form 137 k to 12

Republika ng Pilipinas(Republic of the Philippines)Kagawaran ng Edukasyon(Department of Education)

KAWANIHAN NG EDUKASYONG ELEMENTARYA(BUREAU OF ELEMENTARY EDUCATION)

Rehiyon IX(Region IX)

LAOY OLINGAN ELEMENTARY SCHOOLPALAGIANG TALAAN SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PERMANENT RECORD)

LRN:______________________________

Pangalan Sangay_______________________Paaralang Elementarya ng ____ _________(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)

(Town/Province/City)

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

PAG-UNLAD SA MABABANG PAARALAN(ELEMENTARY SCHOOL PROGRESS)

Kindergarten-School__________________________School Year___________________

Learning Areas Periodic Rating Learning Areas Periodic Rating Learning Areas Periodic Rating

1 2 3 4 1 2 3 4 1 2 3 4

I. MENTAL DEVELOPMENT B. NUMBER READINESS SOCIAL DEVELOPMENT

A. Communication Arts •Can count, write & recognized 1-20 • Is friendly

ENGLISH •Can count by rote to 100• Speaks in a pleasant

voice

• Identifies/reads the letter of the

alphabet/words•Can group objects as directed • Shares with others

• Can produce phonetical sounds of

letters/words•Has number concept • Can lead his/her peers

• Can answer questions accurately •Can identify shapes/colors/sizes/positions• Grows in social

relationship

• Can recite, simple rhymes/poems C. MUSIC INTEREST EMOTIONAL DEVELOPMENT

• Can write his/her name •Enjoy listening music • Is happy

• Can trace, copy letters/word forms •Takes part in Singing/Activities• Reacts appropriately in

all situations

• Can follow simple instructions D. ART INTEREST • Tells the truth readily

FILIPINO •Can express through art • Shows courteous habits

• Can recognize/say letters/words •Can reproduce figures/symbols

• Can name common objects &

people•Uses crayons properly

• Can follow simple instructions

Grade 1 – School ____________________ _________ Grade 2 – School __________ ___________________ School Year _________________________________ School Year _________________________________

LEARNING AREASPERIODIC RATING

Final Rating Remarks LEARNING AREASPERIODIC RATING Final Rating Remarks

1 2 3 4 1 2 3 4

Mother Tongue Mother TongueFilipino FilipinoEnglish EnglishMathematics MathematicsAraling Panlipunan Araling PanlipunanMAPEH MAPEH

Music MusicArt ArtPhysical Education Physical EducationHealth Health

Edukasyon sa Pagpapakatao Edukasyon sa PagpapakataoAVERAGE AVERAGEEligible for Admission to Grade _____________________________________ Eligible for Admission to Grade _____________________________________

Grade 3 – School ____________________ _________ Grade 4 – School __________ ___________________ School Year _________________________________ School Year _________________________________

LEARNING AREASPERIODIC RATING Final Rating Remarks LEARNING AREAS PERIODIC RATING Final Rating Remarks1 2 3 4 1 2 3 4

Mother Tongue Mother TongueFilipino FilipinoEnglish EnglishMathematics Mathematics Science & Health Science & HealthAraling Panlipunan Araling Panlipunan

MAPEHMAPEHMusic Music

ArtArtPhysical Education Physical Education

HealthHealthEdukasyon sa Pagpapakatao Edukasyon sa PagpapakataoAVERAGE AVERAGEEligible for Admission to Grade _____________________________________ Eligible for Admission to Grade _____________________________________

Grade 5 – School ____________________ _________ Grade 6 – School __________ ___________________ School Year _________________________________ School Year _________________________________

LEARNING AREAS PERIODIC RATING Final Rating Remarks LEARNING AREAS PERIODIC RATING Final Rating Remarks

Laoy OlinganDipolog City

1 2 3 4 1 2 3 4

Mother Tongue Mother TongueFilipino FilipinoEnglish EnglishMathematics Mathematics Science & Health Science & HealthAraling PanlipunanMAPEH

Araling PanlipunanMAPEH

MusicArt

MusicArt

Physical EducationHealth

Physical EducationHealth

Edukasyon sa Pagpapakatao Edukasyon sa PagpapakataoAVERAGE AVERAGEEligible for Admission to Grade _____________________________________ Eligible for Admission to Grade _____________________________________

CHARACTER BUIDINGGr. ___________________Sch. Yr._______________

Gr. ___________________Sch. Yr._______________

Gr. ___________________Sch. Yr._______________

1 2 3 4 FR 1 2 3 4 FR 1 2 3 4 FR

1. Honesty2. Courtesy3. Helpfulness and Cooperation4. Resourcefulness and Creativity5. Consideration for Others6. Sportsmanship7. Obedience8. Self-Reliance9. Industry10. Cleanliness & Orderliness11. Promptness & Punctuality12. Sense of Responsibility13. Love of God14. Patriotism & Love of Country

CHARACTER BUIDINGGr. ___________________Sch. Yr._______________

Gr. ___________________Sch. Yr._______________

Gr. ___________________Sch. Yr._______________

1 2 3 4 FR 1 2 3 4 FR 1 2 3 4 FR1. Honesty2. Courtesy3. Helpfulness and Cooperation4. Resourcefulness and Creativity5. Consideration for Others6. Sportsmanship7. Obedience8. Self-Reliance9. Industry10. Cleanliness & Orderliness11. Promptness & Punctuality12. Sense of Responsibility13. Love of God14. Patriotism & Love of Country

CODE:Kindergarten Periodic Rating Character Building

O – Outstanding B – Beginning 74% and Below A – Outstanding 95% - 100%VS – Very Satisfactory D – Developing 75% - 79% B – Very Satisfactory 84 – 89%S – Satisfactory AP – Approaching Proficiency 80 – 84% C – Good 83 – 88%NI – Needs Improvement P – Proficient 85 – 89% D – Fair 76 – 82%

A – Advanced 90 – 100% E – Poor 71 – 75%

ATTENDANCE RECORD

GRADENo. of School

DaysNo. of School Days Absent Cause No. of Time Tardy Cause

No. of School Days Present

CERTIFICATION 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 to Grade/Year ________________________________.

__________________________Name and Signature

(Date) (Designation)