DepEd Form 137-E Republic of the Philippines

Department of Education
Region X - Northern Mindanao
Elementary School Permanent Record

ELEMENTARY SCHOOL PROGRESS LRN: ________________________

Pangalan ________________________________________________________________________________
Sangay ___________________ Paaralan ________________________________
(Name) Apelyido Unang Pangalan M.I. (Division) (School)

Kasarian ___________ Petsa ng Kapanganakan ___________ Pook_______________________________________ Petsa ng Pagpasok _________________

(Sex) (Date of Birth) (Place) Bayan/lalawigan/Lunsod (Date of Entrance)
(Town/Province/City)
Magulang/Tagapag-alaga ______________________________________________________________________________________________________________________
(Parent/Guardian) Pangalan Tirahan Hanapbuhay
(Name) (Address) (Occupation)

Grade One School _______________________________ Grade Two School _______________________________

School Year _________________ School Year _________________
Periodic Rating FINAL Periodic Rating FINAL
Learning Areas REMARKS Learning Areas REMARKS
1 2 3 4 RATING 1 2 3 4 RATING
Mother Tongue Mother Tongue
Filipino Filipino
English English
Mathematics Mathematics
Araling Panlipunan Araling Panlipunan
MAPEH MAPEH
Music Music
Arts Arts
Physical Education Physical Education
Health Health
Edukasyon sa Edukasyon sa
Pagpapakatao Pagpapakatao
General Average General Average
Eligible for Admission to Grade ____________ Eligible for Admission to Grade ____________

Grade Three School _______________________________ Grade Four School _______________________________

School Year _________________ School Year _________________
Periodic Rating FINAL Periodic Rating FINAL
Learning Areas REMARKS Learning Areas REMARKS
1 2 3 4 RATING 1 2 3 4 RATING
Mother Tongue Filipino
Filipino English
English Mathematics
Mathematics Science
Science and Health Araling Panlipunan
Araling Panlipunan Edukasyon sa
Pagpapakatao
MAPEH Edukasyong Pantahanan at
Pangkabuhayan (EPP)
Music MAPEH
Arts Music
Physical Education Arts
Health Physical Education
Edukasyon sa
Pagpapakatao Health
General Average General Average
Eligible for Admission to Grade ____________ Eligible for Admission to Grade ____________

Grade Five School _______________________________ Grade Six School _______________________________

School Year _________________ School Year _________________
Periodic Rating FINAL Periodic Rating FINAL
Learning Areas REMARKS Learning 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 Edukasyon sa
Pagpapakatao Pagpapakatao
Edukasyong Pantahanan at Edukasyong Pantahanan at
Pangkabuhayan (EPP) Pangkabuhayan (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 ____________
 DepEd Form 137-E Republika ng Pilipinas
KAWANIHAN NG EDUKASYON ELEMENTARYA
Rehiyon: XI
PALAGIANG TALAAN SA MABABANG PAARALAN

Name: Terresa, Maria Leonora Davao de Oro New Kapatagan Elementary School
Address: P-18 New Kapatagan Casoon Monkayo Davao de Oro (Division) (School)

Female 08/09/1999 P-7 Awao Santa Josefa Agusan del Sur 6/6/2005 6/6/2005
(Sex) (Date of Birth) (Birth of Place). (Date of Entrance)

Magulang/Tagapag-alaga Teresa, Ana Marie L. P-18 New Kapatagan Casoon House wife
(Parent/Guardian) Pangalan Tirahan Hanapbuhay
(Name) (Address) (Occupation)

PAG-UNLAD SA MABABANG PAARALAN

(Elementary School Progress)

Grade One School : New Kapatagan, Elementary School Grade Two School : New, kapatagan Elementary School
School Year : 2005-2006 School Year : 2006-2007
Periodic Rating FINAL Periodic Rating FINAL
Learning Areas REMARKS Learning Areas REMARKS
1 2 3 4 RATING 1 2 3 4 RATING
Mother Tongue 85 89 90 92 89 PASSED Mother Tongue 86 87 88 89 88 PASSED
Filipino 87 89 92 88 89 PASSED Filipino 87 87 89 89 88 PASSED
English 87 87 88 88 88 PASSED English 88 88 88 90 89 PASSED
Mathematics 82 82 85 86 84 PASSED Mathematics 85 86 86 88 86 PASSED
Araling Panlipunan 90 91 93 94 92 PASSED Araling Panlipunan 90 92 91 92 91 PASSED
MAPEH 86 88 88 90 88 PASSED MAPEH 87 88 89 89 88 PASSED
Music 85 86 87 88 87 PASSED Music 85 86 88 87 87 PASSED
Arts 88 87 88 90 88 PASSED Arts 87 87 88 89 88 PASSED
Physical Education 87 86 88 89 88 PASSED Physical Education 88 89 89 90 89 PASSED
Health 90 91 90 92 91 PASSED Health 88 88 89 89 89 PASSED
Edukasyon sa Pagpapakatao 90 90 90 90 90 PASSED Edukasyon sa Pagpapakatao 90 91 91 92 91 PASSED
General Average 87 88 89 90 89 PASSED General Average 88 88 89 90 89 PASSED
Eligible for Admission to Grade II Eligible for Admission to Grade III

