DepEd Form 137-E Republika ng Pilipinas LRN #106661100008

(Republic of the Philippines)

Kagawaran ng Edukasyon
(Department of Education)
KAWANIHAN NG EDUKASYONG ELEMENTARYA
Rehiyon III
(Region III)

PALAGIANG TALAAN SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PERMANENT RECORD)

1. Pangalan: BAUTISTA, DEXTER D. Sangay: Tarlac Paaralan: San Manuel E/S

(Name) Apelyido Unang Pangalan M.I (Division) (School)

Kasarian M Petsa ng Kapanganakan: 10 26 - 05 Pook: San Manuel, Tarlac Petsa ng Pagpasok: 06 06 11

(Sex) (Date of Birth) (Place) Bayan/Lalawigan/Lungsod ( Date of Entrance)
(Town/Province/City)

Magulang/Tagapag-alaga: G. at Gng. Ronald Bautista Lanat, San Manuel, Tarlac Magsasaka

Pangalan Tirahan Hanapbuhay
(Name) (Address) (Occupation)

PAG-UNLAD SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PROGRESS)

Grade I School: San Manuel Elementary Grade II School: San Manuel Elementary
School Year: 2011- 2012 School Year: 2012 - 2013
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino 75 76 77 78 77 Filipino 77 78 78 79 78
English 75 75 76 77 76 English 77 77 78 79 78
Mathematics 75 75 76 77 76 Mathematics 77 77 78 78 78
PROMOTED

PROMOTED
Makabayan 75 76 77 78 77 Makabayan 77 77 78 78 78
*HKS 75 75 76 77 *HKS 77 77 78 78
*Character Educ. 75 76 78 79 *Character Educ. 77 77 78 78

General Average 76.5 General Average 78

Eligibility for Admission to Grade: Two Eligibility for Admission to Grade: Three
Signature of Adviser: Signature of Adviser:

Grade III School: San Manuel Elementary Grade IV School: San Manuel Elementary
School Year 2013- 2014 School Year: 2014 - 2015
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino 78 80 80 80 80 Filipino 79 81 82 82 81
English 78 79 80 80 79 English 80 80 82 82 81
Elem.Mathematics 78 79 80 80 79 Elem.Mathematics 80 81 81 82 81
Science & Health 77 78 78 80 78 Science & Health 78 79 80 81 80
PROMOTED

PROMOTED

Makabayan 79 81 81 82 81 Makabayan 80 81 82 83 82
*HKS 77 79 80 81 * HKS 79 80 81 81
*Character Educ. 80 82 82 82 . EPP 80 80 82 83
.MAPE 80 81 83 83
.Character Educ. 81 82 83 83

General Average 79.40 General Average 81

Eligibility for Admission to Grade: Four Eligibility for Admission to Grade: Five
Signature of Adviser: Signature of Adviser:

Grade V School: San Manuel Elementary Grade VI School: San Manuel Elementary
School Year: 2015 - 2016 School Year: 2016- 2017
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino 80 81 82 83 82 Filipino 81 82 83 85 83
English 79 79 80 80 80 English 79 80 81 82 81
Mathematics 79 80 81 81 80 Mathematics 81 82 83 84 83
Science and Health 78 79 80 80 79 Science and Health 79 80 81 82 81
PROMOTED

PROMOTED

Makabayan 81 82 82 83 82 Makabayan 82 84 85 86 84
. HKS 80 81 82 82 . HKS 80 82 83 84
.EPP 81 82 82 83 .EPP 82 83 84 86
.MAPE 79 80 80 81 .MAPE 82 84 85 86
.Character Educ. 82 83 85 86 .Character Educ. 83 85 86 88
80.60 82.40
General Average General Average
Eligibility for Admission to Grade: Six Eligibility for Admission to Grade: Seven
Signature of Adviser: Signature of Adviser:
III. CHARACTER BUILDING

Gr. I Sch. Yr. 2011 - 2012 Gr. II Sch. Yr. 2012- 2013 Gr. III Sch. Yr. 2013 - 2014
1 2 3 4 F.R 1 2 3 4 F.R 1 2 3 4 F.R
1.Honestly D D D D D D D D D D D D D D D
2.Courtesy D D D D D D D D D D D D D D D
3.Helpfulness & Cooperation D D D D D D D D D D D D D D D
4.Obedience D D D D D D D D D D D D D D D
5.Consideration For Others D D D D D D D D D D D D D D D
6.Sportmanship D D D D D D D D D D D D D D D
7.Love Of Country D D D D D D D D D D D D D D D
8.Self Reliance D D D D D D D D D D D D D D D
9.Industry D D D D D D D D D D D D D D D
10.Cleanliness & Orderliness D D D D D D D D D D D D D D D
11.Resourcefulnes and Creativity D D D D D D D D D D D D D D D
12.Prompteness and Punctuality D D D D D D D D D D D D D D D
13.Sense of Responsibility D D D D D D D D D D D D D D D
14.Love of God D D D D D D D D D D D D D D D

Gr. IV Sch. Yr. 2014 - 2015 Gr. V Sch. Yr. 2015 - 2016 Gr. VI Sch. Yr.
1 2 3 4 F.R 1 2 3 4 F.R 1 2 3 4 F.R
1.Honestly D D C C C D C C C C
2.Courtesy D C C C C D C C C C
3.Helpfulness & Cooperation D C C C C D C C C C
4.Obedience D C C C C D C C C C
5.Consideration For Others D D D D D D C C C C
6.Sportmanship D D D D D D C C C C
7.Love Of Country D C C C C D C C C C
8.Self Reliance D D D D D D C C C C
9.Industry D C C C C D C C C C
10.Cleanliness & Orderliness D D D D D D C C C C
11.Resourcefulnes and Creativity D D D D D D C C C C
12.Prompteness and Punctuality D D C C C D C C C C
13.Sense of Responsibility D D C C C D C C C C
14.Love of God D D C C C D C C C C

A Outstanding C Satisfactory
B Very Satisfactory D Needs Improvement

IV. ATTENDANCE RECORD

Grade No. of No. of School Days Cause No. of Cause No. of School Days
School Days Absent Times Present
Tardy
I 202 1 sick 0 201
II 200 2 sickness 0 198
III 201 0 0 201
IV 201 0 0 201
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 DEXTER D. BAUTISTA . He /She is eligible for
transfer and admission to SEVEN.

______________________
Signature
______________________ ______________________
Date Designation
DepEd Form 137-E Republika ng Pilipinas LRN # 1066611000012
(Republic of the Philippines)
Kagawaran ng Edukasyon
(Department of Education)
KAWANIHAN NG EDUKASYONG ELEMENTARYA
Rehiyon III
(Region III)

PALAGIANG TALAAN SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PERMANENT RECORD)

1. Pangalan: CABALSE, ADRIAN L. Sangay: Tarlac Paaralan: San Manuel E/S

(Name) Apelyido Unang Pangalan M.I (Division) (School)

Kasarian M Petsa ng Kapanganakan: 03 16 - 04 Pook: San Manuel, Tarlac Petsa ng Pagpasok: 06 06 11

(Sex) (Date of Birth) (Place) Bayan/Lalawigan/Lungsod ( Date of Entrance)
(Town/Province/City)

Magulang/Tagapag-alaga: G. at Gng. Moises Cabalse Lanat, San Manuel, Tarlac Magsasaka

Pangalan Tirahan Hanapbuhay
(Name) (Address) (Occupation)

PAG-UNLAD SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PROGRESS)

Grade I School: San Manuel Elementary Grade II School: San Manuel Elementary
School Year: 2011- 2012 School Year: 2012 - 2013
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino 75 76 77 77 77 Filipino 75 75 75 75 75
English 75 75 76 76 76 English 75 75 75 75 75
Mathematics 75 75 76 76 76 Mathematics 75 75 75 75 75
PROMOTED

PROMOTED
Makabayan 75 75 76 76 76 Makabayan 75 75 75 75 75
*HKS 75 75 76 76 *HKS 75 75 75 75 75
*Character Educ. 75 75 76 76 *Character Educ. 75 75 75 75 75

General Average 76.25 General Average 75

Eligibility for Admission to Grade: Two Eligibility for Admission to Grade: Three
Signature of Adviser: Signature of Adviser:

Grade III School: San Manuel Elementary Grade IV School: San Manuel Elementary
School Year 2013- 2014 School Year: 2014 - 2015
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino 77 78 79 80 79 Filipino 78 80 81 81 80
English 77 79 80 80 79 English 78 79 80 81 80
Elem.Mathematics 78 79 79 80 79 Elem.Mathematics 79 80 81 81 80
Science & Health 76 77 77 79 77 Science & Health 77 79 80 81 79
PROMOTED

PROMOTED

Makabayan 80 81 82 80 81 Makabayan 81 82 83 83 82
*HKS 77 78 78 78 * HKS 80 81 82 82
*Character Educ. 83 84 85 85 . EPP 81 83 84 84
.MAPE 79 80 83 83
.Character Educ. 82 83 84 84

General Average 79.00 General Average 80.20

Eligibility for Admission to Grade: Four Eligibility for Admission to Grade: Five
Signature of Adviser: Signature of Adviser:

Grade V School: San Manuel Elementary Grade VI School: San Manuel Elementary
School Year: 2015 - 2016 School Year: 2016-2017
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino 79 80 80 81 80 Filipino 77 78 79 80 79
English 78 79 79 80 79 English 75 76 77 78 77
Mathematics 78 79 80 80 79 Mathematics 79 79 80 81 80
Science and Health 78 79 79 79 79 Science and Health 76 77 78 79 78
PROMOTED

PROMOTED

Makabayan 79 80 81 82 81 Makabayan 81 82 83 84 83
. HKS 79 80 81 81 . HKS 77 78 79 80
.EPP 79 80 81 81 .EPP 83 85 86 88
.MAPE 78 79 79 80 .MAPE 80 81 82 83
.Character Educ. 81 82 83 85 .Character Educ. 82 84 85 86
79.60
General Average General Average 79.40
Eligibility for Admission to Grade: Six Eligibility for Admission to Grade: Seven
Signature of Adviser: Signature of Adviser:
III. CHARACTER BUILDING

Gr. I Sch. Yr. 2011 - 2012 Gr. II Sch. Yr. 2012- 2013 Gr. III Sch. Yr. 2013 - 2014
1 2 3 4 F.R 1 2 3 4 F.R 1 2 3 4 F.R
1.Honestly E E D D D E E E E E C C C C C
2.Courtesy E E D D D E E E E E C C C C C
3.Helpfulness & Cooperation E E D D D D D D C D C C C C C
4.Obedience E E D D D E E E E E C C C C C
5.Consideration For Others E E D D D E E E E E C C C C C
6.Sportmanship E E D D D E E E E E C C C C C
7.Love Of Country E E D D D E E E E E C C C C C
8.Self Reliance E E D D D E E E E E C C C C C
9.Industry E E D D D E E E E E C C C C C
10.Cleanliness & Orderliness E E D D D E E E E E C C C C C
11.Resourcefulnes and Creativity E E D D D E E E E E C C C C C
12.Prompteness and Punctuality E E D D D E E E E E C C C C C
13.Sense of Responsibility E E D D D E E E E E C C C C C
14.Love of God E E D D D E E E E E C C C C C

Gr. IV Sch. Yr. 2014 - 2015 Gr. V Sch. Yr. 2015 - 2016 Gr. VI Sch. Yr.
1 2 3 4 F.R 1 2 3 4 F.R 1 2 3 4 F.R
1.Honestly D C C C C D D C C C
2.Courtesy C C C C C D D C C C
3.Helpfulness & Cooperation C C C C C D D C C C
4.Obedience C C C C C D D C C C
5.Consideration For Others D D D D D D D C C C
6.Sportmanship D D D D D D D C C C
7.Love Of Country D C C C C D D C C C
8.Self Reliance D D C C C D D C C C
9.Industry C C C C C D D C C C
10.Cleanliness & Orderliness C C C C C D D C C C
11.Resourcefulnes and Creativity D D D D D D D C C C
12.Prompteness and Punctuality D D D D D D D C C C
13.Sense of Responsibility C C C C C D D C C C
14.Love of God D D D D D D D C C C

A Outstanding C Satisfactory
B Very Satisfactory D Needs Improvement

IV. ATTENDANCE RECORD

Grade No. of No. of School Days Cause No. of Cause No. of School Days
School Days Absent Times Present
Tardy
I 202 1 toothache 0 201
II 200 3 sickness 0 197
III 201 4 sickness 0 197
IV 201 5 headache 0 196
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 ___________________________ .He /She is
eligible for transfer and admission to _______________.

