137-E Blank Form
137-E Blank Form
DEPARTMENT OF EDUCATION
CARAGA ADMINISTRATIVE REGION
DIVISION OF AGUSAN DEL SUR
PATIN-AY, PROSPERIDAD
PALAGIANG TALAAN SA MABABANG PAARALAN
(ELEMENTARY SCHOOL PERMANENT RECORD)
I. Pangalan Sustiguer Denver Pastor Sangay Agusan del Sur Paaralan Alma Elementary School
Apelyido Unang Pangalan Middle Name (Division)
Kasarian Male Petsa ng Kapanganakan April 18, 2008 Pook Masayan, Veruela, Agusan del Sur
Bayan/Lalawigan/Lungsod
Petsa ng Pagpasok June 20, 2020
(Sex) (Date of Birth) (Place) (Date of Entrance)
(Town/Province/City)
Magulang/Tagapag-alaga Elsa A. Sustiguer , Masayan, Veruela, Agusan del Sur Farming
(Parent/Guardian) Pangalan Tirahan Hanapbuhay
3. Maka -
Cares for the environment and utilizes resources
wisely, judiciously and economically.
kalikasan
Demonstrates pride in being a Filipino; exercises
4. Maka - the rights and responsibilities of a Filiipino citizen.
TALAAN NG PAGPASOK
( RECORD OF ATTENDANCE )
Baitang Bilang ng Araw Bilang ng Araw Pangunahing Dahilan Bilang na Pangunahing Bilang ng Araw
(Grade) na May Pasok na Lumiban sa (Chief Cause) Nahuli ng Dahilan ng Pagpasok
(No. Of School Days) Klase (No. of Pagpasok (Chief Cause) (No. of School
Days Absent) (No. of Days Present)
Times Tardy)
KATIBAYAN SA PAGLIPAT
(CERTIFICATE OF TRANSFER)
TO WHOM IT MAY CONCERN:
This is to certify that this is a true record of the Elementary Schools Permanent Record of Denver P. Sustiguer
He/She is eligible for transfer and admission to Grade/Year Six
EVELYN D. SULIMANAN
Signature
November 21, 2022 Head Teacher I
Date Designation