ABCDEFGHIJKLMNOPQRSTUVWXYZ
1
Republic of the Philippines
2
Department of Education
3
REGION IV-A CALABARZON
4
5
EQUIVALENT RECORD FORM
6
7
Name:Date of Birth:Sex:
8
SurnameGiven nameMiddle
9
School:District:Address:
10
Employee No:
Authorized Position/Title:
11
Item No:Authorized Salary:
12
13
I. EDUCATIONAL ATTAINMENT AND CIVIL SERVICE ELIGIBILITY
14
Title, Degree or Highest Grade AttainedName of InstitutionYear ReceivedCivil Service PRC ExamRatingDate
15
16
17
18
19
20
II. SERVICE RECORD:
(Attached duly certified Latest Service Record)
21
22
III. EQUIVALENT UNITS:
23
A. Total No. of Years Teaching: (Public Only)
Equivalent:
24
B. Degree to Degree Equivalent: (Present Degree)
Equivalent:
25
26
C. Areas of Equivalent:
School YearNo. Of UnitsDescription
27
1.
Professional Study
28
2.
Teaching Experience
29
a.
Public School
30
b.
Private School
31
3.
Adm. Supervisory Experience
32
a.
Public School
33
b.
Private School
34
4.
Others (Seminars, Workshop, etc.
35
TOTAL
36
LATEST EFFICIENCY RATING
37
38
Teacher's Signature
39
NOTE:
Teacher (Do Not Write Below)
40
41
IV. DIVISION ACTION
42
ClassificationDate ProcessedGrade AssignmentSalary GradeScheduled SalaryRemarks
43
44
RECOMMENDING APPROVAL:
45
46
ROGELIO F. OPULENCIAARMANDO V. FARAL
47
Assistant Schools Division SuperintendentAdministrative Officer V
48
Officer-in-Charge
49
Office of the Schools Division Superintendent
50
51
V. DepEd REGIONAL OFFICE ACTION
52
53
DEPARTMENT OF EDUCATION
54
REGION IV-A CALABARZON
55
POST AUDIT OF TEACHING POSITION
56
CLASS TITLE:
57
SALARY RANGE:
58
SUBJECT TO AVAILABILITY OF AN ITEM
NIMFA A. BERMENDI
59
AUTHORITY OF THE SECRETARY, DEPEDTeacher Credential Evaluator II
60
61
62
CHERRYLOU D. REPIA
63
Assistant Regional Director
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100