasok 06-04-12

Hanapbuhay (Occupation)

(Date of Entrance)

Magulang/Tagapag-alaga__________ ______________________________________________________________

PAG-UNLAD SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PROGRESS)

Grade I: School : Abagon Elementary School

School Year:_2012-2013_______________ Periodic Rating

Grade II: School ______________________________ School Year:________________

Learning Areas Mother Tongue Filipino English Mathematics Araling Panlipunan MAPEH Music Art Physical Education Health Eduk. sa Pagpapakatao Science GEN. AVERAGE

Remarks

Learning Areas Mother Tongue Filipino English Mathematics Araling Panlipunan MAPEH Music Art Physical Education Health
Eduk.sa Pagpapakatao Science GEN. AVERAGE

Periodic Rating 2 3

Remarks

Eligible for Admission to Grade_______

Eligible for Admission to Grade_______

GradeIII:School___________________________________ SchoolYear:____________ Periodic Rating

Learning Areas

Grade IV: School _________________________________________

School Year: ____________ Periodic Rating 1 2 3 4

Remarks

Learning Areas

Remarks

Mother Tongue
Filipino English Mathematics Araling Panlipunan MAPEH Music Art Physical Education Health Eduk. sa Pagpapakatao GEN. AVERAGE

Filipino English Mathematics Science and Health Makabayan HKS EPP MSEP Character Educ.

GEN. AVERAGE

Eligible for Admission to Grade___ Grade V: School ________________________________ School Year: _____________ Periodic Rating
Learning Areas

Eligible for Admission to Grade_______ Grade VI: School_______________________________ School Year: ____________ Periodic Rating 4
Remarks Learning Areas

Remarks

Filipino English Mathematics Science and Health Makabayan HKS EPP MSEP Character Educ.
GEN. AVERAGE

Filipino English Mathematics Science and Health Makabayan HKS EPP MSEP Character Educ.
GEN. AVERAGE

Eligible for Admission to Grade______________

Eligible for Admission to Grade______________

III. CHARACTER BUILDING

Gr.: _____ Sch.Yr.:____ 1 2 3 4 F.R. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. Honesty Courtesy Helpfulness and Cooperation Obedience Consideration for Others Sportsmanship Love of Country Self-Reliance Industry Cleanliness and Orderliness Nutritional status

Gr.:_____ Sch. Yr.: ___ 1 2 3 4 F.R.

Gr.:_____ Sch.Yr. ____ 1 2 3 4 F.R.

Gr.: _____ Sch.Yr.:____ 1 2 3 4 F.R. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. Honesty Courtesy Helpfulness and Cooperation Obedience Consideration for Others Sportsmanship Love of Country Self-Reliance Industry Cleanliness and Orderliness Nutritional status A Outstanding B Very Satisfactory IV. ATTENDANCE RECORD No. of School Days No. of School Days Absent

Gr.:_____ Sch. Yr.: ___ 1 2 3 4 F.R.

Gr.:_____ Sch.Yr. ____ 1 2 3 4 F.R.

C Satisfactory D Needs Improvement

Grade I II III IV V VI

Cause

No.of Times Tardy

Cause

No. 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 Permanent Record of _____________________________________. He/She is eligible for transfer and admission to Grade/Year________________.

_____________ Signature

______________________ Date

______________ Designation