______________________
Signature
______________________ ______________________
Date Designation
DepEd Form 137-E Republika ng Pilipinas LRN # 106661090016
(Republic of the Philippines)
Kagawaran ng Edukasyon
(Department of Education)
KAWANIHAN NG EDUKASYONG ELEMENTARYA
Rehiyon III
(Region III)

PALAGIANG TALAAN SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PERMANENT RECORD)

1. Pangalan: CASTILLO, RICHARD J. Sangay: Tarlac Paaralan: San Manuel E/S

(Name) Apelyido Unang Pangalan M.I (Division) (School)

Kasarian M Petsa ng Kapanganakan: 1 02 - 03 Pook: San Manuel, Tarlac Petsa ng Pagpasok: 06 06 11

(Sex) (Date of Birth) (Place) Bayan/Lalawigan/Lungsod ( Date of Entrance)
(Town/Province/City)

Magulang/Tagapag-alaga: G. at Gng. Gilberto Castillo Lanat, San Manuel, Tarlac Magsasaka

Pangalan Tirahan Hanapbuhay
(Name) (Address) (Occupation)

PAG-UNLAD SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PROGRESS)

Grade I School: San Manuel Elementary Grade II School: San Manuel Elementary
School Year: 2011- 2012 School Year: 2012 - 2013
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino 75 75 75 75 75 Filipino 75 75 75 75 75
English 75 75 75 75 75 English 75 75 75 75 75
Mathematics 75 75 75 75 75 Mathematics 75 75 75 75 75
PROMOTED

PROMOTED
Makabayan 75 75 75 75 75 Makabayan 75 75 75 75 75
*HKS 75 75 75 75 *HKS 75 75 75 75
*Character Educ. 75 75 75 75 *Character Educ. 75 75 75 75

General Average 75 General Average 75

Eligibility for Admission to Grade: Two Eligibility for Admission to Grade: Three
Signature of Adviser: Signature of Adviser:

Grade III School: San Manuel Elementary Grade IV School: San Manuel Elementary
School Year 2013- 2014 School Year: 2014 - 2015
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino 75 76 76 77 76 Filipino 75 75 76 76 76
English 75 75 75 75 75 English 75 75 76 76 76
Elem.Mathematics 75 75 76 75 75 Elem.Mathematics 76 76 77 77 77
Science & Health 75 75 75 75 75 Science & Health 76 76 77 77 77
PROMOTED

PROMOTED

Makabayan 78 80 80 81 80 Makabayan 78 79 81 81 80
*HKS 76 77 78 79 * HKS 76 77 79 79
*Character Educ. 80 82 81 82 . EPP 78 80 83 83
.MAPE 78 78 80 80
.Character Educ. 80 81 83 83

General Average 76.20 General Average 77.20

Eligibility for Admission to Grade: Four Eligibility for Admission to Grade: Five
Signature of Adviser: Signature of Adviser:

Grade V School: San Manuel Elementary Grade VI School:

School Year: 2015 - 2016 School Year:
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino Filipino
English English
Mathematics Mathematics
Science and Health Science and Health
PROMOTED

PROMOTED

Makabayan Makabayan
. HKS . HKS
.EPP .EPP
.MAPE .MAPE
.Character Educ. .Character Educ.

General Average General Average

Eligibility for Admission to Grade: Six Eligibility for Admission to Grade:
Signature of Adviser: Signature of Adviser:
III. CHARACTER BUILDING

Gr. I Sch. Yr. 2011 - 2012 Gr. II Sch. Yr. 2012- 2013 Gr. III Sch. Yr. 2013 - 2014
1 2 3 4 F.R 1 2 3 4 F.R 1 2 3 4 F.R
1.Honestly E E E E E E E E E E D D D D D
2.Courtesy E E E E E E E E E E D D D D D
3.Helpfulness & Cooperation E E E E E D C C C C D D D D D
4.Obedience E E E E E D C C C C D D D D D
5.Consideration For Others E E E E E E E E E E D D D D D
6.Sportmanship E E E E E E E E E E D D D D D
7.Love Of Country E E E E E E E E E E D D D D D
8.Self Reliance E E E E E E E E E E D D D D D
9.Industry E E E E E E E E E E D D D D D
10.Cleanliness & Orderliness E E E E E E E E E E D D D D D
11.Resourcefulnes and Creativity E E E E E E E E E E D D D D D
12.Prompteness and Punctuality E E E E E E E E E E D D D D D
13.Sense of Responsibility E E E E E E E E E E D D D D D
14.Love of God E E E E E E E E E E D D D D D

Gr. IV Sch. Yr. 2014 - 2015 Gr. V Sch. Yr. 2015 - 2016 Gr. VI Sch. Yr.
1 2 3 4 F.R 1 2 3 4 F.R 1 2 3 4 F.R
1.Honestly D D C C C
2.Courtesy D C C C C
3.Helpfulness & Cooperation D C C C C
4.Obedience D C C C C
5.Consideration For Others D D C C C
6.Sportmanship D C C C C
7.Love Of Country D D D D D
8.Self Reliance D D D D D
9.Industry D C C C C
10.Cleanliness & Orderliness D D C C C
11.Resourcefulnes and Creativity D D D D D
12.Prompteness and Punctuality D D D D D
13.Sense of Responsibility D D D D D
14.Love of God D D D D D

D
A Outstanding C Satisfactory
B Very Satisfactory D Needs Improvement

IV. ATTENDANCE RECORD

Grade No. of No. of School Days Cause No. of Cause No. of School Days
School Days Absent Times Present
Tardy
I 202 2 sickness 0 200
II 200 3 fever 0 197
III 201 3 sickness 0 198
IV 201 2 sickness 0 199
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 ___________________________ .He /She is
eligible for transfer and admission to _______________.

______________________
Signature
______________________ ______________________
Date Designation
DepEd Form 137-E Republika ng Pilipinas LRN # 106661090021
(Republic of the Philippines)
Kagawaran ng Edukasyon
(Department of Education)
KAWANIHAN NG EDUKASYONG ELEMENTARYA
Rehiyon III
(Region III)

PALAGIANG TALAAN SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PERMANENT RECORD)

1. Pangalan: DE GUZMAN, WARREN D Sangay: Tarlac Paaralan: San Manuel E/S

(Name) Apelyido Unang Pangalan M.I (Division) (School)

Kasarian M Petsa ng Kapanganakan: 4 22 - 04 Pook: San Manuel, Tarlac Petsa ng Pagpasok: 06 06 11

(Sex) (Date of Birth) (Place) Bayan/Lalawigan/Lungsod ( Date of Entrance)
(Town/Province/City)

Magulang/Tagapag-alaga: G. at Gng. Willy De Guzman Lanat, San Manuel, Tarlac Magsasaka

Pangalan Tirahan Hanapbuhay
(Name) (Address) (Occupation)

PAG-UNLAD SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PROGRESS)

Grade I School: San Manuel Elementary Grade II School: San Manuel Elementary
School Year: 2011- 2012 School Year: 2012 - 2013
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino 76 76 77 77 77 Filipino 75 76 77 78 77
English 75 75 76 76 76 English 75 75 76 77 76
Mathematics 76 76 77 77 77 Mathematics 75 75 76 77 76
PROMOTED

PROMOTED
Makabayan 76 76 77 77 77 Makabayan 75 76 77 78 77
*HKS 76 76 77 77 *HKS 75 75 76 77
*Character Educ. 76 76 77 77 *Character Educ. 75 76 78 79

General Average 76.75 General Average 76.5

Eligibility for Admission to Grade: Two Eligibility for Admission to Grade: Three
Signature of Adviser: Signature of Adviser:

Grade III School: San Manuel Elementary Grade IV School: San Manuel Elementary
School Year 2013- 2014 School Year: 2014 - 2015
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino 77 78 79 79 78 Filipino 77 79 80 80 79
English 77 77 77 78 77 English 77 78 80 80 79
Elem.Mathematics 78 78 79 79 79 Elem.Mathematics 77 78 79 80 79
Science & Health 77 77 78 78 78 Science & Health 77 78 79 80 79
PROMOTED

PROMOTED

Makabayan 80 80 82 82 81 Makabayan 79 81 82 82 81
*HKS 77 78 79 80 * HKS 77 78 80 80
*Character Educ. 83 83 84 84 . EPP 80 82 83 83
.MAPE 79 80 82 82
.Character Educ. 81 83 84 84

General Average 78.60 General Average 79.40

Eligibility for Admission to Grade: Four Eligibility for Admission to Grade: Five
Signature of Adviser: Signature of Adviser:

Grade V School: San Manuel Elementary Grade VI School:

School Year: 2015 - 2016 School Year:
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino Filipino
English English
Mathematics Mathematics
Science and Health Science and Health
PROMOTED

PROMOTED

Makabayan Makabayan
. HKS . HKS
.EPP .EPP
.MAPE .MAPE
.Character Educ. .Character Educ.

General Average General Average

Eligibility for Admission to Grade: Six Eligibility for Admission to Grade:
Signature of Adviser: Signature of Adviser:
III. CHARACTER BUILDING

Gr. I Sch. Yr. 2011 - 2012 Gr. II Sch. Yr. 2012- 2013 Gr. III Sch. Yr. 2013 - 2014
1 2 3 4 F.R 1 2 3 4 F.R 1 2 3 4 F.R
1.Honestly D D D D D D D D D D C C C C C
2.Courtesy D D D D D D D D D D C C C C C
3.Helpfulness & Cooperation D D D D D D D D D D C C C C C
4.Obedience D D D D D D D D D D C C C C C
5.Consideration For Others D D D D D D D D D D C C C C C
6.Sportmanship D D D D D D D D D D C C C C C
7.Love Of Country D D D D D D D D D D C C C C C
8.Self Reliance D D D D D D D D D D C C C C C
9.Industry D D D D D D D D D D C C C C C
10.Cleanliness & Orderliness D D D D D D D D D D C C C C C
11.Resourcefulnes and Creativity D D D D D D D D D D C C C C C
12.Prompteness and Punctuality D D D D D D D D D D C C C C C
13.Sense of Responsibility D D D D D D D D D D C C C C C
14.Love of God D D D D D D D D D D C C C C C

Gr. IV Sch. Yr. 2014 - 2015 Gr. V Sch. Yr. 2015 - 2016 Gr. VI Sch. Yr.
1 2 3 4 F.R 1 2 3 4 F.R 1 2 3 4 F.R
1.Honestly D C C C C
2.Courtesy C C C C C
3.Helpfulness & Cooperation C C C C C
4.Obedience C C C C C
5.Consideration For Others D D C C C
6.Sportmanship D D C C C
7.Love Of Country D D C C C
8.Self Reliance D D C C C
9.Industry C C C C C
10.Cleanliness & Orderliness D C C C C
11.Resourcefulnes and Creativity D D D D D
12.Prompteness and Punctuality D D D D D
13.Sense of Responsibility D D D D D
14.Love of God D D D D D

A Outstanding C Satisfactory
B Very Satisfactory D Needs Improvement

IV. ATTENDANCE RECORD

Grade No. of No. of School Days Cause No. of Cause No. of School Days
School Days Absent Times Present
Tardy
I 202 2 sickness 0 200
II 200 4 sickness 0 196
III 201 2 fever 0 199
IV 201 3 fever 0 198
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 ___________________________ .He /She is
eligible for transfer and admission to _______________.

______________________
Signature
______________________ ______________________
Date Designation
DepEd Form 137-E Republika ng Pilipinas LRN # 106652100058
(Republic of the Philippines)
Kagawaran ng Edukasyon
(Department of Education)
KAWANIHAN NG EDUKASYONG ELEMENTARYA
Rehiyon III
(Region III)

PALAGIANG TALAAN SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PERMANENT RECORD)

1. Pangalan: MENDOZA, JOHN KENNETH J. Sangay: Tarlac Paaralan: San Manuel E/S
(Name) Apelyido Unang Pangalan M.I (Division) (School)

Kasarian M Petsa ng Kapanganakan: 3 01 - 05 Pook: San Manuel, Tarlac Petsa ng Pagpasok: 06 06 11

(Sex) (Date of Birth) (Place) Bayan/Lalawigan/Lungsod ( Date of Entrance)
(Town/Province/City)

Magulang/Tagapag-alaga: G. at Gng. Francis Mendoza Lanat, San Manuel, Tarlac laborer

Pangalan Tirahan Hanapbuhay
(Name) (Address) (Occupation)

PAG-UNLAD SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PROGRESS)

Grade I School: Gabaldon Central Elementary Grade II School: Gabaldon Central Elementary
School Year: 2011- 2012 School Year: 2012 - 2013
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
English 80 80 80 80 80 English 80 80 80 81 80
Mathematics 80 80 81 81 81 Mathematics 80 81 81 82 81
Filipino 80 80 81 81 81 Filipino 80 80 81 82 81
PROMOTED

PROMOTED
Makabayan 80 80 80 81 80 Makabayan 80 81 81 82 81

General Average 80.50 General Average 81

Eligibility for Admission to Grade: Two Eligibility for Admission to Grade: Three
Signature of Adviser: Signature of Adviser:

Grade III School: San Manuel Elementary Grade IV School: San Manuel Elementary
School Year 2013- 2014 School Year: 2014 - 2015
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino 76 78 79 80 78 Filipino 79 80 81 81 80
English 76 78 79 80 78 English 79 80 81 81 80
Elem.Mathematics 76 77 78 79 78 Elem.Mathematics 80 81 81 82 81
Science & Health 77 78 79 80 79 Science & Health 78 79 81 81 80
PROMOTED

PROMOTED

Makabayan 80 81 82 83 82 Makabayan 79 80 82 83 81
*HKS 76 78 78 79 * HKS 79 80 81 81
*Character Educ. 83 84 85 86 . EPP 79 80 82 83
.MAPE 78 79 83 83
.Character Educ. 80 81 83 83

General Average 79.00 General Average 80.40

Eligibility for Admission to Grade: Four Eligibility for Admission to Grade: Five
Signature of Adviser: Signature of Adviser:

Grade V School: San Manuel Elementary Grade VI School:

School Year: 2015 - 2016 School Year:
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino Filipino
English English
Mathematics Mathematics
Science and Health Science and Health
PROMOTED

PROMOTED

Makabayan Makabayan
. HKS . HKS
.EPP .EPP
.MAPE .MAPE
.Character Educ. .Character Educ.

General Average General Average

Eligibility for Admission to Grade: Six Eligibility for Admission to Grade:
Signature of Adviser: Signature of Adviser:
III. CHARACTER BUILDING

Gr. I Sch. Yr. 2011 - 2012 Gr. II Sch. Yr. 2012- 2013 Gr. III Sch. Yr. 2013 - 2014
1 2 3 4 F.R 1 2 3 4 F.R 1 2 3 4 F.R
1.Honestly C C C C C C C C C C C C C C C
2.Courtesy C C C C C C C C C C C C C C C
3.Helpfulness & Cooperation D D D D D D D D D D C C C C C
4.Obedience C C C C C C C C C C C C C C C
5.Consideration For Others D D D D D D D D D D C C C C C
6.Sportmanship C C C C C C C C C C C C C C C
7.Love Of Country C C C C C C C C C C C C C C C
8.Self Reliance C C C C C C C C C C C C C C C
9.Industry C C C C C C C C C C C C C C C
10.Cleanliness & Orderliness D D D D D D D D D D C C C C C
11.Resourcefulnes and Creativity D D D D D D D D D D C C C C C
12.Prompteness and Punctuality C C C C C C C C C C C C C C C
13.Sense of Responsibility C C C C C C C C C C C C C C C
14.Love of God C C C C C C C C C C C C C C C

Gr. IV Sch. Yr. 2014 - 2015 Gr. V Sch. Yr. 2015 - 2016 Gr. VI Sch. Yr.
1 2 3 4 F.R 1 2 3 4 F.R 1 2 3 4 F.R
1.Honestly C C C C C
2.Courtesy C C C C C
3.Helpfulness & Cooperation C C C C C
4.Obedience D D D D D
5.Consideration For Others D D D D D
6.Sportmanship D D D D D
7.Love Of Country D D D D D
8.Self Reliance C C C C C
9.Industry D C C C C
10.Cleanliness & Orderliness D D D D D
11.Resourcefulnes and Creativity D D D D D
12.Prompteness and Punctuality D D D D D
13.Sense of Responsibility D D D D D
14.Love of God D D D D D

A Outstanding C Satisfactory
B Very Satisfactory D Needs Improvement

IV. ATTENDANCE RECORD

Grade No. of No. of School Days Cause No. of Cause No. of School Days
School Days Absent Times Present
Tardy
I 202 3 sick 1 toothache 199
II 200 2 sick 0 198
III 201 2 fever 0 199
IV 201 1 headache 0 200
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 ___________________________ .He /She is
eligible for transfer and admission to _______________.

