Grade: Section: Grade: Section:

School: School:
School Year: School Year:
Teacher: Teacher:

Periodic Rating Final Periodic Rating Final

Subject Areas Remarks Subject Areas Remarks
1 2 3 4 Rating 1 2 3 4 Rating
FILIPINO FILIPINO
ENGLISH ENGLISH
MATHEMATICS MATHEMATICS
SCIENCE SCIENCE
ARALING PANLIPUNAN ARALING PANLIPUNAN
EDUKASYON SA PAGPAPAKATAO EDUKASYON SA PAGPAPAKATAO
EPP 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:

REPORT ON LEARNER’S OBSERVED VALUES

Grade____ SY__________ Grade____ SY__________ Grade____ SY_________

CORE VALUES BEHAVIOR STATEMENTS
1 2 3 4 F.R. 1 2 3 4 F.R. 1 2 3 4 F.R.

Expresses one’s spiritual beliefs while respecting the spiritual beliefs of others.
1. Maka-Diyos
Shows adherence to ethical principles by upholding truth.
Is sensitive to individual, social, and cultural differences.
2. Makatao
Demonstrate contributions 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.

Grade____ SY__________ Grade____ SY__________ Grade____ SY_________

CORE VALUES BEHAVIOR STATEMENTS
1 2 3 4 F.R. 1 2 3 4 F.R. 1 2 3 4 F.R.

Expresses one’s spiritual beliefs while respecting the spiritual beliefs of others.
1. Maka-Diyos
Shows adherence to ethical principles by upholding truth.
Is sensitive to individual, social, and cultural differences.
2. Makatao
Demonstrate contributions 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.

RECORD OF ATTENDANCE
Number of
Number of Days Number of Times Years in
Grade Number of School Days School Days Cause Cause
Present Tardy Grade
Absent

CERTIFICATION
TO WHOM IT MAY CONCERN:
This is to certify that this is a true record of the copy of the Elementary School Permanent Record of ________________________
_____________________________________ He/She is eligible for transfer and admission to Grade/Year ______________.

___________________________ __________________________
(Date) School Guidance Coordinator

___________________________
Principal