DepEd Form 237-E Republika ng PilipinasLRN
__________________
DepEd Form 137-E
Republika ng Pilipinas
LRN __________________
(Republic of the Philippines)Kagawaran ng Edukasyon
(Department of Education)
KAWANIHAN NG EDUKASYONG ELEMENTARYA
(BUREAU OF ELEMENTARY EDUCATION)
Rehiyon XIII (Caraga)
(Region)PALAGIANG TALAAN NG SA MABABANG PAARALAN
(ELEMENTARY SCHOOL PERMANENT RECORD)I. Pangalan
_____________________________________________ Sangay
_______________________ Paaralan
____________________________________
(Name) Apelyido
Unang Pangalan M.I. (Division)
(School)
Kasarian _____ Petsa ng Kapanganakan ___________ Pook
__________________________________ Petsa ng Pagpasok
_________________
(Sex)
(Date of Birth)
(Place) Bayan/Lalawigan/Lungsod (Date of Entrance)
Magulang/Tagapag-alaga __________________________________
_______________________________________ ______________________
Pangalan
Tirahan
Hanapbuhay(Name)
(Address)
(Occupation)II.
PAG-UNLAD SA MABABANG PAARALAN
(ELEMENTARY SCHOOL PROGRESS)
Grade I - School ___________________
Grade II - School ________________
School Year ____________________
School Year ________________
Learning AreasPeriodic Rating Remarks
1234
Mother Tongue
Filipino
English
Mathematics
Araling Panlipunan
MAPEH
Music
Art
Physical Education
Health
Edukasyon sa Pagpapakatao
General Average
Learning AreasPeriodic Rating Remarks
1234
Mother Tongue
Filipino
English
Mathematics
Araling Panlipunan
MAPEH
Music
Art
Physical Education
Health
Edukasyon sa Pagpapakatao
General Average
Teacher ____________________
Teacher ________________ Eligible for Admission to Grade
___________
Eligible for Admission to Grade ___________
Grade III - School ___________________
Grade IV - School ________________
School Year _____________________
School Year _________________
Learning AreasPeriodic Rating Remarks
1234
Mother Tongue
Filipino
English
Mathematics
Araling Panlipunan
MAPEH
Music
Art
Physical Education
Health
Edukasyon sa Pagpapakatao
General Average
Learning AreasPeriodic Rating Remarks
1234
English
Mathematics
Science & Health
Filipino
MAKABAYAN
Hekasi
EPP
MSEP
Character Education
Teacher ______________________
Teacher __________________Eligible for Admission to Grade
__________
Eligible for Admission to Grade ___________
Grade V - School ___________________
Grade VI - School ________________ School Year
____________________
School Year _________________Learning AreasPeriodic Rating
Remarks
1234
English
Mathematics
Science & Health
Filipino
MAKABAYAN
Hekasi
EPP
MSEP
Character Education
Learning AreasPeriodic Rating Remarks
1234
English
Mathematics
Science & Health
Filipino
MAKABAYAN
Hekasi
EPP
MSEP
Character Education
Teacher _____________________
Teacher __________________
Eligible for Admission to Grade ___________ Eligible for
Admission to Grade ___________III. CHARACTER BUILDING
Grade ____ Sch. Yr._________Grade ____ Sch. Yr.________Grade
____ Sch. Yr._________
1234F.R.1234F.R.1234F.R.
1. Honesty
2. Courtesy
3. Helpfulness & 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
Grade ____ Sch. Yr.________Grade ____ Sch. Yr._________Grade
____ Sch. Yr._________
1234F.R.1234F.R.1234F.R.
1. Honesty
2. Courtesy
3. Helpfulness & 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
A-Outstanding
C-Good
E-Poor
B -Very Good
D-Fair
IV. ATTENDANCE RECORD
Grade No. Of School DaysNo. of School Days AbsentCauseNo. Of
TardyCauseNo. 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
____________________________________________. She/he is eligible
for transfer and admission to Grade/Year ______________.
______________________ Signature
________________________
______________________ Date
Designation