______________________
Signature
______________________ ______________________
Date Designation
DepEd Form 137-E Republika ng Pilipinas
(Republic of the Philippines)
Kagawaran ng Edukasyon
(Department of Education)
KAWANIHAN NG EDUKASYONG ELEMENTARYA
Rehiyon III
(Region III)

PALAGIANG TALAAN SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PERMANENT RECORD)

1. Pangalan: MERENCILLO, JUSTIN F. Sangay: Tarlac Paaralan: San Manuel E/S

(Name) Apelyido Unang Pangalan M.I (Division) (School)

Kasarian M Petsa ng Kapanganakan: 11 19 - 02 Pook: San Manuel, Tarlac Petsa ng Pagpasok: 06 01 09

(Sex) (Date of Birth) (Place) Bayan/Lalawigan/Lungsod ( Date of Entrance)
(Town/Province/City)

Magulang/Tagapag-alaga: G. at Gng. Orlando Bancifra Lanat, San Manuel, Tarlac Magsasaka

Pangalan Tirahan Hanapbuhay
(Name) (Address) (Occupation)

PAG-UNLAD SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PROGRESS)

Grade I School: San Manuel Elementary Grade II School: San Manuel Elementary
School Year: 2011- 2012 School Year: 2012 - 2013
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino Filipino
English English
Mathematics Mathematics
PROMOTED

PROMOTED
Makabayan Makabayan
*HKS *HKS
*Character Educ. *Character Educ.

General Average General Average

Eligibility for Admission to Grade: Two Eligibility for Admission to Grade: Three
Signature of Adviser: Signature of Adviser:

Grade III School: San Manuel Elementary Grade IV School: San Manuel Elementary
School Year 2013- 2014 School Year: 2014 - 2015
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino Filipino
English English
Elem.Mathematics Elem.Mathematics
Science & Health Science & Health
PROMOTED

PROMOTED

Makabayan Makabayan
*HKS * HKS
*Character Educ. . EPP
.MAPE
.Character Educ.

General Average General Average

Eligibility for Admission to Grade: Four Eligibility for Admission to Grade: Five
Signature of Adviser: Signature of Adviser:

Grade V School: San Manuel Elementary Grade VI School:

School Year: 2015 - 2016 School Year:
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino Filipino
English English
Mathematics Mathematics
Science and Health Science and Health
PROMOTED

PROMOTED

Makabayan Makabayan
. HKS . HKS
.EPP .EPP
.MAPE .MAPE
.Character Educ. .Character Educ.

General Average General Average

Eligibility for Admission to Grade: Six Eligibility for Admission to Grade:
Signature of Adviser: Signature of Adviser:
III. CHARACTER BUILDING

Gr. I Sch. Yr. 2011 - 2012 Gr. II Sch. Yr. 2012- 2013 Gr. III Sch. Yr. 2013 - 2014
1 2 3 4 F.R 1 2 3 4 F.R 1 2 3 4 F.R
1.Honestly
2.Courtesy
3.Helpfulness & Cooperation
4.Obedience
5.Consideration For Others
6.Sportmanship
7.Love Of Country
8.Self Reliance
9.Industry
10.Cleanliness & Orderliness
11.Resourcefulnes and Creativity
12.Prompteness and Punctuality
13.Sense of Responsibility
14.Love of God

Gr. IV Sch. Yr. 2014 - 2015 Gr. V Sch. Yr. 2015 - 2016 Gr. VI Sch. Yr.
1 2 3 4 F.R 1 2 3 4 F.R 1 2 3 4 F.R
1.Honestly
2.Courtesy
3.Helpfulness & Cooperation
4.Obedience
5.Consideration For Others
6.Sportmanship
7.Love Of Country
8.Self Reliance
9.Industry
10.Cleanliness & Orderliness
11.Resourcefulnes and Creativity
12.Prompteness and Punctuality
13.Sense of Responsibility
14.Love of God

A Outstanding C Satisfactory
B Very Satisfactory D Needs Improvement

IV. ATTENDANCE RECORD

Grade No. of No. of School Days Cause No. of Cause No. of School Days
School Days Absent Times Present
Tardy
I 202
II 200
III 201
IV 201
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 ___________________________ .He /She is
eligible for transfer and admission to _______________.

______________________
Signature
______________________ ______________________
Date Designation
DepEd Form 137-E Republika ng Pilipinas LRN # 10666110033
(Republic of the Philippines)
Kagawaran ng Edukasyon
(Department of Education)
KAWANIHAN NG EDUKASYONG ELEMENTARYA
Rehiyon III
(Region III)

PALAGIANG TALAAN SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PERMANENT RECORD)

1. Pangalan: PARIS, JOHN DENVER V. Sangay: Tarlac Paaralan: San Manuel E/S
(Name) Apelyido Unang Pangalan M.I (Division) (School)

Kasarian M Petsa ng Kapanganakan: 1 29 - 05 Pook: San Manuel, Tarlac Petsa ng Pagpasok: 06 06 11

(Sex) (Date of Birth) (Place) Bayan/Lalawigan/Lungsod ( Date of Entrance)
(Town/Province/City)

Magulang/Tagapag-alaga: G. at Gng. Julio Paris Lanat, San Manuel, Tarlac Barber

Pangalan Tirahan Hanapbuhay
(Name) (Address) (Occupation)

PAG-UNLAD SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PROGRESS)

Grade I School: San Manuel Elementary Grade II School: San Manuel Elementary
School Year: 2011- 2012 School Year: 2012 - 2013
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino 81 82 83 84 83 Filipino 80 81 82 82 81
English 78 79 79 80 79 English 80 80 81 82 81
Mathematics 79 80 80 81 80 Mathematics 79 80 81 82 81
PROMOTED

PROMOTED
Makabayan 79 80 81 82 81 Makabayan 80 80 81 82 81
*HKS 78 79 80 81 *HKS 80 80 81 82
*Character Educ. 80 81 82 83 *Character Educ. 80 80 81 81

General Average 80.75 General Average 81

Eligibility for Admission to Grade: Two Eligibility for Admission to Grade: Three
Signature of Adviser: Signature of Adviser:

Grade III School: San Manuel Elementary Grade IV School: San Manuel Elementary
School Year 2013- 2014 School Year: 2014 - 2015
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino 78 79 80 82 80 Filipino 80 82 83 83 82
English 77 78 80 81 79 English 80 82 82 83 82
Elem.Mathematics 78 79 80 81 80 Elem.Mathematics 80 82 82 83 82
Science & Health 78 79 80 81 80 Science & Health 79 80 82 80 81
PROMOTED

PROMOTED

Makabayan 79 81 82 82 81 Makabayan 80 81 82 82 81
*HKS 78 80 81 82 * HKS 80 81 81 81
*Character Educ. 80 82 82 82 . EPP 79 80 81 82
.MAPE 79 81 83 83
.Character Educ. 80 81 82 82

General Average 80.00 General Average 81.60

Eligibility for Admission to Grade: Four Eligibility for Admission to Grade: Five
Signature of Adviser: Signature of Adviser:

Grade V School: San Manuel Elementary Grade VI School:

School Year: 2015 - 2016 School Year:
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino Filipino
English English
Mathematics Mathematics
Science and Health Science and Health
PROMOTED

PROMOTED

Makabayan Makabayan
. HKS . HKS
.EPP .EPP
.MAPE .MAPE
.Character Educ. .Character Educ.

General Average General Average

Eligibility for Admission to Grade: Six Eligibility for Admission to Grade:
Signature of Adviser: Signature of Adviser:
III. CHARACTER BUILDING

Gr. I Sch. Yr. 2011 - 2012 Gr. II Sch. Yr. 2012- 2013 Gr. III Sch. Yr. 2013 - 2014
1 2 3 4 F.R 1 2 3 4 F.R 1 2 3 4 F.R
1.Honestly D D D C D D D D C D D D D D D
2.Courtesy D D D C D D C C C C D D D D D
3.Helpfulness & Cooperation D D D C D D C C C C D D D D D
4.Obedience D D D C D D D D D D D D D D D
5.Consideration For Others D D D C D D D D D D D D D D D
6.Sportmanship D D D C D D D D D D D D D D D
7.Love Of Country D D D C D D D D D D D D D D D
8.Self Reliance D D D C D D D D D D D D D D D
9.Industry D D D C D D D D D D D D D D D
10.Cleanliness & Orderliness D D D C D D C C C C D D D D D
11.Resourcefulnes and Creativity D D D C D D D D D D D D D D D
12.Prompteness and Punctuality D D D C D D D D D D D D D D D
13.Sense of Responsibility D D D C D D D D D D D D D D D
14.Love of God D D D C D D D D D D D D D D D

Gr. IV Sch. Yr. 2014 - 2015 Gr. V Sch. Yr. 2015 - 2016 Gr. VI Sch. Yr.
1 2 3 4 F.R 1 2 3 4 F.R 1 2 3 4 F.R
1.Honestly D D D D D
2.Courtesy C C C C C
3.Helpfulness & Cooperation C C C C C
4.Obedience D D D D D
5.Consideration For Others D D D D D
6.Sportmanship D D D D D
7.Love Of Country D D D D D
8.Self Reliance D C C C C
9.Industry D C C C C
10.Cleanliness & Orderliness C C C C C
11.Resourcefulnes and Creativity D D D D D
12.Prompteness and Punctuality D D D D D
13.Sense of Responsibility D D D D D
14.Love of God D D D D D

A Outstanding C Satisfactory
B Very Satisfactory D Needs Improvement

IV. ATTENDANCE RECORD

Grade No. of No. of School Days Cause No. of Cause No. of School Days
School Days Absent Times Present
Tardy
I 202 1 Flu 0 201
II 200 3 Sickness 0 197
III 201 1 toothache 0 200
IV 201 0 0 201
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 ___________________________ .He /She is
eligible for transfer and admission to _______________.

______________________
Signature
______________________ ______________________
Date Designation
DepEd Form 137-E Republika ng Pilipinas LRN # 106652100064
(Republic of the Philippines)
Kagawaran ng Edukasyon
(Department of Education)
KAWANIHAN NG EDUKASYONG ELEMENTARYA
Rehiyon III
(Region III)

PALAGIANG TALAAN SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PERMANENT RECORD)

1. Pangalan: PARONG, KURT CHRISTIAN L. Sangay: Tarlac Paaralan: San Manuel E/S
(Name) Apelyido Unang Pangalan M.I (Division) (School)

Kasarian M Petsa ng Kapanganakan:07 03 - 05 Pook: San Manuel, Tarlac Petsa ng Pagpasok: 06 06 11

(Sex) (Date of Birth) (Place) Bayan/Lalawigan/Lungsod ( Date of Entrance)
(Town/Province/City)

Magulang/Tagapag-alaga: G. at Gng. Charlie Parong Lanat, San Manuel, Tarlac Magsasaka

Pangalan Tirahan Hanapbuhay
(Name) (Address) (Occupation)

PAG-UNLAD SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PROGRESS)

Grade I School: Gabaldon Central Elementary Grade II School: Gabaldon Central Elementary
School Year: 2011- 2012 School Year: 2012 - 2013
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino 74 75 77 79 76 Filipino 75 77 78 80 78
English 74 75 76 78 76 English 75 76 78 80 77
Mathematics 75 75 76 77 76 Mathematics 75 76 77 78 77
PROMOTED

PROMOTED
Makabayan 76 77 79 81 78 Makabayan 76 77 79 81 78
*HKS 74 75 77 79 *HKS 75 76 78 80
*Character Educ. 77 78 80 82 *Character Educ. 76 77 80 82

General Average 76.5 General Average 79.5

Eligibility for Admission to Grade: Two Eligibility for Admission to Grade: Three
Signature of Adviser: Signature of Adviser:

Grade III School: San Manuel Elementary Grade IV School: San Manuel Elementary
School Year 2013- 2014 School Year: 2014 - 2015
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino 80 81 82 83 82 Filipino 82 82 81 82 82
English 80 81 81 83 81 English 80 81 80 80 80
Elem.Mathematics 80 81 81 82 81 Elem.Mathematics 80 81 80 80 80
Science & Health 80 81 82 83 82 Science & Health 81 82 80 81 81
PROMOTED

PROMOTED

Makabayan 81 82 83 84 83 Makabayan 81 82 80 82 81
*HKS 79 81 82 83 * HKS 81 81 80 81
*Character Educ. 82 83 84 85 . EPP 83 83 80 83
.MAPE 80 81 80 82
.Character Educ. 80 81 80 81

General Average 81.80 General Average 80.80

Eligibility for Admission to Grade: Four Eligibility for Admission to Grade: Five
Signature of Adviser: Signature of Adviser:

Grade V School: San Manuel Elementary Grade VI School:

School Year: 2015 - 2016 School Year:
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino Filipino
English English
Mathematics Mathematics
Science and Health Science and Health
PROMOTED

PROMOTED

Makabayan Makabayan
. HKS . HKS
.EPP .EPP
.MAPE .MAPE
.Character Educ. .Character Educ.

