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 III(Region III)

PALAGIANG TALAAN SA MABABANG PAARALAN(ELEMENTARY SCHOOL PERMANENT RECORD)

1. Pangalan De Jesus, KC B. Sangay Tarlac Paaralan Capas West Central(Name) Apelyido Unang Ngalan M.I. (Division) (School)

Kasarian Babae Petsa ng Kapanganakan 2- 26###2002 Pook San Antonio Petsa ng Pagpasok 7/18/2011

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

(Town/Province/City)

Magulang / Tagapag-alaga Marvin O'Donnell FarmerPangalan Tirahan Hanapbuhay(Name) (Address) (Occupation)

PAG-UNLAD SA MABABANG PAARALAN(ELEMENTARY SCHOOL PROGRESS)

Grade I- School San Mariano East Elem. Grade II- School San Mariano East Elem.School Year 2009-2010 School Year 2010-2011

LEARNING AREASPeriodic Rating Final

Remarks LEARNING AREASPeriodic Rating Final

Remarks1 2 3 4 Ratings 1 2 3 4 Ratings

FILIPINO 79 FILIPINO 81.00

ENGLISH 76.25 ENGLISH 78.75

MATHEMATICS 76.50 MATHEMATICS 78.25

SCIENCE AND HEALTH 80.25 SCIENCE AND HEALTH 80.75

MAKABAYAN MAKABAYAN

● HKS ● HKS

● EPP ● EPP

● MSEP ● MSEP

● CHARACTER EDUCATION ● CHARACTER EDUCATION

GEN. AVERAGE 78.00 GEN. AVERAGE 79.69

Signature of Adviser Signature of Adviser

Eligible for admission to Grade Two Eligible for admission to Grade Three

Grade III- School Grade IV- SchoolSchool Year School Year

LEARNING AREASPeriodic Rating Final

Remarks LEARNING AREASPeriodic Rating Final

Remarks1 2 3 4 Ratings 1 2 3 4 Ratings

FILIPINO 0.00 FILIPINO 0.00

ENGLISH 0.00 ENGLISH 0.00

MATHEMATICS 0.00 MATHEMATICS 0.00

SCIENCE AND HEALTH 0.00 SCIENCE AND HEALTH 0.00

MAKABAYAN #DIV/0! MAKABAYAN 0.00

● HKS ● HKS

● EPP ● EPP

● MSEP ● MSEP

● CHARACTER EDUCATION ● CHARACTER EDUCATION

GEN. AVERAGE #DIV/0! GEN. AVERAGE 0.00

Signature of Adviser Signature of Adviser

Eligible for admission to Grade Eligible for admission to Grade

Grade V- School Grade VI- SchoolSchool Year School Year

LEARNING AREASPeriodic Rating Final

Remarks LEARNING AREASPeriodic Rating Final

Remarks1 2 3 4 Ratings 1 2 3 4 Ratings

FILIPINO FILIPINO

ENGLISH ENGLISH

MATHEMATICS MATHEMATICS

SCIENCE AND HEALTH SCIENCE AND HEALTH

MAKABAYAN MAKABAYAN

● HKS ● HKS

● EPP ● EPP

● MSEP ● MSEP

● CHARACTER EDUCATION ● CHARACTER EDUCATION

GEN. AVERAGE 0.00 GEN. AVERAGE 0.00

Signature of Adviser Signature of Adviser

Eligible for admission to Grade Eligible for admission to Grade

III. CHARACTER BUILDING

Gr. I Sch. Yr 10-11 Gr. Sch. Yr Gr. Sch. Yr

1 2 3 4 F.R 1 2 3 4 F.R 1 2 3 4 F.R

1. Honesty D D D D D

2. Courtesy D D D D D

3. Hepfulness & Cooperation D D D D D

4. Resourcefulness & Creativity D D D D D

5. Consideration for Others D D D D D

6. Sportsmanship D D D D D

7. Obedience D D D D D

8. Self-Reliance D D D D D

9. Industry D D D D D

10. Cleanliness & Orderliness D D D D D

11. Promptness & Punctuality D D D D D

12. Sense of Responsibility D D D D D

13. Love of God D D D D D

14. Patriotism & Love of Country D D D D D

Gr. Sch. Yr Gr. Sch. Yr Gr. Sch. Yr

1 2 3 4 F.R 1 2 3 4 F.R 1 2 3 4 F.R

1. Honesty

2. Courtesy

3. Hepfulness & Cooperation

4. Resourcefulness & Creativity

5. Consideration for Others

6. Sportsmanship

7. Obedience

8. Self-Reliance

9. Industry

10. Cleanliness & Orderliness

11. Promptness & Punctuality

12. Sense of Responsibility

13. Love of God

14. Patriotism & Love of Country

A - Outstanding C - Satisfactory

B - Very Satisfactory D - Needs Improvement

IV. ATTENDANCE RECORD

Grade CAUSE CAUSE

CERTIFICATE OF TRANSFER

TO WHOM IT MAY CONCERN:

to Grade / Year

Signature

Date Designation

No. of School Days

No. of School Days Absent

No. of Times Tardy

No. of School Days Present

This is to certify that is a true record of the Elementary School Permanent Record of He / She is eligible for transfer and admission