DepEd Form 137-E
Republika ng Pilipinas (Republic of the Philippines) Kagawaran ng Edukasyon (Department of Education) KAWANIHAN NG EDUKASYONG ELEMENTARYA (BUREAU OF ELEMENTARY EDUCATION) Region IV-A CALABARZON Division of Cavite
PALAGIANG TALAAN SA PAARALANG ELEMENTARYA (ELEMENTARY SCHOOL PERMANENT RECORD)
I. Pangalan
(Name) Apelyido (Surname) Unang ngalan (Given) (Date of Birth) M.I
Sangay
(Division)
Cavite
Paaralan
(School)
Alapan I Elementary
Kasarian
(Sex)
Petsa ng Kapanganakan
Pook
(Place) Bayan/Lalawigan/Lungsod (Town/Province/City)
Petsa ng Pagpasok
(Date of Entrance)
Magulang/Tagapag-alaga
(Parent / Guardian) Pangalan (Name) Tirahan (Address) Hanapbuhay (Occupation)
II.
Grade I - School School Year Learning Areas
Filipino English Mathematics Science and Health Makabayan Sibila at Kultura MSEP AVERAGE Teachers Signature
PAG-UNLAD SA PAARALANG ELEMENTARYA (ELEMENTARY SCHOOL PROGRESS)
2005 - 2006 4 Final Rating Remarks
Grade II - School School Year Learning Areas
Filipino English Mathematics Science and Health Makabayan Sibila at Kultura MSEP AVERAGE Teachers Signature
2006 - 2007 2 3 4 Final Rating Remarks
Eligible for admission to Grade Grade III School School Year
II
Learning Areas
Filipino English Mathematics Science and Health Makabayan Sibila at Kultura MSEP AVERAGE Teachers Signature
2007 - 2008 Final 4 Remarks Rating
Eligible for admission to Grade Grade IV School School Year
III
2008 - 2009 3 4
Final Rating Remarks
Learning Areas
Filipino English Mathematics Science and Health Makabayan
Heograpiya/kasaysayan/Sibika (HKS) Edu. Pantahanan at Pangkabuhayan (EPP)
Musika, Sining at Eduk, Pagpapalakas ng Katawan (MSEP)
AVERAGE Teachers Signature
Eligible for admission to Grade Grade V School School Year
IV
Eligible for admission to Grade
Learning Areas
Filipino English Mathematics Science and Health Makabayan
Heograpiya/kasaysayan/Sib ika (HKS) Edu. Pantahanan at Pangkabuhayan (EPP)
Musika, Sining at Eduk, Pagpapalakas ng Katawan (MSEP)
2009 - 2010 Final 4 Remarks Rating
Grade VI School Alapan I Elem. School School Year 2010 2011
Learning Areas
Filipino English Mathematics Science and Health Makabayan
Heograpiya/kasaysayan/Sibika (HKS) Edu. Pantahanan at Pangkabuhayan (EPP)
Musika, Sining at Eduk, Pagpapalakas ng Katawan (MSEP)
Final Rating
Remarks
AVERAGE Teachers Signature
Character Education AVERAGE
Eligible for Admission to Grade
VI
Eligible for Admission to Grade
First Year
CHARACTER BUILDING TRAITS 1. Honesty 2. Courtesy 3. Helpfulness and Cooperation 4. Resourcefulness and Creativeness 5. Consideration for others 6. Sportmanship 7. Obedience 8. Self-Reliance 9. Industry 10. Cleanliness and Orderliness CHARACTER BUILDING TRAITS 1. Honesty 2. Courtesy 3. Helpfulness and Cooperation 4. Resourcefulness and Creativeness 5. Consideration for others 6. Sportmanship 7. Obedience 8. Self-Reliance 9. Industry 10. Cleanliness and Orderliness A Very Good B Good IV. ATTENDANCE RECORD No. of No. of Grade School School Days Days Absent
I II III IV V VI 203 204 201 202 202 199 Gr. IV Sch. Yr. _______ Gr. V Sch. Yr. _______ Gr. VI Sch. Yr. _______ Gr. I Sch. Yr. _______ Gr. II Sch. Yr. _______ Gr. III Sch. Yr. _______
C - Fair D Poor
Cause
No. of Times Tardy
Cause
No. of School days Present
CERTIFICATE OF TRANSFER TO WHOM IT MAY CONCERN: It 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 First .
TERESITA P. LIMBAG (Signature) Guidance Counselor (Designation)
(Date)
