Form 3 k 12

Republika ng Pilipinas (Republic of the Philippines)

Kagawaran ng Edukasyon (Department of Education)

KAWANIHAN NG EDUKASYONG ELEMENTARYA

(BUREAU OF ELEMENTARY EDUCATION)

Rehiyon IX

(Region IX)

PALAGIANG TALAAN SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PERMANENT RECORD

Pangalan Sangay___________________Paaralang Elementarya ng ________________________

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

Kasarian______________Petsa ng kapanganakan_________________________Pook ______________________________________Petsa ng Pagpasok____________

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

Magulang/Tagapag-alaga Pangalan Tirahan Hanapbuhay

(Name) (Address) (Occupation)

PAG-UNLAD SA MABABANG PAARALAN

(ELEMENTARY SCHOOL PROGRESS)

Kindergarten-School__________________________

School Year___________________

LEARNING AREAS

PERIODIC

RATING

LEARNING AREAS

PERIODIC

RATING

IST 2ND IST 2ND

ENGLISH NUMBERS READINESS

Identifies/reads the letter of the alphabet/words Can count, write & recognized 1-20

Can produce phonetical sounds of letters/words Can count by rote to 100

Can answer questions accurately Can group objects as directed

Can recite, simple rhymes/poems Has number concept

Can write his/her name Can identify shapes/colors/sizes/positions

Can trace, copy letters/word forms C. MUSIC INTEREST

Can follow simple instructions Enjoy listening music

FILIPINO Takes part in Singing/Activities

Can recognize/say letters/words D. ART INTEREST

Can name common objects & people Can express through art

Can follow simple instructions Can reproduce figures/symbols

Uses crayons properly

Grade I – School _________________________________

School Year _________________________________

Grade II – School _____________________________

School Year _______________________________

LEARNING AREAS

PERIODIC RATING

Remarks

1 2 3 4

LEARNING AREAS

PERIODIC

RATING REMARKS

Mother Tongue 1 2 3 4

Filipino Mother Tongue

English Filipino

Mathematics English

Araling Panlipunan Mathematics

MAPEH Araling Panlipunan

Music MAPEH

Art Music

Physical Education Art

Science & Health Physical Education

EsP Science & Health

Eligible for Admission to Grade _____________________________________

Grade III – School _______________________________

School Year _________________________________

EsP


Grade IV – School _______________________________

School Year _________________________________

LEARNING AREAS

PERIODIC RATING

Remarks 1 2 3 4

LEARNING AREAS

PERIODIC RATING Remarks

1 2 3 4

Mother Tongue Filipino

Filipino English

English Mathematics

Mathematics Science & Health

Araling Panlipunan MAKABAYAN

MAPEH Heograpiya, Kasaysayan at Sibika (HKS)

Music Edukasyong Pantahanan at Pangkabuhayan (EPP)

Art Musika Sining at Edukasyon sa Pagpapalakas ng Katawan (MSEP)

Physical Education Character Education

Science & Health AVERAGE

EsP


Grade VI – School _______________________________

School Year _________________________________


Grade V – School _______________________________

School Year _________________________________ Filipino

Filipino English

English Mathematics

Mathematics Science & Health

Science & Health MAKABAYAN

MAKABAYAN Heograpiya, Kasaysayan at Sibika (HKS)

Heograpiya, Kasaysayan at Sibika (HKS) Edukasyong Pantahanan at Pangkabuhayan (EPP)

Edukasyong Pantahanan at Pangkabuhayan (EPP) Musika Sining at Edukasyon sa Pagpapalakas ng Katawan (MSEP)

Musika Sining at Edukasyon sa Pagpapalakas ng Katawan (MSEP) Character Education

Character Education AVERAGE

AVERAGE



.

CHARACTER BUILDING

KINDERGARTEN

School: _______________

Year: _________________

Gr. ___________________

Sch. Yr._______________

1 2 1. Honesty

SOCIAL DEVELOPMENT 2. Courtesy

Is friendly 3. Helpfulness and Cooperation

Speaks in a pleasant voice 4. Resourcefulness and Creativity

Shares with others 5. Consideration for Others

Can lead his/her peers 6. Sportsmanship

Grows in social relationship 7. Obedience

EMOTIONAL DEVELOPMENT 8. Self-Reliance

Is happy 9. Industry

Reacts appropriately in all situations 10. Cleanliness and Orderliness

Tells the truth readily

Shows courteous habits

Evaluation Code: Guideline for Rating: O – Outstanding A – Very Good

VS – Very Satisfactory B – Good

S – Satisfactory C – Fair NI – Needs Improvement D – Poor

Gr. ___________________

Sch. Yr._______________

Gr. ___________________

Sch. Yr._______________

Gr. ___________________

Sch. Yr._______________

1 2 3 4 FR 1 2 3 4 FR 1 2 3 4 FR

1. Honesty

2. Courtesy

3. Helpfulness and Cooperation

4. Resourcefulness and Creativity

5. Consideration for Others

6. Sportsmanship

7. Obedience

8. Self-Reliance

9. Industry

10. Cleanliness & Orderliness

11. Promptness & Punctuality

12. Sense of Responsibility

13. Love of God

14. Patriotism & Love of Country

Gr. ___________________

Sch. Yr._______________

Gr. ___________________

Sch. Yr._______________

Gr. ___________________

Sch. Yr._______________

1 2 3 4 FR 1 2 3 4 FR 1 2 3 4 FR

15. Honesty

16. Courtesy

17. Helpfulness and Cooperation

18. Resourcefulness and Creativity

19. Consideration for Others

20. Sportsmanship

21. Obedience

22. Self-Reliance

23. Industry

24. Cleanliness & Orderliness

25. Promptness & Punctuality

26. Sense of Responsibility

27. Love of God

28. Patriotism & Love of Country

CODE:

NONE-NUMERICAL RATING NUMERICAL RATING

A – Outstanding 95 – 100

B – Very Satisfactory 84 – 89

C – Satisfactory 83 – 88 D – Fair 76 – 82

E – Poor 71 – 75

ATTENDANCE RECORD

GRADE No. of School Days No. of School Days

Absent Cause No. of Time Tardy Cause

No. of School Days

Present

CERTIFICATION OF TRANSFER

To Whom It May Concern This is to certify that this is a true record of the Elementary School Permanent Record of _______________________________________________, He/She

is eligible for transfer and admission to Grade/Year ________________________________.

__________________________ Signature

(Date) (Designation)

Form 3 k 12

Documents

Transcript of Form 3 k 12