Form 3 k 12
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This document is a student's permanent record from the Philippine Department of Education. It contains sections summarizing the student's progress and ratings in various learning areas from Kindergarten through 6th grade. It also includes records of attendance, character building evaluations, and certification of eligibility for transfer to the next grade. The permanent record tracks a student's academic performance, social development, and attendance over several years of elementary education.
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Form 3 k 12
- 1. 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 Eligible for Admission to Grade _____________________________________ 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 Eligible for Admission to Grade _____________________________________ Grade VI – School _______________________________ School Year _________________________________ Eligible for Admission to Grade _____________________________________ 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 Eligible for Admission to Grade _____________________________________ Eligible for Admission to Grade _____________________________________ .
- 2. 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)