REPUBLIKA NG PILIPINAS

(Republic of the Philippines)

KAGAWARAN NG EDUKASYON
(Department of Education)
Rehiyon
Region
SANGAY NG _________________________
Division of_________________________

DepEd FORM 137 - E

PALAGIANG TALAAN SA MABABANG PAARALAN LRN: ________________________
(ELEMENTARY SCHOOL PERMANENT RECORD)

I. Pangalan Purok Paaralan

(Name) Apelyido Unang ngalan M.I. (District) (School)
Kasarian Petsa ng Kapanganakan Pook Petsa ng Pagpasok
(Sex) (Date of Birth) (Place) Bayan/Lalawigan/Lungsod (Date of Entrance
(Town/City/Province)
Magulang/Tagapag-alaga
Pangalan Tirahan Hanapbuhay
(Name) (Address) (Occupation)

II. PAG-UNLAD SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PROGRESS)

Kindergarten School ____________________________

School Year _____________________ Kindergarten Rating Scale

FINAL
RATIN Rating
Learning Areas
Periodic Rating G Indicators
1 2 3 4 Beginning (B) Rarely Demonstrates the expected competency
Health, Well-being and Motor Development Rarely participates in class activities and/or initiates independent works
Socioemotional Development Shows interest in doing tasks but needs close supervision
Language, Literacy and Communication Developing (D) Sometimes demonstrates the competency
 Listening and Viewing Sometimes participates, minimal supervision
 Speaking Progresses continuously in doing assigned tasks
 Reading Consistent (C) Always demonstrates the expected competency
 Writing Always participates in the different activities, works independently
Mathematics Always performs task, advanced in some aspects
Understanding the Physical and Natural
Environment
General Average
Eligible for Admission to Grade ____________

Grade I – School _________________________________ Grade II – School ________________________________

School Year _________________ School Year _________________
Periodic Rating FINAL Periodic Rating FINAL
Learning Areas RATIN REMARKS Learning Areas RATIN REMARKS
1 2 3 4 G 1 2 3 4 G
Mother Tongue Mother Tongue
Filipino Filipino
English English
Mathematics Mathematics
Araling Panlipunan Araling Panlipunan
EPP/TLE EPP/TLE
MAPEH MAPEH
Music Music
Art Art
Physical Education Physical Education
Health Health
Edukasyon sa Pagpapakatao Edukasyon sa 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 ________________

Periodic Rating FINAL Periodic Rating FINAL

Learning Areas RATIN REMARKS Learning Areas RATIN REMARKS
1 2 3 4 G 1 2 3 4 G
Mother Tongue Mother Tongue
Filipino Filipino
English English
Mathematics Mathematics
Science Science
Araling Panlipunan Araling Panlipunan
EPP/TLE EPP/TLE
MAPEH MAPEH
Music Music
Art Art
Physical Education Physical Education
Health Health
Edukasyon sa Pagpapakatao Edukasyon sa Pagpapakatao
General Average General Average
Eligible for Admission to Grade ____________ Eligible for Admission to Grade ____________

Grade V – School ________________________________ Grade VI – School _______________________________

School Year ________________ School Year ________________
Periodic Rating FINAL Periodic Rating FINAL
Learning Areas RATIN REMARKS Learning Areas RATIN REMARKS
1 2 3 4 G 1 2 3 4 G
Mother Tongue Mother Tongue
Filipino Filipino
English English
Mathematics Mathematics
Science Science
Araling Panlipunan Araling Panlipunan
EPP/TLE EPP/TLE
MAPEH MAPEH
Music Music
Art Art
Physical Education Physical Education
Health Health
Edukasyon sa Pagpapakatao Edukasyon sa Pagpapakatao
General Average General Average
Eligible for Admission to Grade _____________ Eligible for Admission to Grade _____________
III. CHARACTER BUILDING
Core Values K S.Y. _____________ Core Values
1 2 3 4 1 2 3 4
MAKA-DIYOS MAKAKALIKASAN
Expresses one’s spiritual beliefs while Cares for the environment and utilizes resources
respecting the spiritual beliefs of others. wisely, judiciously, and economically
Shows adherence to ethical principles by MAKABANSA
upholding the truth
MAKA-TAO Demonstrates pride in being a Filipino; exercises
the rights and responsibilities of a Filipino citizen.
Is sensitive to individual, social and cultural Demonstrates appropriate behavior in carrying out
differences activities in the school, community, and country
Demonstrates contributions toward solidarity

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
1. Maka-Diyos others
Shows adherence to ethical principles
by upholding truth
Is sensitive to individual, social and
cultural differences
2. Makatao
Demonstrates contributions toward
solidarity
Cares for the environment and utilizes
3. Maka-
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

Cares for the environment and utilizes

3.
resources wisely, judiciously, and
Makakalikasan
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

IV. ATTENDANCE RECORD

Grade No. of School Days No. of School Days Absent Cause No. of Times Tardy Cause No. of School 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____________________.

________________________ ______________________________
Date Signature
______________________________
Designation