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Equivalent Record Form

The document is an Equivalent Record Form submitted to the Department of Education in the Philippines containing the educational and professional history of an applicant. It includes the applicant's personal information, educational attainment including degrees earned and civil service exam results, teaching service record, and a breakdown of equivalent teaching units from professional experience, teaching experience in public and private schools, and administrative or supervisory experience. The form requires signatures and approval from the Division of Quezon and DepEd Regional Office before final DepEd action.

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KhrisAngelPeñamante
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216 views1 page

Equivalent Record Form

The document is an Equivalent Record Form submitted to the Department of Education in the Philippines containing the educational and professional history of an applicant. It includes the applicant's personal information, educational attainment including degrees earned and civil service exam results, teaching service record, and a breakdown of equivalent teaching units from professional experience, teaching experience in public and private schools, and administrative or supervisory experience. The form requires signatures and approval from the Division of Quezon and DepEd Regional Office before final DepEd action.

Uploaded by

KhrisAngelPeñamante
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Republic of the Philippines

Department of Education
Region IV-A CALABARZON
DIVISION OF QUEZON
Talipan, Pagbilao, Quezon

EQUIVALENT RECORD FORM


(Submit to DepEd in five copies)

Name: ________________ __________________________ Date of Birth: ________________________ Sex: ________


(Surname) (Given Name) (Middle)
School: ________________________________________ Address: ______________________________________
Employee No. ________________________________ Authorized Position Title: ________________________
Item No. ______________ P. D. No. _______________ Authorized Salary: __________

I. EDUCATIONAL ATTAINMENT & CIVIL SERVICE ELIGIBILITY


Title, Degree or Highest Grade Year Civil Service/
Name of Institution Rating Date
Attained Received PRC Exam
Master of Arts in Education-Educ. Management Northern Quezon College, Inc. 2014 LET 81 9/2012
CS Prof. Level 81 4/2010
CS Sub.Pro Level 81 10/2003
II. SERVICE RECORD: (Attached duly certified 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 2012-2014 Graduate MAEd Educ. Management
2. Teaching Experience
a. Public School 2013-present Classroom Teacher
b. Private School 2012-present College Instructor(part-time)
3. Adm. Supervisory Experience
a. Public School
b. Private School
4. Others (Seminars, Workshop, etc.)
LATEST EFFICIENCY RATING: ____________

Teachers Signature

NOTE: Teacher Do not write below

IV. DIVISION ACTION:


Grade Salary Scheduled
Classification Date Processed Remarks
Assignment Grade Salary

RECOMMENDING APPROVAL: CERTIFIED CORRECT:

MERTHEL M. EVARDOME CESO VI MELVA M. RAMA


Schools Division Superintendent Administrative Officer II

V. DepEd REGIONAL OFFICE ACTION:

Classification: __________________________ Range: __________________________


Date Approved/ Processed: _______________________ Post audit at range ________________
(for future reference)

VI. DepEd PROPER ACTION

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