deped form 137-e (1-4).xlsx
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Republic of the PhilippinesDepartment of Education
REGION IX, ZAMBOANGA PENINSULA
Division of Zamboanga Sibugay
TALUSAN DISTRICT
ELEMENTARY SC!!L "ERMANENT REC!RDDivision:
Sex:
Parent/Guardian:
ELEMENTARY SC!!L "R!#RESS
Learning AreasQuarter
Remarks Learning Areas1 2 3 4 1
Mother Tongue Mother Tongue
Filipino Filipino
English English
Mathematics Mathematics
Araling Panlipunan (AP) Araling Panlipunan (AP)
Edukasyon sa Pagpapakatao Edukasyon sa Pagpapakatao
MAPEH MAPEH
*Music *Music
*Arts *Arts
*Physical Education *Physical Education
*Health *Health
General Average General Average
Eligible for admission to Grade Eligible for admission to Grade
I. a!e
&&.
Grade I - School: ____________________________________________ Grade II - School: ________________________ School Year: ____________________________________________ School Year: ________________________
FinalRating
"#$% &'(-)
Surname Name M.I
School
Date o* +irth: Date
(Town/Provinve/Cit!
Name "ddress
Place o* +irth
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g b e o ad ss o to G ade g b e o ad ss o to G ade
Outst!n"in# $%& '%% P!sse"
(e)* S!tisf!cto)* + & +$ P!sse"
S!tisf!cto)* +% & +- P!sse"!i)l* S!tisf!cto)* / & /$ P!sse"0i" Not Meet E1pect!tions Belo2 / !ile"
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QuarterRemarks
3 4
__________________ __________________
FinalRating
* )ntrance
#$$u%ation
LRN
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III. LEARNER'S OBSERVED VALUES
Core 'a$ues (e)avior Statements
#rade *****S+Y ***** #rade *****S+Y
,uarter ,uarter
- . / 0 - . /
-+ Ma%a1 Diyos
.+ Ma%ataoIs sensiti3e to in"i3i"u!l, soci!l, !n" cultu)!l "i4e)ences
0e5onst)!tescont)ibutions to2!)" soli"!)it*
/+ Ma%a%a$i%asan
0+ Ma%abansa
Core 'a$ues (e)avior Statements
#rade ***1 S+Y *** #rade ***1 S+Y,uarter ,uarter
- . / 0 - . /
-+ Ma%a1 Diyos
.+ Ma%ataoIs sensiti3e to in"i3i"u!l, soci!l, !n" cultu)!l "i4e)ences
0e5onst)!tescont)ibutions to2!)" soli"!)it*
E1p)esses one7s spi)itu!l beliefs 2hile )espectin# thespi)itu!l belief7s of othe)s
Sho2s !"he)ence to ethic!l p)inciples b* uphol"in#t)uth
8!)es fo) the en3i)on5ent !n" utili9es )esou)ces 2isel*, :u"iciousl*, !n" econo5ic!ll*
0e5onst)!tes p)i"e in bein# ! ilipino e1e)cises the)i#hts !n" )esponsibilities of ! ilipino citi9en
0e5onst)!tes !pp)op)i!te beh!3io) in c!))*in# out!cti3ities in the school, co55unit*, !n" count)*
E1p)esses one7s spi)itu!l beliefs 2hile )espectin# thespi)itu!l belief7s of othe)s
Sho2s !"he)ence to ethic!l p)inciples b* uphol"in#
t)uth
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&ate
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**** #rade *****S+Y *****
,uarter
0 - . / 0
*** #rade ***1 S+Y ***,uarter
0 - . / 0
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CLASS 25ND
Name of Learner N!'EM(ER' ; < - = / + $ '% '' '; '< '-
MALEPAN"N'#A! AEN 'OM*ATE
SE$#!#O !A+AN OANO
TAN&A A,A#-E SA&&A#
TAP#A !ONN#E T"MAMPA
2EMALE
&"MAN&AN ."&+ TE!O
ESNE!O .A#MA SA.A!O
#SNA#N N"!S#MA SAAP"&N.AAN# ESA TE!O
MA/AA' A#!EN #*!ES
PO'ON0 MA!#A MAE 'OM*ATE
SAAM ,H#SMA SA&&AN0
S"A+ NE!FA .AAPA
TAN&A &A!#NA AME!#
TE!O PAMEA 0AETO
"!*ANO 0#1AN !E$#A
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' '= '/ '+ '$ ;%