Form 137 Final137

REPORT ON LEARNER'S OBSERVED VALUES
CORE VALUES
1. MAKADIYOS
Gr.: One Sch. Yr.:__________
BEHAVIORAL STATEMENTS
Gr.:_____ Sch. Yr.: ______

1
Expressing one's spiritual beliefs while respecting the

spiritual beliefs of others.
Shows adherence to ethical principles by upholding truth
2. MAKATAO
Is sensitive to individual, social and cultural differences

Demonstrates contributions toward solidarity
3. MAKAKALIKASAN
4. MAKABANSA
Cares for the environment and utilizes resources wisely,

judiciously, and economically
Demonstrates pride in being a Filipino; exercises the
rights and responsibilities of a Filipino citizen
Demonstrates appropriate behavior in carrying out
activities in the school, community, and country
Gr.: _____ Sch. Yr.:__________
CORE VALUES
1. MAKADIYOS
BEHAVIORAL STATEMENTS
Gr.:_____ Sch. Yr.: ______

1
Expressing one's spiritual beliefs while respecting the

spiritual beliefs of others.
Shows adherence to ethical principles by upholding truth
2. MAKATAO
Is sensitive to individual, social and cultural differences

Demonstrates contributions toward solidarity
3. MAKAKALIKASAN
4. MAKABANSA
Cares for the environment and utilizes resources wisely,

judiciously, and economically
Demonstrates pride in being a Filipino; exercises the
rights and responsibilities of a Filipino citizen
Demonstrates appropriate behavior in carrying out
activities in the school, community, and country
Marking
AO
SO
RO
NO
Non-numerical
Always Observed
Sometimes Observed
Rarely Observed
Not Obseved
III. ATTENDANCE RECORD

Grade
No. of School Days
No. of School Days

Absent
Cause
No. of School Days

Tardy
Cause
Yrs. in Grade
1
2
3
4
5
6
CERTIFICATE OF TRANSFER
TO WHOM IT MAY CONCERN
This is to certify that this is a true record/ Elementary School Permanent Record of ___________________.
He/ She is eligible to transfer and admission to Grade ________.
_________________________________
Signature
________________________
Date
_________________________________
Designation
EARNER'S OBSERVED VALUES

Gr.:_____ Sch. Yr.: _____
1
Gr.:_____ Sch. Yr.: _____

1
Yrs. in Grade
No. of School Days Present
TIFICATE OF TRANSFER
_____________________________________
Signature
_____________________________________
Designation
Republic of the Philippines
DepED Form 137-E
Department of Education
Region VII, Central Visayas
DIVISION OF CEBU CITY
ELEMENTARY SCHOOL PERMANENT RECORD

I. Name:________________________________________________ Division: Cebu City
(Last Name)
(First Name)
School: Barrio Luz Elem Sch
(Middle Name)
Sex: _________________ Date of Birth: ______________________________ Place of Birth: ________________________

Date of Entrance: ______________ Parent / Guardian: _____________________, _________________, _______________
(Name)
LRN: _______________________________
(Address)
ELEMENTARY SCHOOL PROGRESS

II.
Grade I School: Barrio Luz Elem. School
School Year :___________________
Date Enrolled : ___________________
QUARTER
Learning Areas
1
2
3
English
Filipino
Mathematics
Science
Date Left: _________

Final
Remarks
4
Grade
Araling Panlipunan
Grade II School: ___________________

School Year : ___________________
Date Enrolled : ___________________
Learning Areas
English
Filipino
Mathematics
Science
Date Left: ________

QUARTER
2
3
Araling Panlipunan
ESP
EPP
Mother Tongue
MAPEH
Music
Arts
PE
Health
ESP
EPP
Mother Tongue
MAPEH
Music
Arts
PE
Health
Average
General Average . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _______
Eligible for Admission to Grade ________
Teacher: ____________________________
Average
General Average . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _______
Teacher__________________________
Grade III School: Barrio Luz Elem. School

School Year :___________________
Date Enrolled : ___________________
QUARTER
Learning Areas
1
2
3
Grade IV School: ___________________

School Year : ___________________
Date Enrolled : ___________________
QUARTER
Learning Areas
1
2
3
English
Filipino
Mathematics
Science

Final
Remarks
4
Grade
Araling Panlipunan
English
Filipino
Mathematics
Science
Date Left: ________

4
Araling Panlipunan
ESP
EPP
Mother Tongue
MAPEH
Music
Arts
PE
Health
ESP
EPP
MAPEH
Music
Arts
PE
Health
Average
General Average . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _______
Teacher: ____________________________
Average
General Average . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _______
Teacher__________________________
Grade V School: Barrio Luz Elem. School

School Year :___________________
Date Enrolled : ___________________
QUARTER
Learning Areas
1
2
3
Grade VI School: ___________________

School Year : ___________________
Date Enrolled : ___________________
QUARTER
Learning Areas
1
2
3
English
Filipino
Mathematics
Science

