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REPUBLIC OF THE PHILIPPINESDEPARTMENT OF EDUCATION

FORM 137-A Region XISchools Division Office of DAVAO CITY

ELEMENTARY SCHOOL PERMANENT RECORD LRN: ________________

Name: ___________________________________________________________ Date of Birth: Year _________ Month___________Day________Place of Birth: Province ___________________________ Town_________________________________Barrio_________________________Parent or Guardian: _______________________________________________________ Occupation

____________________________________Addre of Parent or Guardian:

____________________________________________________________________________________________ELEMENTARY SCHOOL PROGRESS

Grade ___ School _______________________________________________ Grade ___ School ____________________________________________School Year _________________ School Year _________________

Learning AreasPeriodic Raing FINAL

RATING REMARKS Learning Areas

Periodic Raing FINALRATING

REMARKS

! " # $ ! " # $

Mother Tongue Mother Tongue

Filipino FilipinoEnglish English

Mathematics Mathematics

Araling Panlipunan Araling Panlipunan

EPP/TLE EPP/TLE

MAPEH MAPEH

Music Music

Art Art

Phsical E!ucation Phsical E!ucation

Health Health

E!"#s$on s# P#g%#%#"#o E!"#s$on s# P#g%#%#"#o

'ene(#l Ave(#ge 'ene(#l Ave(#ge

!li"i#le for Admiion to Grade ____________ !li"i#le for Admiion to Grade ____________

Grade ___ School _________________________________________________ Grade ___ School _____________________________________________School Year _________________ School Year _________________

Learning AreasPeriodic Raing FINAL

RATING REMARKS Learning Areas

Periodic Raing FINALRATING

REMARKS

! " # $ ! " # $

Mother Tongue Mother Tongue

Filipino Filipino

English English

Mathematics Mathematics

Science Science

Araling Panlipunan Araling Panlipunan

EPP/TLE EPP/TLE

MAPEH MAPEH

Music Music

Art Art

Phsical E!ucation Phsical E!ucation

Health Health

E!"#s$on s# P#g%#%#"#o E!"#s$on s# P#g%#%#"#o

'ene(#l Ave(#ge 'ene(#l Ave(#ge

!li"i#le for Admiion to Grade ____________ !li"i#le for Admiion to Grade ____________

Grade ___ School _________________________________________________ Grade ___ School _____________________________________________School Year _________________ School Year _________________

Learning AreasPeriodic Raing FINAL

RATING REMARKS Learning Areas

Periodic Raing FINALRATING

REMARKS

! " # $ ! " # $

Mother Tongue Mother Tongue

Filipino Filipino

English English

Mathematics Mathematics

Science Science

Araling Panlipunan Araling Panlipunan

EPP/TLE EPP/TLE

MAPEH MAPEH

Music Music

Art Art

Phsical E!ucation Phsical E!ucation

Copy of this record sent toPrincipal of

__________________School

on____________________

7/24/2019 Form 137 Elem Doc FRONT

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Health Health

E!"#s$on s# P#g%#%#"#o E!"#s$on s# P#g%#%#"#o

'ene(#l Ave(#ge 'ene(#l Ave(#ge

!li"i#le for Admiion to Grade _____________ !li"i#le for Admiion to Grade _____________