Republic of the Philippines
Department of Education
REGION IV-A CALABARZON
EQUIVALENT RECORD FORM
Name: Date of Birth: Sex:
Surname Given name Middle
School: District: Address:
Employee No: Authorized Position/Title:
Item No: Authorized Salary:
I. EDUCATIONAL ATTAINMENT AND CIVIL SERVICE ELIGIBILITY
Year
Title, Degree or Highest Grade Attained Name of Institution Civil Service PRC Exam Rating Date
Received
II. SERVICE RECORD: (Attached duly certified Latest Service Record)
III. EQUIVALENT UNITS:
A. Total No. of Years Teaching: (Public Only) Equivalent:
B. Degree to Degree Equivalent: (Present Degree) Equivalent:
C. Areas of Equivalent: School Year No. Of Units Description
1. Professional Study
2. Teaching Experience
a. Public School
b. Private School
3. Adm. Supervisory Experience
a. Public School
b. Private School
4. Others (Seminars, Workshop, etc.
TOTAL
LATEST EFFICIENCY RATING
Teacher's Signature
NOTE: Teacher (Do Not Write Below)
IV. DIVISION ACTION
Classification Date Processed Grade Assignment Salary Grade Scheduled Salary Remarks
RECOMMENDING APPROVAL:
DORIS DJ. ESTALILLA ALMA C. CRUZADA
Assistant Schools Division Superintendent Administrative Officer V
Officer-In -Charge
Office of the School Division Superintendent
V. DepEd REGIONAL OFFICE ACTION
DEPARTMENT OF EDUCATION
REGION IV-A CALABARZON
POST AUDIT OF TEACHING POSITION
CLASS TITLE:
SALARY RANGE:
SUBJECT TO AVAILABILITY OF AN ITEM NIMFA A. BERMENDI
AUTHORITY OF THE SECRETARY, DEPED Teacher Credential Evaluator II
WILFREDO E. CABRAL
Regional Director