Grade Three School: New kapatagan Elementary School Grade Four School : New Kapatagan Elementary School
School Year : 2007-2008 School Year : 2008-2009
Periodic Rating FINAL Periodic Rating FINAL
Learning Areas REMARKS Learning Areas REMARKS
1 2 3 4 RATING 1 2 3 4 RATING
Mother Tongue 88 89 89 90 89 PASSED Filipino 86 88 88 89 88 PASSED
Filipino 85 86 86 89 87 PASSED English 85 84 87 88 86 PASSED
English 84 85 88 89 87 PASSED Mathematics 85 86 87 88 87 PASSED
Mathematics 84 86 85 88 86 PASSED Science 88 88 89 90 89 PASSED
Science and Health 86 88 87 90 88 PASSED Araling Panlipunan 90 91 92 93 92 PASSED
Araling Panlipunan 88 88 90 91 89 PASSED Edukasyon sa Pagpapakatao 90 90 92 93 91 PASSED
Edukasyong Pantahanan at
MAPEH 85 86 88 89 87 PASSED Pangkabuhayan (EPP) 86 87 88 89 88 PASSED

Music 83 85 86 88 86 PASSED MAPEH 85 86 88 90 87 PASSED

Arts 84 84 86 87 85 PASSED Music 84 85 87 88 86 PASSED
Physical Education 88 89 91 91 90 PASSED Arts 83 84 85 89 85 PASSED
Health 85 87 88 90 88 PASSED Physical Education 86 86 87 88 87 PASSED
Edukasyon sa Pagpapakatao 98 90 91 91 90 PASSED Health 88 89 90 91 90 PASSED
General Average 87 88 88 90 88 PASSED General Average 87 87 89 90 89 PASSED
PASSED
Eligible for Admission to Grade : IV Eligible for Admission to Grade : V

Grade Five School: New kapatagan Elementary School Grade Six School: New kapatagan Elementary School
School Year: 2009-2010 School Year: 2010-2011
Periodic Rating FINAL Periodic Rating FINAL
Learning Areas REMARKS Learning Areas REMARKS
1 2 3 4 RATING 1 2 3 4 RATING
Filipino 85 86 87 90 87 PASSED Filipino 86 87 88 89 87 PASSED
English 84 85 88 89 87 PASSED English 85 85 87 88 86 PASSED
Mathematics 84 85 86 88 86 PASSED Mathematics 85 86 87 88 87 PASSED
Science 88 89 89 90 89 PASSED Science 88 87 89 90 89 PASSED
Araling Panlipunan 88 88 90 91 89 PASSED Araling Panlipunan 88 89 92 92 90 PASSED
Edukasyon sa Pagpapakatao 88 89 91 91 90 PASSED Edukasyon sa Pagpapakatao 90 90 92 93 91 PASSED
Edukasyong Pantahanan at Edukasyong Pantahanan at
Pangkabuhayan (EPP) 83 85 87 89 86 PASSED Pangkabuhayan (EPP) 84 87 88 89 87 PASSED

MAPEH 85 85 87 89 86 PASSED MAPEH 85 86 88 90 87 PASSED

Music 83 85 86 88 86 PASSED Music 84 85 86 88 86 PASSED
Arts 84 84 86 87 85 PASSED Arts 83 84 85 89 85 PASSED
Physical Education 88 89 91 91 90 PASSED Physical Education 86 86 87 88 87 PASSED
Health 85 87 88 90 88 PASSED Health 88 89 90 91 90 PASSED
General Average 86 87 88 90 88 PASSED General Average 86 87 89 90 88 PASSED
Eligible for Admission to Grade : VI Eligible for Admission to Grade : VII
III. CHARACTER BUILDING
Gr.1 S.Y. _____________ Gr. 2 S.Y. ________________ Gr. 3 S.Y. ________________
Quarter Quarter Quarter
Core Values Behavior Statements
1 2 3 4 1 2 3 4 1 2 3 4
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
Demonstrates contributions toward solidarity

3. Maka- Cares for the environment and utilizes

resources wisely, judiciously, and
kalikasan 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

Gr. 4 S.Y. _____________ Gr. 5 S.Y. ________________ Gr. 6 S.Y. ________________

Quarter Quarter Quarter
Core Values Behavior Statements
1 2 3 4 1 2 3 4 1 2 3 4
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
Demonstrates contributions toward solidarity

3. Maka- Cares for the environment and utilizes

resources wisely, judiciously, and
kalikasan 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
AO – Always Observed SO – Sometimes Observed RO – Rarely Observed NO – Not Observed

IV. ATTENDANCE RECORD

No. of
No. of School Days No. of School
Grade No. of School Days Cause Times Cause
Absent Tardy 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 of Grade/Year____________________.

Signature
Date
Designation