Grade V – School: ______________________ Grade VI – School: ______________________

School Year: ___________________________ School Year: ___________________________

Grading Period Final Grading Period Final

Grade Learning Areas Grade
Learning Areas 1 2 3 4 1 2 3 4
Mother Tongue Mother Tongue
Filipino Filipino
English English
Mathematics Mathematics
Science Science
Araling Panlipunan Araling Panlipunan
MAPEH MAPEH
 Music  Music
 Arts  Arts
 P.E.  P.E.
 Health  Health
ESP ESP
General average General average
Eligible for Admission to Grade _____________ Eligible for Admission to Grade _____________

III. CHARACTER BUILDING

Gr.___Sch.Yr._____ Gr.___Sch.Yr._____ Gr.___Sch.Yr._____
1 2 3 4 FR 1 2 3 4 FR 1 2 3 4 FR
1. Honesty
2. Courtesy
3. Helpfulness and Cooperation
4. Obedience
5. Consideration for Others
6. Sportsmanship
7. Love of Country
8. Self-Reliance
9. Industry
10. Cleanliness and Orderliness

Gr.___Sch.Yr._____ Gr.___Sch.Yr._____ Gr.___Sch.Yr._____

1 2 3 4 FR 1 2 3 4 FR 1 2 3 4 FR
1. Honesty
2. Courtesy
3. Helpfulness and Cooperation
4. Obedience
5. Consideration for Others
6. Sportsmanship
7. Love of Country
8. Self-Reliance
9. Industry
10. Cleanliness and Orderliness
A – Outstanding C – Satisfactory
B – Very Satisfactory D – Needs Improvement

Grade No. of School No. of School Chief Cause No. of Times Chief Cause No. of Days
Days Days Absent Tardy Present
I
II
III
IV
V
VI

CERTIFICATION OF TRANSFER
TO WHOM IT MAY CONCERN:
This is to certify that this is the true Elementary School Permanent Record of _________________________.
He/She is eligible for transfer and admission to Grade ___________.

__________________________ _____________________________
Date Signature
 Republic of the Philippines
Department of Education
Cordillera Administrative Region
Division of Mountain Province
Sagada District
ANKILENG ELEMENTARY SCHOOL

Name: ____________________________Province: ________________School: _____________________

(Surname) (First) (MI)

Sex: ____ Date of Birth: _______________Place: _______________Date of Entrance: _______________

Guardian/Parent: _______________________________________________________________________
Name Address Occupation

PAG-UNLAD SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PROGRESS)

Grade 1 – School: _______________________ Grade II – School: _______________________

School Year: ___________________________ School Year: ___________________________

Grading Period Final Grading Period Final

Learning Areas Grade Learning Areas Grade
1 2 3 4 1 2 3 4
Mother Tongue Mother Tongue
Filipino Filipino
English English
Mathematics Mathematics
Araling Panlipunan Araling Panlipunan
MAPEH MAPEH
 Music  Music
 Arts  Arts
 P.E.  P.E.
 Health  Health
Edukasyon sa Edukasyon sa
Pagpapakatao Pagpapakatao
General average General average
Eligible for Admission to Grade _____________ Eligible for Admission to Grade _____________

Grade III – School: ______________________ Grade IV – School: ______________________

School Year: ___________________________ School Year: ___________________________

Grading Period Final Grading Period Final

Grade
Learning Areas 1 2 3 4 Learning Areas 1 2 3 4 Grade
Mother Tongue Mother Tongue
Filipino Filipino
English English
Mathematics Mathematics
Science Science
Araling Panlipunan Araling Panlipunan
MAPEH MAPEH
 Music  Music
 Arts  Arts
 P.E.  P.E.
 Health  Health
Edukasyon sa Edukasyon sa
Pagpapakatao Pagpapakatao
General average General average
Eligible for Admission to Grade _____________ Eligible for Admission to Grade _____________