General Average General Average

Eligibility for Admission to Grade: Six Eligibility for Admission to Grade:
Signature of Adviser: Signature of Adviser:
III. CHARACTER BUILDING

Gr. I Sch. Yr. 2011 - 2012 Gr. II Sch. Yr. 2012- 2013 Gr. III Sch. Yr. 2013 - 2014
1 2 3 4 F.R 1 2 3 4 F.R 1 2 3 4 F.R
1.Honestly D D D D D D D D D D D C C C C
2.Courtesy D D D D D D D D D D D C C C C
3.Helpfulness & Cooperation D D D D D D D D D D D C C C C
4.Obedience D D D D D D D D D D D C C C C
5.Consideration For Others D D D D D D D D D D D C C C C
6.Sportmanship D D D D D D D D D D D C C C C
7.Love Of Country D D D D D D D D D D D C C C C
8.Self Reliance D D D D D D D D D D D C C C C
9.Industry D D D D D D D D D D D C C C C
10.Cleanliness & Orderliness D D D D D D D D D D D C C C C
11.Resourcefulnes and Creativity D D D D D D D D D D D C C C C
12.Prompteness and Punctuality D D D D D D D D D D D C C C C
13.Sense of Responsibility D D D D D D D D D D D C C C C
14.Love of God D D D D D D D D D D D C C C C

Gr. IV Sch. Yr. 2014 - 2015 Gr. V Sch. Yr. 2015 - 2016 Gr. VI Sch. Yr.
1 2 3 4 F.R 1 2 3 4 F.R 1 2 3 4 F.R
1.Honestly D D D D D
2.Courtesy D D D D D
3.Helpfulness & Cooperation D D D D D
4.Obedience D D D D D
5.Consideration For Others D D D D D
6.Sportmanship D D D D D
7.Love Of Country D D D D D
8.Self Reliance D D D D D
9.Industry D D D D D
10.Cleanliness & Orderliness D D D D D
11.Resourcefulnes and Creativity D D D D D
12.Prompteness and Punctuality D D D D D
13.Sense of Responsibility D D D D D
14.Love of God D D D D D

A Outstanding C Satisfactory
B Very Satisfactory D Needs Improvement

IV. ATTENDANCE RECORD

Grade No. of No. of School Days Cause No. of Cause No. of School Days
School Days Absent Times Present
Tardy
I 202 2 Flu 0 200
II 200 2 Flu, cough 0 198
III 201 0 0 201
IV 201 1 sick 0 200
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 ___________________________ .He /She is
eligible for transfer and admission to _______________.

______________________
Signature
______________________ ______________________
Date Designation
DepEd Form 137-E Republika ng Pilipinas LRN # 106661100034
(Republic of the Philippines)
Kagawaran ng Edukasyon
(Department of Education)
KAWANIHAN NG EDUKASYONG ELEMENTARYA
Rehiyon III
(Region III)

PALAGIANG TALAAN SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PERMANENT RECORD)

1. Pangalan: PASCUA, JERICHO D. Sangay: Tarlac Paaralan: San Manuel E/S

(Name) Apelyido Unang Pangalan M.I (Division) (School)

Kasarian M Petsa ng Kapanganakan: 11 19 - 04 Pook: San Manuel, Tarlac Petsa ng Pagpasok: 06 06 11

(Sex) (Date of Birth) (Place) Bayan/Lalawigan/Lungsod ( Date of Entrance)
(Town/Province/City)

Magulang/Tagapag-alaga: G. at Gng. Gerry Pascua Lanat, San Manuel, Tarlac Magsasaka

Pangalan Tirahan Hanapbuhay
(Name) (Address) (Occupation)

PAG-UNLAD SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PROGRESS)

Grade I School: San Manuel Elementary Grade II School: San Manuel Elementary
School Year: 2011- 2012 School Year: 2012 - 2013
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino 75 75 75 75 Filipino 76 76 77 78 77
English 75 75 75 75 English 76 76 76 77 76
Mathematics 75 75 75 75 Mathematics 76 76 76 77 76
PROMOTED

PROMOTED
Makabayan 75 75 75 75 Makabayan 76 76 77 78 77
*HKS 75 75 75 *HKS 76 76 77 78
*Character Educ. 75 75 75 *Character Educ. 76 76 76 77

General Average 75 General Average 76.5

Eligibility for Admission to Grade: Two Eligibility for Admission to Grade: Three
Signature of Adviser: Signature of Adviser:

Grade III School: San Manuel Elementary Grade IV School: San Manuel Elementary
School Year 2013- 2014 School Year: 2014 - 2015
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino 78 80 81 82 80 Filipino 77 78 79 80 79
English 78 80 81 82 80 English 77 78 79 80 79
Elem.Mathematics 79 80 81 82 81 Elem.Mathematics 78 79 80 81 80
Science & Health 78 79 80 81 80 Science & Health 78 79 80 80 79
PROMOTED

PROMOTED

Makabayan 71 73 84 85 83 Makabayan 79 80 83 83 81
*HKS 78 80 81 82 * HKS 79 79 81 81
*Character Educ. 83 85 86 87 . EPP 78 81 83 83
.MAPE 78 79 82 82
.Character Educ. 81 82 84 84

General Average 80.80 General Average 79.60

Eligibility for Admission to Grade: Four Eligibility for Admission to Grade: Five
Signature of Adviser: Signature of Adviser:

Grade V School: San Manuel Elementary Grade VI School:

School Year: 2015 - 2016 School Year:
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino Filipino
English English
Mathematics Mathematics
Science and Health Science and Health
PROMOTED

PROMOTED

Makabayan Makabayan
. HKS . HKS
.EPP .EPP
.MAPE .MAPE
.Character Educ. .Character Educ.

General Average General Average

Eligibility for Admission to Grade: Six Eligibility for Admission to Grade:
Signature of Adviser: Signature of Adviser:
III. CHARACTER BUILDING

Gr. I Sch. Yr. 2011 - 2012 Gr. II Sch. Yr. 2012- 2013 Gr. III Sch. Yr. 2013 - 2014
1 2 3 4 F.R 1 2 3 4 F.R 1 2 3 4 F.R
1.Honestly E E E D E D D D D D C C C C C
2.Courtesy E E E D E D D D D D C C C C C
3.Helpfulness & Cooperation E E E D E C C C C C C C C C C
4.Obedience E E E D E C C C C C C C C C C
5.Consideration For Others E E E D E D D D D D C C C C C
6.Sportmanship E E E D E D D D D D C C C C C
7.Love Of Country E E E D E D D D D D C C C C C
8.Self Reliance E E E D E D D D D D C C C C C
9.Industry E E E D E D D D D D C C C C C
10.Cleanliness & Orderliness E E E D E D D D D D C C C C C
11.Resourcefulnes and Creativity E E E D E D D D D D C C C C C
12.Prompteness and Punctuality E E E D E D D D D D C C C C C
13.Sense of Responsibility E E E D E D D D D D C C C C C
14.Love of God E E E D E D D D D D C C C C C

Gr. IV Sch. Yr. 2014 - 2015 Gr. V Sch. Yr. 2015 - 2016 Gr. VI Sch. Yr.
1 2 3 4 F.R 1 2 3 4 F.R 1 2 3 4 F.R
1.Honestly D D C C C
2.Courtesy D C C C C
3.Helpfulness & Cooperation C C C C C
4.Obedience D C C C C
5.Consideration For Others D D C C C
6.Sportmanship D D D D D
7.Love Of Country D D D D D
8.Self Reliance D D D D D
9.Industry C C C C C
10.Cleanliness & Orderliness D C C C C
11.Resourcefulnes and Creativity D D D D D
12.Prompteness and Punctuality D D D D D
13.Sense of Responsibility D D D D D
14.Love of God D D D D D

A Outstanding C Satisfactory
B Very Satisfactory D Needs Improvement

IV. ATTENDANCE RECORD

Grade No. of No. of School Days Cause No. of Cause No. of School Days
School Days Absent Times Present
Tardy
I 202 1 Sick 0 201
II 200 3 sickness 0 197
III 201 0 0 201
IV 201 0 0 201
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 ___________________________ .He /She is
eligible for transfer and admission to _______________.

______________________
Signature
______________________ ______________________
Date Designation
DepEd Form 137-E Republika ng Pilipinas LRN # 106661100004
(Republic of the Philippines)
Kagawaran ng Edukasyon
(Department of Education)
KAWANIHAN NG EDUKASYONG ELEMENTARYA
Rehiyon III
(Region III)

PALAGIANG TALAAN SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PERMANENT RECORD)

1. Pangalan: BALAQUIDAN, CLARISSA T. Sangay: Tarlac Paaralan: San Manuel E/S

(Name) Apelyido Unang Pangalan M.I (Division) (School)

Kasarian F Petsa ng Kapanganakan: 3 21 - 05 Pook: San Manuel, Tarlac Petsa ng Pagpasok: 06 06 11

(Sex) (Date of Birth) (Place) Bayan/Lalawigan/Lungsod ( Date of Entrance)
(Town/Province/City)

Magulang/Tagapag-alaga: G. at Gng. Eddie Balaquidan Lanat, San Manuel, Tarlac Carpenter

Pangalan Tirahan Hanapbuhay
(Name) (Address) (Occupation)

PAG-UNLAD SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PROGRESS)

Grade I School: San Manuel Elementary Grade II School: San Manuel Elementary
School Year: 2011- 2012 School Year: 2012 - 2013
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino 82 83 84 85 84 Filipino 80 80 81 82 81
English 80 81 82 83 82 English 79 80 81 82 81
Mathematics 79 80 82 83 81 Mathematics 79 80 80 81 80
PROMOTED

PROMOTED
Makabayan 79 80 81 82 81 Makabayan 80 81 82 83 82
*HKS 78 79 80 81 *HKS 80 81 82 83
*Character Educ. 80 81 82 83 *Character Educ. 80 80 81 82

General Average 82 General Average 81

Eligibility for Admission to Grade: Two Eligibility for Admission to Grade: Three
Signature of Adviser: Signature of Adviser:

Grade III School: San Manuel Elementary Grade IV School: San Manuel Elementary
School Year 2013- 2014 School Year: 2014 - 2015
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino 81 82 83 84 83 Filipino 82 82 83 83 83
English 80 82 83 84 82 English 80 81 82 81 81
Elem.Mathematics 80 81 82 83 82 Elem.Mathematics 80 81 82 82 81
Science & Health 80 81 82 83 82 Science & Health 81 82 83 82 82
PROMOTED

PROMOTED

Makabayan 82 82 84 84 83 Makabayan 82 82 83 83 83
*HKS 80 81 82 83 * HKS 81 81 82 81
*Character Educ. 83 84 85 85 . EPP 82 82 83 83
.MAPE 80 81 83 84
.Character Educ. 83 84 85 85

General Average 82.40 General Average 82.00

Eligibility for Admission to Grade: Four Eligibility for Admission to Grade: Five
Signature of Adviser: Signature of Adviser:

Grade V School: San Manuel Elementary Grade VI School:

School Year: 2015 - 2016 School Year:
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino Filipino
English English
Mathematics Mathematics
Science and Health Science and Health
PROMOTED

PROMOTED

Makabayan Makabayan
. HKS . HKS
.EPP .EPP
.MAPE .MAPE
.Character Educ. .Character Educ.

General Average General Average

Eligibility for Admission to Grade: Six Eligibility for Admission to Grade:
Signature of Adviser: Signature of Adviser:
III. CHARACTER BUILDING

Gr. I Sch. Yr. 2011 - 2012 Gr. II Sch. Yr. 2012- 2013 Gr. III Sch. Yr. 2013 - 2014
1 2 3 4 F.R 1 2 3 4 F.R 1 2 3 4 F.R
1.Honestly D D D C D C C C C C C C C C C
2.Courtesy D D D C D C C C C C C C C C C
3.Helpfulness & Cooperation D D D C D C C C C C C C C C C
4.Obedience D D D C D D C C C C C C C C C
5.Consideration For Others D D D C D D D D D D C C C C C
6.Sportmanship D D D C D D D D D D C C C C C
7.Love Of Country D D D C D D D D D D C C C C C
8.Self Reliance D D D C D D D D D D C C C C C
9.Industry D D D C D D D D D D C C C C C
10.Cleanliness & Orderliness D D D C D D D D D D C C C C C
11.Resourcefulnes and Creativity D D D C D D D D D D C C C C C
12.Prompteness and Punctuality D D D C D D D D D D C C C C C
13.Sense of Responsibility D D D C D D D D D D C C C C C
14.Love of God D D D C D D D D D D C C C C C

Gr. IV Sch. Yr. 2014 - 2015 Gr. V Sch. Yr. 2015 - 2016 Gr. VI Sch. Yr.
1 2 3 4 F.R 1 2 3 4 F.R 1 2 3 4 F.R
1.Honestly C C C C C
2.Courtesy C C C C C
3.Helpfulness & Cooperation C C C C C
4.Obedience C C C C C
5.Consideration For Others C C C C C
6.Sportmanship C C C C C
7.Love Of Country C C C C C
8.Self Reliance C C C C C
9.Industry C C C C C
10.Cleanliness & Orderliness C C C C C
11.Resourcefulnes and Creativity C C C C C
12.Prompteness and Punctuality C C C C C
13.Sense of Responsibility C C C C C
14.Love of God C C C C C

A Outstanding C Satisfactory
B Very Satisfactory D Needs Improvement

IV. ATTENDANCE RECORD

Grade No. of No. of School Days Cause No. of Cause No. of School Days
School Days Absent Times Present
Tardy
I 202 0 0 202
II 200 2 Fever 0 198
III 201 0 0 201
IV 201 1 cough 0 200
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 ___________________________ .He /She is
eligible for transfer and admission to _______________.

