FORM 137 Republika ng Pilipinas

Kagawaran ng Edukasyon
KAWANIHAN NG EDUKASYONG ELEMENTARYA
Rehiyon VI
SANGAY NG CAPIZ

PALAGIANG TALAAN SA MABABANG PAARALAN

(Elementary School Permanent Record)
Learner's Resource Number: 115420110002
Pangalan: ALIBO FLOYD V. Sangay: CAPIZ Paaralan: MAHABANG SAPA PRIMARY SCHOOL
Apelyido Unang Ngalan M.I. Division School

Kasarian: M Petsa ng Kapanganakan: Pook: Petsa ng Pagpasok:

Sex (Place) (Bayan/Lalawigan/Lungsod) Date of
Date of Birth Entrance
(Town/Provinve/City)
Magulang/Tagapag-alaga: GRACE V. ALIBO BARANGAY MAHABANG SAPA CUARTERO CAPIZ DAYCARE WORKER
(Parent/Guardian) (Pangalan) (Tirahan) (Hanapbuhay)
(Name) (Address) (Occupation)

PAG-UNLAD SA MABABANG PAARALAN

(Elementary School Permanent Record)
II.
Grade I - School: MAHABANG SAPA PRIMARY SCHOOL Grade II - School: MAHABANG SAPA PRIMARY SCHOOL
School Year: 2012-2013 School Year: 2013-2014
Quarter Final Quarter Final
Learning Areas Learning Areas
1 2 3 4 Rating 1 2 3 4 Rating
Mother Tongue Mother Tongue
Filipino Filipino
English English
Mathematics Mathematics
Araling Panlipunan (AP) Araling Panlipunan (AP)
MAPEH MAPEH
*Music *Music
*Arts *Arts
*Physical Education *Physical Education
*Health *Health
Edukasyon sa Pagpapakatao Edukasyon sa Pagpapakatao
General Average General Average
Eligible for admission to Grade _____ Eligible for admission to Grade_______

Grade III - School: MAHABANG SAPA PRIMARY SCHOOL Grade IV - School: MAHABANG SAPA PRIMARY SCHOOL
School Year: 2014-2015 School Year: 2015-2016
Quarter Final Quarter Final
Learning Areas Learning Areas
1 2 3 4 Rating 1 2 3 4 Rating
Mother Tongue Filipino
Filipino English
English Science
Science Mathematics
Mathematics Araling Panlipunan (AP)
Araling Panlipunan (AP) EPP
MAPEH MAPEH
*Music *Music
*Arts *Arts
*Physical Education *Physical Education
*Health *Health
Edukasyon sa Pagpapakatao Edukasyon sa Pagpapakatao
General Average General Average
Eligible for admission to Grade________________ Eligible for admission to Grade________________

Grade V - School: MAHABANG SAPA PRIMARY SCHOOL Grade VI - School: ___________________________________________

School Year: 2016-2017 School Year: __________________________________________
Quarter Final Quarter Final
Learning Areas Learning Areas
1 2 3 4 Rating 1 2 3 4 Rating
Filipino Filipino
English English
Science Science
Mathematics Mathematics
Araling Panlipunan (AP) Araling Panlipunan (AP)
EPP EPP
MAPEH MAPEH
*Music *Music
*Arts *Arts
*Physical Education *Physical Education
*Health *Health
Edukasyon sa Pagpapakatao Edukasyon sa Pagpapakatao
 General Average General Average
Eligible for admission to Grade________________ Eligible for admission to Grade________________
Descriptors Grading Scale Remarks
Outstanding 90- 100 Passed
Very Satisfactory 85 - 89 Passed
Satisfactory 80 - 84 Passed
Fairly Satisfactory 75 - 79 Passed
Did Not Meet Expectations Below 75 Failed
 ublika ng Pilipinas
waran ng Edukasyon
EDUKASYONG ELEMENTARYA
Rehiyon VI
ANGAY NG CAPIZ

N SA MABABANG PAARALAN
School Permanent Record)

MAHABANG SAPA PRIMARY SCHOOL

Date of
Entrance

DAYCARE WORKER
(Hanapbuhay)
(Occupation)

MABABANG PAARALAN
School Permanent Record)

Grade II - School: MAHABANG SAPA PRIMARY SCHOOL

School Year: 2013-2014
Final
Rating

Eligible for admission to Grade_______

Grade IV - School: MAHABANG SAPA PRIMARY SCHOOL

School Year: 2015-2016
Final
Rating

Eligible for admission to Grade________________

Grade VI - School: ___________________________________________

School Year: __________________________________________
Final
Rating
Eligible for admission to Grade________________
MAHABANG SAPA PRIMARY SCHOOL
III. LEARNER'S OBSERVED VALUES
Grade I- S.Y ________ Grade II- S.Y ________ Grade III- S.Y 2015-16
Core Values Behavior Statements Quarter Quarter Quarter
1 2 3 4 1 2 3 4 1 2 3 4
Expresses one's spiritual beliefs while respecting
1. Maka- the spiritual belief's of others
Diyos Shows adherence to ethical principles by upholding
truth
Is sensitive to individual, social, and cultural
differences
2. Makatao
Demonstratescontributions toward solidarity

3. Maka Cares for the environment and utilizes resources

kalikasan wisely, judiciously, and economically
Demonstrates pride in being a Filipino exercises
4. Maka the rights and responsibilities of a Filipino citizen
bansa Demonstrates appropriate behavior in carrying out
activities in the school, community, and country

Grade IV- S.Y ________ Grade V- S.Y ________ Grade VI- S.Y ________
Core Values Behavior Statements Quarter Quarter Quarter
1 2 3 4 1 2 3 4 1 2 3 4
Expresses one's spiritual beliefs while respecting
1. Maka- the spiritual belief's of others
Diyos
Shows adherence to ethical principles by upholding
truth
Is sensitive to individual, social, and cultural
differences
2. Makatao
Demonstratescontributions toward solidarity

3. Maka Cares for the environment and utilizes resources

kalikasan wisely, judiciously, and economically
Demonstrates pride in being a Filipino exercises
4. Maka the rights and responsibilities of a Filipino citizen
bansa Demonstrates appropriate behavior in carrying out
activities in the school, community, and country

Marking Non-numerical Rating

AO Always Observed
SO Sometimes Observed
RO Rarely Observed
NO Not Observed

IV. ATTENDANCE RECORD

No. of School No. of School No. of School Days
Grade Cause No. of Times Tardy Cause
Days Days Absent Present
I
II
III
IV
V
VI

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 ______________________________.

He/She is eligible for transfer and admission to Grade/Year ______________________.

Principal/School Head