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FORM 137 E Front

This document is a sample permanent record form for an elementary school student in the Philippines. It contains fields for the student's personal information like name, birthdate, address and parent/guardian details. It also tracks the student's progress through grades 1 to 6, with sections to record periodic and final ratings in various learning areas as well as remarks and signatures from advisers. It is used to document a student's full elementary education history and determine eligibility to advance to the next grade.

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Caroline Salvador Vivas
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643 views1 page

FORM 137 E Front

This document is a sample permanent record form for an elementary school student in the Philippines. It contains fields for the student's personal information like name, birthdate, address and parent/guardian details. It also tracks the student's progress through grades 1 to 6, with sections to record periodic and final ratings in various learning areas as well as remarks and signatures from advisers. It is used to document a student's full elementary education history and determine eligibility to advance to the next grade.

Uploaded by

Caroline Salvador Vivas
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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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) SANGAY NG NUEVA ECIJA (Division of Nueva Ecija)

PALAGIANG TALAAN SA PAARALANG ELEMENTARYA


(ELEMENTARY SCHOOL PERMANENT RECORD) I.Pangalan (Name)

LRN: 105228110017

Buan,
Apelyido

Mark Jason
Unang Pangalan M.I

Sangay__Nueva (Division) Pook (Place)

Ecija

Paaralan (School)

San Vicente Elementary School__ June 4, 2012_____ None_____


Hanapbuhay
(Occupation)

Kasarian__M__ Petsa ng Kapanganakan (Sex) (Date of Birth) Magulang/Tagapag-alaga

10-05-06

Manila
Bayan/Lungsod/Lalawigan

Petsa ng Pagpasok (Date of Entrance)

Shiela A. Buan__
Pangalan
(Name)

__San Vicente, Cabiao,Nueva Ecija____


Tirahan
(Address)

Kindergarten-SY _____________ 1st 2nd 3rd 4th Final Assessment Moving up to Grade I REMARKS

DEVELOPMENTAL DOMAIN PHYSICAL MOTOR PERSONAL-SOCIAL DEVELOPMENT AFFECTIVE DEVELOPMENT COGNITIVE DEVELOPMENT NUMERACY SENSORY-PERCEPTUAL

PAG-UNLAD SA PAARALANG ELEMENTARYA


(ELEMENTARY SCHOOL PROGRESS) Grade I-School: San Vicente Elementary School School year_______2012-2013_______ Periodic Rating Learning Areas 1 2 3 Mother Tongue Filipino English Mathematics Araling Panlipunan MAPEH Music Art Physical Education Health
Edukasyon sa Pagpapakatao

Final Rating

Remarks

Grade II-School_____________________________________ School year_______________________ Periodic Rating Final Learning Areas Rating Remarks 1 2 3 4

E-06-04-12 L- 03-22-13 GENERAL AVERAGE Signature of Adviser__________________________ Eligible for Admission to Grade ___Two__________ Grade III-School_____________________________________ School year_______________________ Periodic Rating Final Learning Areas Rating Remarks 1 2 3 4

AVERAGE Signature of Adviser__________________________ Eligible for Admission to Grade _________________ Grade IV-School_____________________________________ School year_______________________ Periodic Rating Final Learning Areas Rating Remarks 1 2 3 4

GENERAL AVERAGE Signature of Adviser_________________________ Eligible for Admission to Grade ________________ Grade V-School_____________________________________ School year_______________________ Periodic Rating Final Learning Areas Rating Remarks 1 2 3 4

GENERAL AVERAGE Signature of Adviser__________________________ Eligible for Admission to Grade_________________ Grade VI-School_____________________________________ School year_______________________ Periodic Rating Final Learning Areas Rating Remarks 1 2 3 4

GENERAL AVERAGE Signature of Adviser__________________________ Eligible for Admission to Grade ________________

GENERAL AVERAGE Signature of Adviser__________________________ Eligible for Admission to Grade _________________

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