______________________
Signature
______________________ ______________________
Date Designation
DepEd Form 137-E Republika ng Pilipinas LRN # 106661100010
(Republic of the Philippines)
Kagawaran ng Edukasyon
(Department of Education)
KAWANIHAN NG EDUKASYONG ELEMENTARYA
Rehiyon III
(Region III)

PALAGIANG TALAAN SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PERMANENT RECORD)

1. Pangalan: BUGARIN, ANGELA P. Sangay: Tarlac Paaralan: San Manuel E/S

(Name) Apelyido Unang Pangalan M.I (Division) (School)

Kasarian F Petsa ng Kapanganakan: 8 05- 04 Pook: San Manuel, Tarlac Petsa ng Pagpasok: 06 06 11
(Sex) (Date of Birth) (Place) Bayan/Lalawigan/Lungsod ( Date of Entrance)
(Town/Province/City)

Magulang/Tagapag-alaga: G. at Gng. Reynaldo Bugarin Lanat, San Manuel, Tarlac Magsasaka

Pangalan Tirahan Hanapbuhay
(Name) (Address) (Occupation)

PAG-UNLAD SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PROGRESS)

Grade I School: San Manuel Elementary Grade II School: San Manuel Elementary
School Year: 2011- 2012 School Year: 2012 - 2013
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino 75 76 78 79 77 Filipino 77 78 79 80 79
English 75 76 77 78 77 English 76 76 77 78 77
Mathematics 75 76 77 78 77 Mathematics 77 77 78 79 78
PROMOTED

PROMOTED
Makabayan 75 76 77 78 77 Makabayan 77 78 78 79 78
*HKS 75 76 77 78 *HKS 76 77 78 79
*Character Educ. 75 76 77 78 *Character Educ. 7 78 78 79

General Average 77 General Average 78

Eligibility for Admission to Grade: Two Eligibility for Admission to Grade: Three
Signature of Adviser: Signature of Adviser:

Grade III School: San Manuel Elementary Grade IV School: San Manuel Elementary
School Year 2013- 2014 School Year: 2014 - 2015
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino 80 81 82 83 82 Filipino 80 82 83 83 82
English 78 80 81 82 80 English 80 81 81 82 81
Elem.Mathematics 80 81 82 83 82 Elem.Mathematics 79 79 81 82 80
Science & Health 80 81 82 83 82 Science & Health 78 80 81 82 80
PROMOTED

PROMOTED

Makabayan 81 82 83 84 83 Makabayan 79 81 83 83 82
*HKS 80 81 82 83 * HKS 79 81 83 84
*Character Educ. 82 83 84 85 . EPP 78 80 82 83
.MAPE 79 80 83 83
.Character Educ. 80 81 83 83

General Average 81.80 General Average 81.00

Eligibility for Admission to Grade: Four Eligibility for Admission to Grade: Five
Signature of Adviser: Signature of Adviser:

Grade V School: San Manuel Elementary Grade VI School:

School Year: 2015 - 2016 School Year:
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino Filipino
English English
Mathematics Mathematics
Science and Health Science and Health
PROMOTED

PROMOTED

Makabayan Makabayan
. HKS . HKS
.EPP .EPP
.MAPE .MAPE
.Character Educ. .Character Educ.

General Average General Average

Eligibility for Admission to Grade: Six Eligibility for Admission to Grade:
Signature of Adviser: Signature of Adviser:
III. CHARACTER BUILDING

Gr. I Sch. Yr. 2011 - 2012 Gr. II Sch. Yr. 2012- 2013 Gr. III Sch. Yr. 2013 - 2014
1 2 3 4 F.R 1 2 3 4 F.R 1 2 3 4 F.R
1.Honestly E D D D D D D D D D D C C C C
2.Courtesy E D D D D C C C C C D C C C C
3.Helpfulness & Cooperation E D D D D C C C C C D C C C C
4.Obedience E D D D D D D D D D D C C C C
5.Consideration For Others E D D D D D D D D D D C C C C
6.Sportmanship E D D D D D D D D D D C C C C
7.Love Of Country E D D D D D D D D D D C C C C
8.Self Reliance E D D D D D D D D D D C C C C
9.Industry E D D D D D D D D D D C C C C
10.Cleanliness & Orderliness E D D D D D D D D D D C C C C
11.Resourcefulnes and Creativity E D D D D D D D D D D C C C C
12.Prompteness and Punctuality E D D D D D D D D D D C C C C
13.Sense of Responsibility E D D D D D D D D D D C C C C
14.Love of God E D D D D D D D D D D C C C C

Gr. IV Sch. Yr. 2014 - 2015 Gr. V Sch. Yr. 2015 - 2016 Gr. VI Sch. Yr.
1 2 3 4 F.R 1 2 3 4 F.R 1 2 3 4 F.R
1.Honestly D D C C C
2.Courtesy C C C C C
3.Helpfulness & Cooperation C C C C C
4.Obedience D D C C C
5.Consideration For Others D D C C C
6.Sportmanship D D C C C
7.Love Of Country D D D D D
8.Self Reliance D D D D D
9.Industry C D C C C
10.Cleanliness & Orderliness D C C C C
11.Resourcefulnes and Creativity D D D D D
12.Prompteness and Punctuality D D D D D
13.Sense of Responsibility D D D D D
14.Love of God D D D D D

A Outstanding C Satisfactory
B Very Satisfactory D Needs Improvement

IV. ATTENDANCE RECORD

Grade No. of No. of School Days Cause No. of Cause No. of School Days
School Days Absent Times Present
Tardy
I 202 2 Fever & flu 0 200
II 200 3 sickness 0 197
III 201 0 0 201
IV 201 0 0 201
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 ___________________________ .He /She is
eligible for transfer and admission to _______________.

______________________
Signature
______________________ ______________________
Date Designation
DepEd Form 137-E Republika ng Pilipinas LRN # 106661100020
(Republic of the Philippines)
Kagawaran ng Edukasyon
(Department of Education)
KAWANIHAN NG EDUKASYONG ELEMENTARYA
Rehiyon III
(Region III)

PALAGIANG TALAAN SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PERMANENT RECORD)

1. Pangalan: DILOY, MAILENE B. Sangay: Tarlac Paaralan: San Manuel E/S

(Name) Apelyido Unang Pangalan M.I (Division) (School)

Kasarian F Petsa ng Kapanganakan: 4 7 - 05 Pook: San Manuel, Tarlac Petsa ng Pagpasok: 06 06 11

(Sex) (Date of Birth) (Place) Bayan/Lalawigan/Lungsod ( Date of Entrance)
(Town/Province/City)

Magulang/Tagapag-alaga: G. at Gng. Arman Diloy Lanat, San Manuel, Tarlac Magsasaka

Pangalan Tirahan Hanapbuhay
(Name) (Address) (Occupation)

PAG-UNLAD SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PROGRESS)

Grade I School: San Manuel Elementary Grade II School: San Manuel Elementary
School Year: 2011- 2012 School Year: 2012 - 2013
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino 75 76 77 78 77 Filipino 77 77 78 79 78
English 75 75 76 77 76 English 76 76 77 78 77
Mathematics 75 75 76 77 76 Mathematics 76 76 77 78 77
PROMOTED

PROMOTED
Makabayan 75 76 77 77 76 Makabayan 77 77 78 79 78
*HKS 75 76 77 77 *HKS 76 76 77 78
*Character Educ. 75 76 77 77 *Character Educ. 77 77 78 79

General Average 76.25 General Average 77.5

Eligibility for Admission to Grade: Two Eligibility for Admission to Grade: Three
Signature of Adviser: Signature of Adviser:

Grade III School: San Manuel Elementary Grade IV School: San Manuel Elementary
School Year 2013- 2014 School Year: 2014 - 2015
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino 78 80 81 82 80 Filipino 81 82 83 83 82
English 77 79 80 81 79 English 80 81 82 81 81
Elem.Mathematics 78 80 81 82 80 Elem.Mathematics 79 80 81 80 80
Science & Health 78 79 80 81 80 Science & Health 80 81 82 82 81
PROMOTED

PROMOTED

Makabayan 79 81 81 82 81 Makabayan 81 82 83 83 82
*HKS 78 80 81 82 * HKS 81 82 83 83
*Character Educ. 80 81 81 82 . EPP 82 82 82 82
.MAPE 81 83 84 84
.Character Educ. 80 81 83 84

General Average 80.00 General Average 81.2

Eligibility for Admission to Grade: Four Eligibility for Admission to Grade: Five
Signature of Adviser: Signature of Adviser:

Grade V School: San Manuel Elementary Grade VI School:

School Year: 2015 - 2016 School Year:
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino Filipino
English English
Mathematics Mathematics
Science and Health Science and Health
PROMOTED

PROMOTED

Makabayan Makabayan
. HKS . HKS
.EPP .EPP
.MAPE .MAPE
.Character Educ. .Character Educ.

General Average General Average

Eligibility for Admission to Grade: Six Eligibility for Admission to Grade:
Signature of Adviser: Signature of Adviser:
III. CHARACTER BUILDING

Gr. I Sch. Yr. 2011 - 2012 Gr. II Sch. Yr. 2012- 2013 Gr. III Sch. Yr. 2013 - 2014
1 2 3 4 F.R 1 2 3 4 F.R 1 2 3 4 F.R
1.Honestly E D D D D D D D D D D D D D D
2.Courtesy E D D D D C C C C C D D D D D
3.Helpfulness & Cooperation E D D D D D D D D D D D D D D
4.Obedience E D D D D C C C C C D D D D D
5.Consideration For Others E D D D D D D D D D D D D D D
6.Sportmanship E D D D D D D D D D D D D D D
7.Love Of Country E D D D D D D D D D D D D D D
8.Self Reliance E D D D D D D D D D D D D D D
9.Industry E D D D D D D D D D D D D D D
10.Cleanliness & Orderliness E D D D D D D D D D D D D D D
11.Resourcefulnes and Creativity E D D D D D D D D D D D D D D
12.Prompteness and Punctuality E D D D D D D D D D D D D D D
13.Sense of Responsibility E D D D D D D D D D D D D D D
14.Love of God E D D D D D D D D D D D D D D

Gr. IV Sch. Yr. 2014 - 2015 Gr. V Sch. Yr. 2015 - 2016 Gr. VI Sch. Yr.
1 2 3 4 F.R 1 2 3 4 F.R 1 2 3 4 F.R
1.Honestly D D C C C
2.Courtesy D D C C C
3.Helpfulness & Cooperation D D C C C
4.Obedience D D C C C
5.Consideration For Others D D C C C
6.Sportmanship D D C C C
7.Love Of Country D D C C C
8.Self Reliance D D C C C
9.Industry D D C C C
10.Cleanliness & Orderliness D D C C C
11.Resourcefulnes and Creativity D D C C C
12.Prompteness and Punctuality D D C C C
13.Sense of Responsibility D D C C C
14.Love of God D D C C C

A Outstanding C Satisfactory
B Very Satisfactory D Needs Improvement

IV. ATTENDANCE RECORD

Grade No. of No. of School Days Cause No. of Cause No. of School Days
School Days Absent Times Present
Tardy
I 202 1 Sick 0 201
II 200 2 fever 0 198
III 201 0 0 201
IV 201 1 sick 0 200
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 ___________________________ .He /She is
eligible for transfer and admission to _______________.

______________________
Signature
______________________ ______________________
Date Designation
DepEd Form 137-E Republika ng Pilipinas LRN # 106661100021
(Republic of the Philippines)
Kagawaran ng Edukasyon
(Department of Education)
KAWANIHAN NG EDUKASYONG ELEMENTARYA
Rehiyon III
(Region III)

PALAGIANG TALAAN SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PERMANENT RECORD)

1. Pangalan: DOBLE, TRISHA MAE B. Sangay: Tarlac Paaralan: San Manuel E/S
(Name) Apelyido Unang Pangalan M.I (Division) (School)

Kasarian F Petsa ng Kapanganakan: 12 15 - 04 Pook: San Manuel, Tarlac Petsa ng Pagpasok: 06 06 11

(Sex) (Date of Birth) (Place) Bayan/Lalawigan/Lungsod ( Date of Entrance)
(Town/Province/City)

Magulang/Tagapag-alaga: G. at Gng. Orlando Doble Lanat, San Manuel, Tarlac Magsasaka

Pangalan Tirahan Hanapbuhay
(Name) (Address) (Occupation)

PAG-UNLAD SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PROGRESS)

Grade I School: San Manuel Elementary Grade II School: San Manuel Elementary
School Year: 2011- 2012 School Year: 2012 - 2013
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
English 76 77 77 78 77 English 77 77 78 79 78
Mathematics 77 77 77 78 77 Mathematics 76 76 77 78 77
Filipino 78 79 80 81 80 Filipino 77 78 79 80 79
PROMOTED

PROMOTED
Makabayan 77 78 79 80 79 Makabayan 77 78 79 80 79
*Sibika at Kultura 77 77 78 79 *Sibika at Kultura 76 77 78 79
*Character Educ. 77 79 80 81 *Character Educ. 77 78 79 80

General Average 78.25 General Average 78.25

Eligibility for Admission to Grade: Two Eligibility for Admission to Grade: Three
Signature of Adviser: Signature of Adviser:

Grade III School: Salcedo Elementary Grade IV School: Guiling-Coliling Elementary

School Year 2013- 2014 School Year: 2014 - 2015
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
English 80 81 82 84 82 English 79 80 81 83 80.75
Mathematics 80 81 82 83 82 Mathematics 77 79 81 84 80.25
Science & Health 80 81 82 83 82 Science & Health 78 80 81 82 80.25
Filipino 80 81 82 84 82 Filipino 80 80 81 82 80.75
PROMOTED

PROMOTED

Makabayan 81 82 83 85 83 Makabayan 80 80 83 84 81.75

*HKS 80 81 82 83 * HKS 80 80 83 83
*Character Educ. 82 82 83 85 . EPP 80 81 82 83
.MAPE 77 79 83 86
.Character Educ. 81 81 82 84

General Average 82.20 General Average 80.75

Eligibility for Admission to Grade: Four Eligibility for Admission to Grade: Five
Signature of Adviser: Signature of Adviser:

Grade V School: San Manuel Elementary Grade VI School:

School Year: 2015 - 2016 School Year:
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino Filipino
English English
Mathematics Mathematics
Science and Health Science and Health
PROMOTED

PROMOTED

Makabayan Makabayan
. HKS . HKS
.EPP .EPP
.MAPE .MAPE
.Character Educ. .Character Educ.

