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)
REHIYON II- CAGAYAN VALLEY REGION
(Region II- CAGAYAN VALLEY REGION)
SANGAY NG CAGAYAN
LRN _______________________ (DIVISION OF CAGAYAN)
DISTRITO NG APARRI WEST
ZINARAG ELEMENTARY SCHOOL

PALAGIANG TALAAN SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PERMANENT RECORD)

I. Pangalan Purok Paaralan

(Name) Apelyido UnangPangalan M.I. (District) (School)

Kasarian Petsa ng Kapanganakan Pook Petsa ng Pagpasok

(Sex) (Date of Birth) (Palce) Bayan/Lalawigan/Lungsod (Date of Entrance)

Magulang/Tagapag-alaga
(Parent/Guardian) Pangalan(Name) Tirahan (Address) Hanapbuhay (Occupation)

II. ELEMENTARY SCHOOL PROGRESS

Kindergarten
DOMAIN 1 2 3 4 Final Rating Remarks
Kalusugang Pisikal at Pagpapaunlad sa Kakayahang Motor
Pagpapaunlad ng Sosyo Emosyonal at Kakayahang Makipamuhay
Wika, Karunungan sa Pagbasa at Pagsulat
● Pakikinig at Panonood
● Pagsasalita
● Pagbasa
● Pagsulat
Matematika
Pag-unawa sa Pisikal at Natural na Kapaligiran
Eligible for Admission to Grade ____________
Grade ________ - School ____________________________________________ Grade ________ - School ____________________________________________
School Year _______________________________ School Year _______________________________

Periodic Rating FINAL REMARKS Periodic Rating FINAL REMARKS

Learning Areas Learning Areas
1 2 3 4 RATING RATING
1 2 3 4
Mother Tongue Mother Tongue
Filipino Filipino
English English
Mathematics Mathematics
Araling Panlipunan (AP) Araling Panlipunan (AP)
Edukasyon sa Edukasyon sa
Pagpapakatao (ESP) Pagpapakatao (ESP)
MAPEH MAPEH
Music Music
Art Art
Physical education Physical education
Health Health
GENERAL AVERAGE GENERAL AVERAGE
Co-Curricular Activities Co-Curricular Activities
Eligible for Admission to Grade ____________ Eligible for Admission to Grade ____________

Grade ________ - School ____________________________________________ Grade ________ - School ____________________________________________

School Year _______________________________ School Year _______________________________

Periodic Rating FINAL REMARKS Periodic Rating FINAL REMARKS

Learning Areas Learning Areas
1 2 3 4 RATING 1 2 3 4 RATING
Mother Tongue Filipino
Filipino English
English Mathematics
Mathematics Science
Science Araling Panlipunan (AP)
Edukasyon sa
Araling Panlipunan (AP)
Pagpapakatao (ESP)
Edukasyon sa Edukasyong Pantahanan at
Pagpapakatao (ESP) Pangkabuhayan (EPP)
MAPEH MAPEH
Music Music
Art Art
Physical education Physical education
Health Health
GENERAL AVERAGE GENERAL AVERAGE
Co-Curricular Activities Co-Curricular Activities
Eligible for Admission to Grade ____________ Eligible for Admission to Grade ____________

Descriptors Grading Scale Remarks

Outstanding 90 - 100% Passed
Very Satisfactory 85 - 89% Passed
Fairly Satisfactory 80 - 84% Passed
Did Meet Expectations 75 - 79% Passed
Below 75% Failed
 Grade ________ - School ____________________________________________ Grade ________ - School ____________________________________________
School Year _______________________________ School Year _______________________________

Periodic Rating FINAL REMARKS Periodic Rating FINAL REMARKS

Learning Areas Learning Areas
RATING 1 2 3 4 RATING
1 2 3 4
Filipino Filipino
English English
Mathematics Mathematics
Science Science & Health
Araling Panlipunan (AP) Makabayan
Edukasyon sa ● Heograpiya/Kasaysayan/
Pagpapakatao (ESP) Sibika (HEKASI)
Edukasyong Pantahanan at ● Edukasyong Pantahanan at
Pangkabuhayan (EPP) Pangkabuhayan (EPP)
MAPEH ● Musika, Sining at Edukasyon
Music sa Pagpapalakas ng Katawan
Art (MSEP)
Physical education
● Character Education
Health
GENERAL AVERAGE
GENERAL AVERAGE
Co-Curricular Activities
Co-Curricular Activities
Eligible for Admission to Grade ____________
Eligible for Admission to Grade ____________

III. REPORT ON LEARNER’S OBSERVED VALUES

Grade: __________ Grade: __________ Grade: __________ Grade: __________
CORE
Behavior Statements School Year:_______ School Year:_______ School Year:_______ School Year:_______
VALUES 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4
Expresses one’s spiritual beliefs while respecting the
1. Maka - spirit beliefs of others.
Diyos Shows adherence to ethical principles by upholding
truth
Is sensitive to individual, social and cultural
differences
2. Makatao Demonstrates contribution towards solidarity

3. Maka Cares for the environment and utilize resources

kalikasan Wisely, judiciously and economically
Demonstrates pride in being a Filipino, exercises the
4. Maka rights and responsibilities of a Filipino Citizen
bansa Demonstrates appropriate behaviour in carrying out
Activities in the school, community and country

Grade: __________ Grade: __________ Grade: __________ Grade: __________

CORE
Behavior Statements School Year:_______ School Year:_______ School Year:_______ School Year:_______
VALUES
1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4
Expresses one’s spiritual beliefs while respecting the
1. Maka - spirit beliefs of others.
Diyos Shows adherence to ethical principles by upholding
truth
Is sensitive to individual, social and cultural
differences
2. Makatao
Demonstrates contribution towards solidarity

3. Maka Cares for the environment and utilize resources

kalikasan Wisely, judiciously and economically
Demonstrates pride in being a Filipino, exercises the
4. Maka rights and responsibilities of a Filipino Citizen
bansa Demonstrates appropriate behaviour in carrying out
Activities in the school, community and country

Marking Non-numerical Rating Marking Non-numerical Rating

AO Always Observed RO Rarely Observed
SO Sometimes Observed NO Not Observed
IV. ATTENDANCE RECORD
No. of School No. Of Days No. Of Times Cause No. Of Days
Grade School Year Cause
Year Absent Days Tardy Present

CERTTIFICATE OF TRANSFER
TO WHOM IT MAY CONCERN:
This is to certify that this is a true Elementary School Permanent Record of ___________________________________________________________. He/ She is eligible for transfer
and admission to Grade/Year ____________________________
_____________________________________ _____________________
Date Signature
_____________________
Designation