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 Sangay Cavite Paaralan Alapan I Elementary
(Name) Apelyido Unang ngalan M.I (Division) (School)
(Surname) (Given)
Kasarian Petsa ng Kapanganakan Pook Petsa ng Pagpasok
(Sex) (Date of Birth) (Place) Bayan/Lalawigan/Lungsod (Date of Entrance)
(Town/Province/City)
Magulang/Tagapag-alaga
(Parent / Guardian) Pangalan Tirahan Hanapbuhay
(Name) (Address) (Occupation)
II. PAG-UNLAD SA PAARALANG ELEMENTARYA
(ELEMENTARY SCHOOL PROGRESS)
Grade I - School Grade II - School
School Year 2005 - 2006 School Year 2006 - 2007
Final Final
Learning Areas 1 2 3 4 Remarks Learning Areas 1 2 3 4 Remarks
Rating Rating
Filipino Filipino
English English
Mathematics Mathematics
Science and Health Science and Health
Makabayan Makabayan
Sibila at Kultura Sibila at Kultura
MSEP MSEP
AVERAGE AVERAGE
Teacher’s Signature Teacher’s Signature
Eligible for admission to Grade II Eligible for admission to Grade III
Grade III – School Grade IV – School
School Year 2007 - 2008 School Year 2008 - 2009
Final Final
Learning Areas 1 2 3 4 Remarks Learning Areas 1 2 3 4 Rating
Remarks
Rating
Filipino Filipino
English English
Mathematics Mathematics
Science and Health Science and Health
Makabayan Makabayan
Heograpiya/kasaysayan/Sibika
Sibila at Kultura (HKS)
Edu. Pantahanan at
MSEP Pangkabuhayan (EPP)
Musika, Sining at Eduk,
AVERAGE Pagpapalakas ng Katawan (MSEP)
Teacher’s Signature AVERAGE
Teacher’s Signature
Eligible for admission to Grade IV Eligible for admission to Grade V
Grade V – School Grade VI – School Alapan I Elem. School
School Year 2009 - 2010 School Year 2010 – 2011
Final Final
Learning Areas 1 2 3 4 Remarks Learning Areas 1 2 3 4 Rating
Remarks
Rating
Filipino Filipino
English English
Mathematics Mathematics
Science and Health Science and Health
Makabayan Makabayan
Heograpiya/kasaysayan/Sib Heograpiya/kasaysayan/Sibika
ika (HKS) (HKS)
Edu. Pantahanan at Edu. Pantahanan at
Pangkabuhayan (EPP) Pangkabuhayan (EPP)
Musika, Sining at Eduk, Musika, Sining at Eduk,
Pagpapalakas ng Katawan Pagpapalakas ng Katawan (MSEP)
(MSEP)
AVERAGE Character Education
Teacher’s Signature AVERAGE
Eligible for Admission to Grade VI Eligible for Admission to Grade First Year
CHARACTER BUILDING
Gr. I Sch. Yr. _______ Gr. II Sch. Yr. _______ Gr. III Sch. Yr. _______
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
Gr. IV Sch. Yr. _______ Gr. V Sch. Yr. _______ Gr. VI Sch. Yr. _______
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 C - Fair
B – Good D – Poor
IV. ATTENDANCE RECORD
No. of No. of No. of No. of
Grade School School Days Cause Times Cause School days
Days Absent Tardy Present
I 203
II 204
III 201
IV 202
V 202
VI 199
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)