General Average General Average

Eligibility for Admission to Grade: Six Eligibility for Admission to Grade:
Signature of Adviser: Signature of Adviser:
III. CHARACTER BUILDING

Gr. I Sch. Yr. 2011 - 2012 Gr. II Sch. Yr. 2012- 2013 Gr. III Sch. Yr. 2013 - 2014
1 2 3 4 F.R 1 2 3 4 F.R 1 2 3 4 F.R
1.Honestly D D D D D D D D D D C C C C C
2.Courtesy D D D D D C C C C C C C C C C
3.Helpfulness & Cooperation D D D D D C C C C C D D C C C
4.Obedience D D D D D C C C C C D D C C C
5.Consideration For Others D D D D D D D D D D D D C C C
6.Sportmanship D D D D D D D D D D D D C C C
7.Love Of Country D D D D D D D D D D D D C C C
8.Self Reliance D D D D D D D D D D D D C C C
9.Industry D D D D D D D D D D D D C C C
10.Cleanliness & Orderliness D D D D D D D D D D D D C C C
11.Resourcefulnes and Creativity D D D D D D D D D D D D C C C
12.Prompteness and Punctuality D D D D D D D D D D C D C C C
13.Sense of Responsibility D D D D D D D D D D D D C C C
14.Love of God D D D D D D D D D D D D C C C

Gr. IV Sch. Yr. 2014 - 2015 Gr. V Sch. Yr. 2015 - 2016 Gr. VI Sch. Yr.
1 2 3 4 F.R 1 2 3 4 F.R 1 2 3 4 F.R
1.Honestly C C B B B
2.Courtesy C C B B B
3.Helpfulness & Cooperation C C B B B
4.Obedience C C B B B
5.Consideration For Others C C B B B
6.Sportmanship C C B B B
7.Love Of Country C C B B B
8.Self Reliance C C B B B
9.Industry C C B B B
10.Cleanliness & Orderliness C C B B B
11.Resourcefulnes and Creativity C C B B B
12.Prompteness and Punctuality C C B B B
13.Sense of Responsibility C C B B B
14.Love of God C C B B B

A Outstanding C Satisfactory
B Very Satisfactory D Needs Improvement

IV. ATTENDANCE RECORD

Grade No. of No. of School Days Cause No. of Cause No. of School Days
School Days Absent Times Present
Tardy
I 202 2 Fever 0 200
II 200 3 Sickness 0 197
III 201 0 0 201
IV 198 1 sickness 0 197
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 ___________________________ .He /She is
eligible for transfer and admission to _______________.

______________________
Signature
______________________ ______________________
Date Designation
DepEd Form 137-E Republika ng Pilipinas LRN # 106661100022
(Republic of the Philippines)
Kagawaran ng Edukasyon
(Department of Education)
KAWANIHAN NG EDUKASYONG ELEMENTARYA
Rehiyon III
(Region III)

PALAGIANG TALAAN SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PERMANENT RECORD)

1. Pangalan: EMPLEO, KISHI MEI P. Sangay: Tarlac Paaralan: San Manuel E/S
(Name) Apelyido Unang Pangalan M.I (Division) (School)

Kasarian F Petsa ng Kapanganakan: 7 7 - 05 Pook: San Manuel, Tarlac Petsa ng Pagpasok: 06 06 11

(Sex) (Date of Birth) (Place) Bayan/Lalawigan/Lungsod ( Date of Entrance)
(Town/Province/City)

Magulang/Tagapag-alaga: G. at Gng. Errol Empleo Lanat, San Manuel, Tarlac Laborer

Pangalan Tirahan Hanapbuhay
(Name) (Address) (Occupation)

PAG-UNLAD SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PROGRESS)

Grade I School: San Manuel Elementary Grade II School: San Manuel Elementary
School Year: 2011- 2012 School Year: 2012 - 2013
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino 76 77 78 79 78 Filipino 78 78 79 80 79
English 76 76 77 78 77 English 78 78 79 80 79
Mathematics 76 76 77 78 77 Mathematics 77 78 79 80 79
PROMOTED

PROMOTED
Makabayan 76 77 78 78 78 Makabayan 78 79 80 80 79
*HKS 76 77 78 79 *HKS 77 78 79 80
*Character Educ. 76 77 78 79 *Character Educ. 78 79 80 80

General Average 77.5 General Average 79

Eligibility for Admission to Grade: Two Eligibility for Admission to Grade: Three
Signature of Adviser: Signature of Adviser:

Grade III School: San Manuel Elementary Grade IV School: San Manuel Elementary
School Year 2013- 2014 School Year: 2014 - 2015
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino 77 79 80 80 79 Filipino 81 81 82 83 82
English 76 77 78 78 77 English 80 81 81 82 81
Elem.Mathematics 76 77 77 77 77 Elem.Mathematics 79 81 80 83 81
Science & Health 76 77 77 77 77 Science & Health 80 80 81 84 81
PROMOTED

PROMOTED

Makabayan 78 80 80 80 80 Makabayan 81 82 82 84 82
*HKS 76 78 78 78 * HKS 81 81 82 83
*Character Educ. 80 81 81 81 . EPP 81 82 82 84
.MAPE 80 81 82 84
.Character Educ. 83 83 82 85

General Average 78.00 General Average 81.40

Eligibility for Admission to Grade: Four Eligibility for Admission to Grade: Five
Signature of Adviser: Signature of Adviser:

Grade V School: San Manuel Elementary Grade VI School:

School Year: 2015 - 2016 School Year:
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino Filipino
English English
Mathematics Mathematics
Science and Health Science and Health
PROMOTED

PROMOTED

Makabayan Makabayan
. HKS . HKS
.EPP .EPP
.MAPE .MAPE
.Character Educ. .Character Educ.

General Average General Average

Eligibility for Admission to Grade: Six Eligibility for Admission to Grade:
Signature of Adviser: Signature of Adviser:
III. CHARACTER BUILDING

Gr. I Sch. Yr. 2011 - 2012 Gr. II Sch. Yr. 2012- 2013 Gr. III Sch. Yr. 2013 - 2014
1 2 3 4 F.R 1 2 3 4 F.R 1 2 3 4 F.R
1.Honestly D D D D D D D D D D D D D D D
2.Courtesy D D D D D C C C C C D D D D D
3.Helpfulness & Cooperation D D D D D C C C C C D D D D D
4.Obedience D D D D D C C C C C D D D D D
5.Consideration For Others D D D D D D D D D D D D D D D
6.Sportmanship D D D D D D D D D D D D D D D
7.Love Of Country D D D D D D D D D D D D D D D
8.Self Reliance D D D D D D D D D D D D D D D
9.Industry D D D D D D D D D D D D D D D
10.Cleanliness & Orderliness D D D D D D D D D D D D D D D
11.Resourcefulnes and Creativity D D D D D D D D D D D D D D D
12.Prompteness and Punctuality D D D D D D D D D D D D D D D
13.Sense of Responsibility D D D D D D D D D D D D D D D
14.Love of God D D D D D D D D D D D D D D D

Gr. IV Sch. Yr. 2014 - 2015 Gr. V Sch. Yr. 2015 - 2016 Gr. VI Sch. Yr.
1 2 3 4 F.R 1 2 3 4 F.R 1 2 3 4 F.R
1.Honestly C C D C C
2.Courtesy C C D C C
3.Helpfulness & Cooperation C C D C C
4.Obedience C C D C C
5.Consideration For Others C C D C C
6.Sportmanship C C D C C
7.Love Of Country C C D C C
8.Self Reliance C C D C C
9.Industry C C D C C
10.Cleanliness & Orderliness C C D C C
11.Resourcefulnes and Creativity C C D C C
12.Prompteness and Punctuality C C D C C
13.Sense of Responsibility C C D C C
14.Love of God C C D C C

A Outstanding C Satisfactory
B Very Satisfactory D Needs Improvement

IV. ATTENDANCE RECORD

Grade No. of No. of School Days Cause No. of Cause No. of School Days
School Days Absent Times Present
Tardy
I 202 1 Fever 0 201
II 200 1 Toothache 0 199
III 201 0 0 201
IV 201 1 cough 0 200
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 ___________________________ .He /She is
eligible for transfer and admission to _______________.

______________________
Signature
______________________ ______________________
Date Designation
DepEd Form 137-E Republika ng Pilipinas LRN # 106661100025
(Republic of the Philippines)
Kagawaran ng Edukasyon
(Department of Education)
KAWANIHAN NG EDUKASYONG ELEMENTARYA
Rehiyon III
(Region III)

PALAGIANG TALAAN SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PERMANENT RECORD)

1. Pangalan: HALAMAN, IZZA MARIESE V. Sangay: Tarlac Paaralan: San Manuel E/S
(Name) Apelyido Unang Pangalan M.I (Division) (School)

Kasarian F Petsa ng Kapanganakan: 12 8 - 04 Pook: San Manuel, Tarlac Petsa ng Pagpasok: 06 06 11

(Sex) (Date of Birth) (Place) Bayan/Lalawigan/Lungsod ( Date of Entrance)
(Town/Province/City)

Magulang/Tagapag-alaga: G. at Gng. Segundo Halaman Lanat, San Manuel, Tarlac Magsasaka

Pangalan Tirahan Hanapbuhay
(Name) (Address) (Occupation)

PAG-UNLAD SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PROGRESS)

Grade I School: San Manuel Elementary Grade II School: San Manuel Elementary
School Year: 2011- 2012 School Year: 2012 - 2013
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino 80 81 82 83 82 Filipino 80 81 82 82 81
English 78 78 79 80 79 English 79 79 80 81 80
Mathematics 78 78 79 80 79 Mathematics 78 79 80 81 80
PROMOTED

PROMOTED
Makabayan 79 80 81 82 81 Makabayan 79 80 81 82 81
*HKS 79 79 80 81 *HKS 79 80 81 81
*Character Educ. 79 80 82 83 *Character Educ. 79 79 80 81

General Average 80.25 General Average 80.5

Eligibility for Admission to Grade: Two Eligibility for Admission to Grade: Three
Signature of Adviser: Signature of Adviser:

Grade III School: San Manuel Elementary Grade IV School: San Manuel Elementary
School Year 2013- 2014 School Year: 2014 - 2015
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino 76 77 78 78 77 Filipino 80 81 82 82 81
English 76 77 78 78 77 English 80 81 81 81 81
Elem.Mathematics 75 77 77 78 77 Elem.Mathematics 80 81 81 81 81
Science & Health 76 77 78 79 78 Science & Health 79 80 81 81 80
PROMOTED

PROMOTED

Makabayan 78 80 80 81 80 Makabayan 80 81 83 83 82
*HKS 76 78 78 79 * HKS 80 81 82 82
*Character Educ. 80 81 82 83 . EPP 80 81 83 83
.MAPE 80 80 82 82
.Character Educ. 80 81 83 83

General Average 77.80 General Average 81.00

Eligibility for Admission to Grade: Four Eligibility for Admission to Grade: Five
Signature of Adviser: Signature of Adviser:

Grade V School: San Manuel Elementary Grade VI School:

School Year: 2015 - 2016 School Year:
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino Filipino
English English
Mathematics Mathematics
Science and Health Science and Health
PROMOTED

PROMOTED

Makabayan Makabayan
. HKS . HKS
.EPP .EPP
.MAPE .MAPE
.Character Educ. .Character Educ.

General Average General Average

Eligibility for Admission to Grade: Six Eligibility for Admission to Grade:
Signature of Adviser: Signature of Adviser:
III. CHARACTER BUILDING

Gr. I Sch. Yr. 2011 - 2012 Gr. II Sch. Yr. 2012- 2013 Gr. III Sch. Yr. 2013 - 2014
1 2 3 4 F.R 1 2 3 4 F.R 1 2 3 4 F.R
1.Honestly D D D C D D D D D D D D D D D
2.Courtesy D D D C D D D D D D D D D D D
3.Helpfulness & Cooperation D D D C D D D D D D D D D D D
4.Obedience D D D C D D D D D D D D D D D
5.Consideration For Others D D D C D D D D D D D D D D D
6.Sportmanship D D D C D D D D D D D D D D D
7.Love Of Country D D D C D D D D D D D D D D D
8.Self Reliance D D D C D D D D D D D D D D D
9.Industry D D D C D D D D D D D D D D D
10.Cleanliness & Orderliness D D D C D D D D D D D D D D D
11.Resourcefulnes and Creativity D D D C D D D D D D D D D D D
12.Prompteness and Punctuality D D D C D D D D D D D D D D D
13.Sense of Responsibility D D D C D D D D D D D D D D D
14.Love of God D D D C D D D D D D D D D D D

Gr. IV Sch. Yr. 2014 - 2015 Gr. V Sch. Yr. 2015 - 2016 Gr. VI Sch. Yr.
1 2 3 4 F.R 1 2 3 4 F.R 1 2 3 4 F.R
1.Honestly C C C C C
2.Courtesy C C C C C
3.Helpfulness & Cooperation C C C C C
4.Obedience C C C C C
5.Consideration For Others C C C C C
6.Sportmanship D D D D D
7.Love Of Country D D D D D
8.Self Reliance D D D D D
9.Industry D C C C C
10.Cleanliness & Orderliness D D C C C
11.Resourcefulnes and Creativity D D D D D
12.Prompteness and Punctuality D D D D D
13.Sense of Responsibility D D D D D
14.Love of God D D D D D

A Outstanding C Satisfactory
B Very Satisfactory D Needs Improvement

IV. ATTENDANCE RECORD

Grade No. of No. of School Days Cause No. of Cause No. of School Days
School Days Absent Times Present
Tardy
I 202 1 Sick 0 201
II 200 2 fever 0 198
III 201 1 fever 0 200
IV 201 2 sick 0 199
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 ___________________________ .He /She is
eligible for transfer and admission to _______________.