Final
Remarks
4
Grade
Araling Panlipunan
ESP
EPP
MAPEH
Music
Arts
PE
Health
Average
General Average . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _______
English
Filipino
Mathematics
Science
Date Left: ________

4
Araling Panlipunan
ESP
EPP
MAPEH
Music
Arts
PE
Health
Average
General Average . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _______

Teacher: ____________________________

Teacher__________________________
ORD
School: Barrio Luz Elem Sch
(Occupation)

Final
Remarks
Grade
. . . . . . . . . . . . . . . . . . . . . . . . . . _______

Final
Remarks
Grade
. . . . . . . . . . . . . . . . . . . . . . . . . . _______

Final
Remarks
Grade
. . . . . . . . . . . . . . . . . . . . . . . . . . _______
CHARACTER BUILDING ACTIVITIES

PERSONAL TRAITS
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
Honesty
Courtesy
Helpfulness and Cooperation
Resourcefulness and Creativity
Consideration for others
Sportsmanship
Obedience
Self-Reliance
Industry
Cleanliness and Orderliness
Promptness and Punctuality
Sense of Responsibility
Love of God
14.
Patriotism/ Love of Country
Gr.: One Sch. Yr.:__________

1
FR
Gr.:_____ Sch. Yr.: ______

1
Gr.:_____ S
FR
AVERAGE
PERSONAL TRAITS
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
Honesty
Courtesy
Helpfulness and Cooperation
Resourcefulness and Creativity
Consideration for others
Sportsmanship
Obedience
Self-Reliance
Industry
Cleanliness and Orderliness
Promptness and Punctuality
Sense of Responsibility
Love of God
14.
Patriotism/ Love of Country
Gr.:_____ Sch. Yr.: ______

1
Gr.:_____ Sch. Yr.: ______

FR
Gr.:_____ S
FR
AVERAGE
Guidelines for Rating:
A - Outstanding
B - Very Good
C - Good
D - Fair
III. ATTENDANCE RECORD

Grade
No. of School Days
No. of School Days

Absent
Cause
No. of Times
Tardy
1
2
3
4
5
6
CERTIFICATE OF TRANSFER
Cause
Yrs. in Grade
TO WHOM IT MAY CONCERN

This is to certify that this is a true record/ Elementary School Permanent Record of ___________________.
He/ She is eligible to transfer and admission to Grade ________.
________________________
Date
_______________________________
Signature
_______________________________
Designation
TIFICATE OF TRANSFER
Gr.:_____ Sch. Yr.: ______

2
FR
Gr.:_____ Sch. Yr.: ______

2
FR
E - Poor
Yrs. in Grade
No. of School Days

Present
Signature
Designation

Form 137 Final137

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REPORT ON LEARNER'S OBSERVED VALUES

Gr.: One Sch. Yr.:__________

Gr.:_____ Sch. Yr.: ______

Expressing one's spiritual beliefs while respecting the

Shows adherence to ethical principles by upholding truth

Is sensitive to individual, social and cultural differences

Cares for the environment and utilizes resources wisely,

Gr.:_____ Sch. Yr.: ______

Expressing one's spiritual beliefs while respecting the

Shows adherence to ethical principles by upholding truth

Is sensitive to individual, social and cultural differences

Cares for the environment and utilizes resources wisely,

III. ATTENDANCE RECORD

No. of School Days

No. of School Days

No. of School Days

EARNER'S OBSERVED VALUES

Gr.:_____ Sch. Yr.: _____

No. of School Days Present

Republic of the Philippines

DepED Form 137-E

ELEMENTARY SCHOOL PERMANENT RECORD

School: Barrio Luz Elem Sch

Sex: _________________ Date of Birth: ______________________________ Place of Birth: ________________________

ELEMENTARY SCHOOL PROGRESS

Date Left: _________

Grade II School: ___________________

Date Left: ________

Grade III School: Barrio Luz Elem. School

Grade IV School: ___________________

Date Left: _________

Date Left: ________

Grade V School: Barrio Luz Elem. School

Grade VI School: ___________________

Date Left: _________

Date Left: ________

Eligible for Admission to Grade ________

Eligible for Admission to Grade ________

Date Left: _________

Date Left: _________

Date Left: _________

CHARACTER BUILDING ACTIVITIES

Patriotism/ Love of Country

Gr.: One Sch. Yr.:__________

Gr.:_____ Sch. Yr.: ______

Patriotism/ Love of Country

Gr.:_____ Sch. Yr.: ______

Gr.:_____ Sch. Yr.: ______

III. ATTENDANCE RECORD

No. of School Days

No. of School Days

TO WHOM IT MAY CONCERN

He/ She is eligible to transfer and admission to Grade ________.

Gr.:_____ Sch. Yr.: ______

Gr.:_____ Sch. Yr.: ______

No. of School Days

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Sex: _ Date of Birth: Place of Birth: __________

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