form 137 k 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)

PALAGIANG TALAAN SA MABABANG PAARALAN (ELEMENTARY SCHOOL PERMANENT RECORD

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) LRN:______________________________

PAG-UNLAD SA MABABANG PAARALAN (ELEMENTARY SCHOOL PROGRESS)

Kindergarten-School__________________________

School Year___________________

LEARNING AREAS PERIODIC RATING


1 2 3 4 1 2 3 4

ENGLISH NUMBERS READINESS

Identifies/reads the letter of the alphabet/words Can count, write & recognized 1-20

Can produce phonetical sounds of letters/words Can count by rote to 100

Can answer questions accurately Can group objects as directed

Can recite, simple rhymes/poems Has number concept

Can write his/her name Can identify shapes/colors/sizes/positions

Can trace, copy letters/word forms C. MUSIC INTEREST

Can follow simple instructions Enjoy listening music

FILIPINO Takes part in Singing/Activities

Can recognize/say letters/words D. ART INTEREST

Can name common objects & people Can express through art

Can follow simple instructions Can reproduce figures/symbols

Uses crayons properly

Grade I – School _________________________________

School Year _________________________________

Grade II – School _____________________________ School Year _______________________________

LEARNING AREAS PERIODIC RATING Remarks

1 2 3 4 LEARNING AREAS

PERIODIC RATING REMARKS

Mother Tongue 1 2 3 4

Filipino Mother Tongue

English Filipino

Mathematics English

Araling Panlipunan Mathematics

MAPEH Araling Panlipunan

Music MAPEH

Art Music

Physical Education Art

Health Physical Education

Edukasyon sa Pagpapakatao Health

AVERAGE Edukasyon sa Pagpapakatao

Eligible for Admission to Grade _____________________________________

Grade III – School _______________________________ School Year _________________________________

AVERAGE


Grade IV – School _______________________________ School Year _________________________________

LEARNING AREAS

PERIODIC RATING Remarks

1 2 3 4


Remarks 1 2 3 4

Mother Tongue Filipino

Filipino English

English Mathematics

Mathematics Science & Health

Science & Health MAKABAYAN

Araling Panlipunan Heograpiya, Kasaysayan at Sibika (HKS)

MAPEH Edukasyong Pantahanan at Pangkabuhayan (EPP)

Music Musika Sining at Edukasyon sa Pagpapalakas ng Katawan (MSEP)

Art Edukasyon sa Pagpapakatao

Physical Education AVERAGE

Edukasyon sa Pagpapakatao Eligible for Admission to Grade _____________________________________

Grade VI – School _______________________________ School Year _________________________________

AVERAGE


Grade V – School _______________________________

School Year _________________________________ LEARNING AREAS PERIODIC RATING Remarks


Remarks 1 2 3 4

1 2 3 4 Filipino

Filipino English

English Mathematics

Mathematics Science & Health

Science & Health MAKABAYAN

MAKABAYAN Heograpiya, Kasaysayan at Sibika (HKS)

Heograpiya, Kasaysayan at Sibika (HKS) Edukasyong Pantahanan at Pangkabuhayan

(EPP)

Edukasyong Pantahanan at Pangkabuhayan (EPP)

Musika Sining at Edukasyon sa Pagpapalakas ng Katawan (MSEP)

Musika Sining at Edukasyon sa Pagpapalakas ng Katawan

(MSEP) *Edukasyon sa Pagpapakatao

Edukasyon sa Pagpapakatao AVERAGE

AVERAGE

Eligible for Admission to Grade _____________________________________ Eligible for Admission to Grade _____________________________________

.

LEARNING AREAS

Kindergarten Sch. Year: _______________

1 2 3 4

SOCIAL DEVELOPMENT

Is friendly

Speaks in a pleasant voice

Shares with others

Can lead his/her peers

Grows in social relationship

EMOTIONAL DEVELOPMENT

Is happy

Reacts appropriately in all situations

Tells the truth readily

Shows courteous habits

Evaluation Code: O – Outstanding VS – Very Satisfactory S – Satisfactory NI – Needs Improvement

CHARACTER BUIDING

Gr. ___________________ Sch. Yr._______________

Gr. ___________________ Sch. Yr._______________

Gr. ___________________ Sch. Yr._______________

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

1. Honesty

2. Courtesy

3. Helpfulness and Cooperation 4. Resourcefulness and 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

CHARACTER BUIDING

Gr. ___________________ Sch. Yr._______________

Gr. ___________________ Sch. Yr._______________

Gr. ___________________ Sch. Yr._______________

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

1. Honesty

2. Courtesy

3. Helpfulness and Cooperation 4. Resourcefulness and 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

CODE: NONE-NUMERICAL RATING NUMERICAL RATING A – Outstanding 95 – 100 B – Very Satisfactory 84 – 89

C – Satisfactory 83 – 88 D – Fair 76 – 82 E – Poor 71 – 75

ATTENDANCE RECORD

GRADE No. of School Days No. 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)

form 137 k 12

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