______________________
Signature
______________________ ______________________
Date Designation
DepEd Form 137-E Republika ng Pilipinas LRN # 109823100252
(Republic of the Philippines)
Kagawaran ng Edukasyon
(Department of Education)
KAWANIHAN NG EDUKASYONG ELEMENTARYA
Rehiyon III
(Region III)

PALAGIANG TALAAN SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PERMANENT RECORD)

1. Pangalan: MORELOS, JEANINE ERIKA R. Sangay: Tarlac Paaralan: San Manuel E/S
(Name) Apelyido Unang Pangalan M.I (Division) (School)

Kasarian F Petsa ng Kapanganakan: 01 08 - 05 Pook: San Manuel, Tarlac Petsa ng Pagpasok: 06 06 11

(Sex) (Date of Birth) (Place) Bayan/Lalawigan/Lungsod ( Date of Entrance)
(Town/Province/City)

Magulang/Tagapag-alaga Gng. Marivic Morelos Lanat, San Manuel, Tarlac Housekeeping

Pangalan Tirahan Hanapbuhay
(Name) (Address) (Occupation)

PAG-UNLAD SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PROGRESS)

Grade I School: Real Elementary Grade II School: San Manuel Elementary

School Year: 2011- 2012 School Year: 2012 - 2013
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino 87 87 83 81 85 Filipino 83 83 83 84 83
English 85 80 79 75 79 English 82 83 83 84 83
Mathematics 86 80 78 79 81 Mathematics 81 81 82 83 82
PROMOTED

PROMOTED
Makabayan 85 83 83 81 83 Makabayan 83 83 84 84 84
*HKS 83 82 80 78 *HKS 82 83 83 84
*Character Educ. 86 84 85 83 *Character Educ. 83 83 84 84

General Average 82.00 General Average 83

Eligibility for Admission to Grade: Two Eligibility for Admission to Grade: Three
Signature of Adviser: Signature of Adviser:

Grade III School: San Manuel Elementary Grade IV School: San Manuel Elementary
School Year 2013- 2014 School Year: 2014 - 2015
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino 80 81 83 84 82 Filipino 80 82 84 84 83
English 80 81 82 84 82 English 80 82 82 83 82
Elem.Mathematics 80 82 83 84 82 Elem.Mathematics 79 80 82 82 81
Science & Health 80 81 82 83 82 Science & Health 79 80 82 82 81
PROMOTED

PROMOTED

Makabayan 82 83 84 85 84 Makabayan 81 82 84 84 83
*HKS 80 81 82 83 * HKS 80 81 83 83
*Character Educ. 83 84 85 86 . EPP 81 82 84 84
.MAPE 81 82 84 84
.Character Educ. 82 83 84 84

General Average 82.40 General Average 82.00

Eligibility for Admission to Grade: Four Eligibility for Admission to Grade: Five
Signature of Adviser: Signature of Adviser:

Grade V School: San Manuel Elementary Grade VI School:

School Year: 2015 - 2016 School Year:
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino Filipino
English English
Mathematics Mathematics
Science and Health Science and Health
PROMOTED

PROMOTED

Makabayan Makabayan
. HKS . HKS
.EPP .EPP
.MAPE .MAPE
.Character Educ. .Character Educ.

General Average General Average

Eligibility for Admission to Grade: Six Eligibility for Admission to Grade:
Signature of Adviser: Signature of Adviser:
III. CHARACTER BUILDING

Gr. I Sch. Yr. 2011 - 2012 Gr. II Sch. Yr. 2012- 2013 Gr. III Sch. Yr. 2013 - 2014
1 2 3 4 F.R 1 2 3 4 F.R 1 2 3 4 F.R
1.Honestly C C B B B C C C C C C C C C C
2.Courtesy C C B B B C C C C C C C C C C
3.Helpfulness & Cooperation C C B B B C C C C C C C C C C
4.Obedience C C B B B C C C C C C C C C C
5.Consideration For Others C C B B B C C C C C C C C C C
6.Sportmanship C C B B B C C C C C C C C C C
7.Love Of Country C C B B B C C C C C C C C C C
8.Self Reliance C C B B B C C C C C C C C C C
9.Industry C C B B B C C C C C C C C C C
10.Cleanliness & Orderliness C C B B B C C C C C C C C C C
11.Resourcefulnes and Creativity C C B B B C C C C C C C C C C
12.Prompteness and Punctuality C C B B B C C C C C C C C C C
13.Sense of Responsibility C C B B B C C C C C C C C C C
14.Love of God C C B B B C C C C C C C C C C

Gr. IV Sch. Yr. 2014 - 2015 Gr. V Sch. Yr. 2015 - 2016 Gr. VI Sch. Yr.
1 2 3 4 F.R 1 2 3 4 F.R 1 2 3 4 F.R
1.Honestly C C C C C
2.Courtesy C C C C C
3.Helpfulness & Cooperation D C C C C
4.Obedience C C C C C
5.Consideration For Others D C C C C
6.Sportmanship C C C C C
7.Love Of Country D C C C C
8.Self Reliance D D C C C
9.Industry D C C C C
10.Cleanliness & Orderliness C C C C C
11.Resourcefulnes and Creativity D D D D D
12.Prompteness and Punctuality D D D D D
13.Sense of Responsibility D D D D D
14.Love of God D D D D D

A Outstanding C Satisfactory
B Very Satisfactory D Needs Improvement

IV. ATTENDANCE RECORD

Grade No. of No. of School Days Cause No. of Cause No. of School Days
School Days Absent Times Present
Tardy
I 202 22 Fever, stomache, sick 0 180
II 200 2 Fever 0 198
III 201 2 Fever 0 199
IV 201 2 fever 0 199
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 ___________________________ .He /She is
eligible for transfer and admission to _______________.

______________________
Signature
______________________ ______________________
Date Designation
DepEd Form 137-E Republika ng Pilipinas LRN # 106661100030
(Republic of the Philippines)
Kagawaran ng Edukasyon
(Department of Education)
KAWANIHAN NG EDUKASYONG ELEMENTARYA
Rehiyon III
(Region III)

PALAGIANG TALAAN SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PERMANENT RECORD)

1. Pangalan: PAJARITO, MICHELLE B. Sangay: Tarlac Paaralan: San Manuel E/S

(Name) Apelyido Unang Pangalan M.I (Division) (School)

Kasarian F Petsa ng Kapanganakan: 01 29 - 05 Pook: San Manuel, Tarlac Petsa ng Pagpasok: 06 06 11

(Sex) (Date of Birth) (Place) Bayan/Lalawigan/Lungsod ( Date of Entrance)
(Town/Province/City)

Magulang/Tagapag-alaga: G. at Gng. Melchor Pajarito Lanat, San Manuel, Tarlac Magsasaka

Pangalan Tirahan Hanapbuhay
(Name) (Address) (Occupation)

PAG-UNLAD SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PROGRESS)

Grade I School: San Manuel Elementary Grade II School: San Manuel Elementary
School Year: 2011- 2012 School Year: 2012 - 2013
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino 78 80 81 82 80 Filipino 78 79 79 80 79
English 77 78 79 80 79 English 77 77 78 79 78
Mathematics 77 78 79 80 79 Mathematics 77 77 78 79 78
PROMOTED

PROMOTED
Makabayan 78 79 80 81 80 Makabayan 78 79 80 81 80
*HKS 78 79 80 81 *HKS 78 79 79 80
*Character Educ. 78 79 80 81 *Character Educ. 78 79 80 81

General Average 79.5 General Average 78.75

Eligibility for Admission to Grade: Two Eligibility for Admission to Grade: Three
Signature of Adviser: Signature of Adviser:

Grade III School: San Manuel Elementary Grade IV School: San Manuel Elementary
School Year 2013- 2014 School Year: 2014 - 2015
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino 78 80 81 82 80 Filipino 80 82 83 83 82
English 78 79 80 81 80 English 79 81 82 83 81
Elem.Mathematics 78 79 80 81 80 Elem.Mathematics 80 81 82 83 82
Science & Health 78 79 80 81 80 Science & Health 79 80 81 82 81
PROMOTED

PROMOTED

Makabayan 79 80 81 82 81 Makabayan 81 82 84 84 83
*HKS 77 79 80 81 * HKS 80 81 83 83
*Character Educ. 80 81 82 83 . EPP 81 82 84 84
.MAPE 81 82 85 85
.Character Educ. 82 83 84 85

General Average 80.20 General Average 81.80

Eligibility for Admission to Grade: Four Eligibility for Admission to Grade: Five
Signature of Adviser: Signature of Adviser:

Grade V School: San Manuel Elementary Grade VI School:

School Year: 2015 - 2016 School Year:
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino Filipino
English English
Mathematics Mathematics
Science and Health Science and Health
PROMOTED

PROMOTED

Makabayan Makabayan
. HKS . HKS
.EPP .EPP
.MAPE .MAPE
.Character Educ. .Character Educ.

General Average General Average

Eligibility for Admission to Grade: Six Eligibility for Admission to Grade:
Signature of Adviser: Signature of Adviser:
III. CHARACTER BUILDING

Gr. I Sch. Yr. 2011 - 2012 Gr. II Sch. Yr. 2012- 2013 Gr. III Sch. Yr. 2013 - 2014
1 2 3 4 F.R 1 2 3 4 F.R 1 2 3 4 F.R
1.Honestly D D D D D C C C C C D D D D D
2.Courtesy D D D D D C C C C C D D D D D
3.Helpfulness & Cooperation D D D D D C C C C C D D D D D
4.Obedience D D D D D C C C C C D D D D D
5.Consideration For Others D D D D D D D D D D D D D D D
6.Sportmanship D D D D D D D D D D D D D D D
7.Love Of Country D D D D D D D D D D D D D D D
8.Self Reliance D D D D D D D D D D D D D D D
9.Industry D D D D D D D D D D D D D D D
10.Cleanliness & Orderliness D D D D D D D D D D D D D D D
11.Resourcefulnes and Creativity D D D D D D D D D D D D D D D
12.Prompteness and Punctuality D D D D D D D D D D D D D D D
13.Sense of Responsibility D D D D D D D D D D D D D D D
14.Love of God D D D D D D D D D D D D D D D

Gr. IV Sch. Yr. 2014 - 2015 Gr. V Sch. Yr. 2015 - 2016 Gr. VI Sch. Yr.
1 2 3 4 F.R 1 2 3 4 F.R 1 2 3 4 F.R
1.Honestly C C C C C
2.Courtesy C C C C C
3.Helpfulness & Cooperation D C C C C
4.Obedience C C C C C
5.Consideration For Others C C C C C
6.Sportmanship D C C C C
7.Love Of Country D D D D D
8.Self Reliance D C C C C
9.Industry C C C C C
10.Cleanliness & Orderliness C C C C C
11.Resourcefulnes and Creativity D D D D D
12.Prompteness and Punctuality C C C C C
13.Sense of Responsibility D C C C C
14.Love of God D D D D D

A Outstanding C Satisfactory
B Very Satisfactory D Needs Improvement

IV. ATTENDANCE RECORD

Grade No. of No. of School Days Cause No. of Cause No. of School Days
School Days Absent Times Present
Tardy
I 202 1 Sick 0 201
II 200 3 Sickness 0 197
III 201 3 fever 0 198
IV 201 0 0 201
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 ___________________________ .He /She is
eligible for transfer and admission to _______________.

______________________
Signature
______________________ ______________________
Date Designation
DepEd Form 137-E Republika ng Pilipinas
(Republic of the Philippines)
Kagawaran ng Edukasyon
(Department of Education)
KAWANIHAN NG EDUKASYONG ELEMENTARYA
Rehiyon III
(Region III)

PALAGIANG TALAAN SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PERMANENT RECORD)

1. Pangalan: PARIAS, VIVIAN B. Sangay: Tarlac Paaralan: San Manuel E/S

(Name) Apelyido Unang Pangalan M.I (Division) (School)

Kasarian F Petsa ng Kapanganakan: 2 16 - 05 Pook: San Manuel, Tarlac Petsa ng Pagpasok: 06 06 11

(Sex) (Date of Birth) (Place) Bayan/Lalawigan/Lungsod ( Date of Entrance)
(Town/Province/City)

Magulang/Tagapag-alaga: G. at Gng. Brendo Parinas Lanat, San Manuel, Tarlac Magsasaka

Pangalan Tirahan Hanapbuhay
(Name) (Address) (Occupation)

PAG-UNLAD SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PROGRESS)

Grade I School: San Manuel Elementary Grade II School: San Manuel Elementary
School Year: 2011- 2012 School Year: 2012 - 2013
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino 76 76 77 78 77 Filipino 77 78 78 79 78
English 75 75 76 76 76 English 77 77 78 79 78
Mathematics 75 75 76 76 76 Mathematics 76 76 77 78 77
PROMOTED

PROMOTED
Makabayan 76 76 77 78 77 Makabayan 76 77 77 78 77
*HKS 76 76 77 78 *HKS 76 77 77 78
*Character Educ. 76 76 77 78 *Character Educ. 76 77 77 78

General Average 76.5 General Average 77.5

Eligibility for Admission to Grade: Two Eligibility for Admission to Grade: Three
Signature of Adviser: Signature of Adviser:

Grade III School: San Manuel Elementary Grade IV School: San Manuel Elementary
School Year 2013- 2014 School Year: 2014 - 2015
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino 78 80 81 82 80 Filipino 79 80 82 82 81
English 77 79 80 81 79 English 78 80 81 82 80
Elem.Mathematics 76 78 80 82 79 Elem.Mathematics 79 80 82 82 81
Science & Health 78 80 81 82 80 Science & Health 78 79 81 82 80
PROMOTED

PROMOTED

Makabayan 79 81 82 83 81 Makabayan 81 82 84 84 83
*HKS 78 80 81 82 * HKS 79 80 83 83
*Character Educ. 80 81 82 83 . EPP 80 82 84 84
.MAPE 81 82 85 85
.Character Educ. 82 83 84 84

General Average 79.80 General Average 81.00

Eligibility for Admission to Grade: Four Eligibility for Admission to Grade: Five
Signature of Adviser: Signature of Adviser:

Grade V School: San Manuel Elementary Grade VI School:

School Year: 2015 - 2016 School Year:
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino Filipino
English English
Mathematics Mathematics
Science and Health Science and Health
PROMOTED

PROMOTED

Makabayan Makabayan
. HKS . HKS
.EPP .EPP
.MAPE .MAPE
.Character Educ. .Character Educ.

General Average General Average

Eligibility for Admission to Grade: Six Eligibility for Admission to Grade:
Signature of Adviser: Signature of Adviser:
III. CHARACTER BUILDING

Gr. I Sch. Yr. 2011 - 2012 Gr. II Sch. Yr. 2012- 2013 Gr. III Sch. Yr. 2013 - 2014
1 2 3 4 F.R 1 2 3 4 F.R 1 2 3 4 F.R
1.Honestly D D D D D D D D D D D D D C D
2.Courtesy D D D D D C C C C C D D D C D
3.Helpfulness & Cooperation D D D D D C C C C C D D D C D
4.Obedience D D D D D C C C C C D D D C D
5.Consideration For Others D D D D D D D D D D D D D C D
6.Sportmanship D D D D D D D D D D D D D C D
7.Love Of Country D D D D D D D D D D D D D C D
8.Self Reliance D D D D D D D D D D D D D C D
9.Industry D D D D D D D D D D D D D C D
10.Cleanliness & Orderliness D D D D D D D D D D D D D C D
11.Resourcefulnes and Creativity D D D D D D D D D D D D D C D
12.Prompteness and Punctuality D D D D D C C C C C D D D C D
13.Sense of Responsibility D D D D D D D D D D D D D C D
14.Love of God D D D D D D D D D D D D D C D

Gr. IV Sch. Yr. 2014 - 2015 Gr. V Sch. Yr. 2015 - 2016 Gr. VI Sch. Yr.
1 2 3 4 F.R 1 2 3 4 F.R 1 2 3 4 F.R
1.Honestly C C C C C
2.Courtesy D C C C C
3.Helpfulness & Cooperation C C C C C
4.Obedience C C C C C
5.Consideration For Others D D D D D
6.Sportmanship D D D D D
7.Love Of Country D D D D D
8.Self Reliance D D D D D
9.Industry C C C C C
10.Cleanliness & Orderliness C C C C C
11.Resourcefulnes and Creativity D D D D D
12.Prompteness and Punctuality D D D D D
13.Sense of Responsibility D D D D D
14.Love of God D D D D D

A Outstanding C Satisfactory
B Very Satisfactory D Needs Improvement

IV. ATTENDANCE RECORD

Grade No. of No. of School Days Cause No. of Cause No. of School Days
School Days Absent Times Present
Tardy
I 202 1 Sick 0 201
II 200 3 Sickness 0 197
III 201 1 flu 0 200
IV 201 0 0 201
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 ___________________________ .He /She is
eligible for transfer and admission to _______________.

______________________
Signature
______________________ ______________________
Date Designation
DepEd Form 137-E Republika ng Pilipinas
(Republic of the Philippines)
Kagawaran ng Edukasyon
(Department of Education)
KAWANIHAN NG EDUKASYONG ELEMENTARYA
Rehiyon III
(Region III)

PALAGIANG TALAAN SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PERMANENT RECORD)

1. Pangalan: PARIS, ANNALYN T. Sangay: Tarlac Paaralan: San Manuel E/S

(Name) Apelyido Unang Pangalan M.I (Division) (School)

Kasarian F Petsa ng Kapanganakan: 12 11 - 05 Pook: San Manuel, Tarlac Petsa ng Pagpasok: 06 06 11

(Sex) (Date of Birth) (Place) Bayan/Lalawigan/Lungsod ( Date of Entrance)
(Town/Province/City)

Magulang/Tagapag-alaga: G. at Gng. Alfredo Paris Lanat, San Manuel, Tarlac Carpenter

Pangalan Tirahan Hanapbuhay
(Name) (Address) (Occupation)

PAG-UNLAD SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PROGRESS)

Grade I School: San Manuel Elementary Grade II School: San Manuel Elementary
School Year: 2011- 2012 School Year: 2012 - 2013
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino 76 76 77 78 77 Filipino 77 77 78 79 78
English 75 75 76 77 76 English 76 76 77 78 77
Mathematics 75 75 76 77 76 Mathematics 76 76 77 78 77
PROMOTED

PROMOTED
Makabayan 76 76 77 78 77 Makabayan 77 78 79 79 78
*HKS 76 76 77 78 *HKS 76 77 78 79
*Character Educ. 76 76 77 78 *Character Educ. 77 78 79 79

General Average 76.5 General Average 77.5

Eligibility for Admission to Grade: Two Eligibility for Admission to Grade: Three
Signature of Adviser: Signature of Adviser:

Grade III School: San Manuel Elementary Grade IV School: San Manuel Elementary
School Year 2013- 2014 School Year: 2014 - 2015
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino 78 80 81 81 80 Filipino 82 82 82 83 82
English 78 79 80 80 79 English 80 81 82 81 81
Elem.Mathematics 78 80 80 80 80 Elem.Mathematics 79 80 81 81 80
Science & Health 78 80 80 80 80 Science & Health 81 81 80 80 81
PROMOTED

PROMOTED

Makabayan 80 81 82 82 81 Makabayan 82 82 81 84 82
*HKS 79 80 81 81 * HKS 81 81 81 82
*Character Educ. 80 81 82 82 . EPP 83 83 82 83
.MAPE 80 81 80 84
.Character Educ. 82 82 81 85

General Average 80.00 General Average 81.20

Eligibility for Admission to Grade: Four Eligibility for Admission to Grade: Five
Signature of Adviser: Signature of Adviser:

Grade V School: San Manuel Elementary Grade VI School:

School Year: 2015 - 2016 School Year:
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino Filipino
English English
Mathematics Mathematics
Science and Health Science and Health
PROMOTED

PROMOTED

Makabayan Makabayan
. HKS . HKS
.EPP .EPP
.MAPE .MAPE
.Character Educ. .Character Educ.

General Average General Average

Eligibility for Admission to Grade: Six Eligibility for Admission to Grade:
Signature of Adviser: Signature of Adviser:
III. CHARACTER BUILDING

Gr. I Sch. Yr. 2011 - 2012 Gr. II Sch. Yr. 2012- 2013 Gr. III Sch. Yr. 2013 - 2014
1 2 3 4 F.R 1 2 3 4 F.R 1 2 3 4 F.R
1.Honestly D D D D D D D D D D D D D D D
2.Courtesy D D D D D C C C C C D D D D D
3.Helpfulness & Cooperation D D D D D D D D D D D D D D D
4.Obedience D D D D D C C C C C D D D D D
5.Consideration For Others D D D D D D D D D D D D D D D
6.Sportmanship D D D D D D D D D D D D D D D
7.Love Of Country D D D D D D D D D D D D D D D
8.Self Reliance D D D D D D D D D D D D D D D
9.Industry D D D D D D D D D D D D D D D
10.Cleanliness & Orderliness D D D D D D D D D D D D D D D
11.Resourcefulnes and Creativity D D D D D D D D D D D D D D D
12.Prompteness and Punctuality D D D D D D D D D D D D D D D
13.Sense of Responsibility D D D D D D D D D D D D D D D
14.Love of God D D D D D D D D D D D D D D D

Gr. IV Sch. Yr. 2014 - 2015 Gr. V Sch. Yr. 2015 - 2016 Gr. VI Sch. Yr.
1 2 3 4 F.R 1 2 3 4 F.R 1 2 3 4 F.R
1.Honestly D D D C D
2.Courtesy D D D C D
3.Helpfulness & Cooperation D D D C D
4.Obedience D D D C D
5.Consideration For Others D D D C D
6.Sportmanship D D D C D
7.Love Of Country D D D C D
8.Self Reliance D D D C D
9.Industry D D D C D
10.Cleanliness & Orderliness D D D C D
11.Resourcefulnes and Creativity D D D C D
12.Prompteness and Punctuality D D D C D
13.Sense of Responsibility D D D C D
14.Love of God D D D C D

A Outstanding C Satisfactory
B Very Satisfactory D Needs Improvement

IV. ATTENDANCE RECORD

Grade No. of No. of School Days Cause No. of Cause No. of School Days
School Days Absent Times Present
Tardy
I 202 1 Sick 0 201
II 200 3 sickness 0 197
III 201 0 0 201
IV 201 0 0 200
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 ___________________________ .He /She is
eligible for transfer and admission to _______________.

______________________
Signature
______________________ ______________________
Date Designation
DepEd Form 137-E Republika ng Pilipinas
(Republic of the Philippines)
Kagawaran ng Edukasyon
(Department of Education)
KAWANIHAN NG EDUKASYONG ELEMENTARYA
Rehiyon III
(Region III)

PALAGIANG TALAAN SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PERMANENT RECORD)

1. Pangalan: RAMOS, ARIANNE T. Sangay: Tarlac Paaralan: San Manuel E/S

(Name) Apelyido Unang Pangalan M.I (Division) (School)

Kasarian F Petsa ng Kapanganakan: 10 5 - 05 Pook: San Manuel, Tarlac Petsa ng Pagpasok: 06 06 11

(Sex) (Date of Birth) (Place) Bayan/Lalawigan/Lungsod ( Date of Entrance)
(Town/Province/City)

Magulang/Tagapag-alaga: G. at Gng. Ariel Ramos Lanat, San Manuel, Tarlac Magsasaka

Pangalan Tirahan Hanapbuhay
(Name) (Address) (Occupation)

PAG-UNLAD SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PROGRESS)

Grade I School: San Manuel Elementary Grade II School: San Manuel Elementary
School Year: 2011- 2012 School Year: 2012 - 2013
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino 75 76 77 78 77 Filipino 75 75 76 76 76
English 75 75 76 77 76 English 75 75 75 75 75
Mathematics 75 75 76 77 76 Mathematics 75 75 75 75 75
PROMOTED

PROMOTED
Makabayan 75 76 77 78 77 Makabayan 75 75 76 76 76
*HKS 75 76 77 78 *HKS 75 75 75 76
*Character Educ. 75 76 77 78 *Character Educ. 75 75 76 76

General Average 76.5 General Average 75.5

Eligibility for Admission to Grade: Two Eligibility for Admission to Grade: Three
Signature of Adviser: Signature of Adviser:

Grade III School: San Manuel Elementary Grade IV School: San Manuel Elementary
School Year 2013- 2014 School Year: 2014 - 2015
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino 78 78 78 78 78 Filipino 77 78 79 80 79
English 77 77 77 78 77 English 76 77 77 78 77
Elem.Mathematics 76 77 77 77 77 Elem.Mathematics 75 76 76 76 76
Science & Health 77 77 77 77 77 Science & Health 75 76 78 78 77
PROMOTED

PROMOTED

Makabayan 79 79 79 79 79 Makabayan 78 79 80 81 80
*HKS 78 78 78 78 * HKS 76 77 78 79
*Character Educ. 80 80 80 80 . EPP 77 79 81 81
.MAPE 77 78 80 80
.Character Educ. 80 81 82 83

General Average 77.60 General Average 77.80

Eligibility for Admission to Grade: Four Eligibility for Admission to Grade: Five
Signature of Adviser: Signature of Adviser:

Grade V School: San Manuel Elementary Grade VI School:

School Year: 2015 - 2016 School Year:
Learning Areas Periodic Rating Final Remarks Learning Areas Periodic Rating Final Remarks
1 2 3 4 Rating 1 2 3 4 Rating
Filipino Filipino
English English
Mathematics Mathematics
Science and Health Science and Health
PROMOTED

PROMOTED

Makabayan Makabayan
. HKS . HKS
.EPP .EPP
.MAPE .MAPE
.Character Educ. .Character Educ.

General Average General Average

Eligibility for Admission to Grade: Six Eligibility for Admission to Grade:
Signature of Adviser: Signature of Adviser:
III. CHARACTER BUILDING

Gr. I Sch. Yr. 2011 - 2012 Gr. II Sch. Yr. 2012- 2013 Gr. III Sch. Yr. 2013 - 2014
1 2 3 4 F.R 1 2 3 4 F.R 1 2 3 4 F.R
1.Honestly E D D D D D D D D D D D D D D
2.Courtesy E D D D D C C C C C D D D D D
3.Helpfulness & Cooperation E D D D D C C C C C D D D D D
4.Obedience E D D D D D D D D D D D D D D
5.Consideration For Others E D D D D D D D D D D D D D D
6.Sportmanship E D D D D D D D D D D D D D D
7.Love Of Country E D D D D D D D D D D D D D D
8.Self Reliance E D D D D D D D D D D D D D D
9.Industry E D D D D D D D D D D D D D D
10.Cleanliness & Orderliness E D D D D D D D D D D D D D D
11.Resourcefulnes and Creativity E D D D D D D D D D D D D D D
12.Prompteness and Punctuality E D D D D D D D D D D D D D D
13.Sense of Responsibility E D D D D D D D D D D D D D D
14.Love of God E D D D D D D D D D D D D D D

Gr. IV Sch. Yr. 2014 - 2015 Gr. V Sch. Yr. 2015 - 2016 Gr. VI Sch. Yr.
1 2 3 4 F.R 1 2 3 4 F.R 1 2 3 4 F.R
1.Honestly C C C C C
2.Courtesy C C C C C
3.Helpfulness & Cooperation C C C C C
4.Obedience C C C C C
5.Consideration For Others D D D D D
6.Sportmanship D D D D D
7.Love Of Country D D D D D
8.Self Reliance D D D D D
9.Industry C C C C C
10.Cleanliness & Orderliness D D D D D
11.Resourcefulnes and Creativity D D D D D
12.Prompteness and Punctuality D D D D D
13.Sense of Responsibility D D D D D
14.Love of God D D D D D

A Outstanding C Satisfactory
B Very Satisfactory D Needs Improvement

IV. ATTENDANCE RECORD

Grade No. of No. of School Days Cause No. of Cause No. of School Days
School Days Absent Times Present
Tardy
I 202 1 Headache 0 201
II 200 3 Sickness 0 197
III 201 4 sickness 0 197
IV 201 3 sickness 0 198
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 ___________________________ .He /She is
eligible for transfer and admission to _______________.

______________________
Signature
______________________ ______________________
Date Designation