Republic of the Philippines
Department of Education
Region X – Northern Mindanao
DIVISION OF BUKIDNON
City of Malaybalay
EQUIVALENT RECORD FORM
Name: ___________________________________ Date of Birth: ______________ Sex: _______
(Surname) (Given Name) (M.I.)
Employee No.: ____________________________ Authorized Position Title: _________________
Item Number: ____________________________ Authorized Salary: ______________________
Actual Salary: __________________________
I. Educational Attainment and Civil Service Eligibility:
CS Eligibility
Title, Degree or Highest
Name of Institution Year Received Date
Degree Attained Exam Rating
Taken
II. Service Record: (Attached duly certified and updated 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 Equivalents: School Year Units Earned Description
00 1. Professional Study
2. Teaching Experiences:
a. Public School
b. Private School
3. Adm. Supervisory Experience
a. Public School
b. Private School
4. Others (Seminars, workshops, etc.)
TOTAL
LATEST EFFICIENCY RATING: _____________________
__________________________________ __________________________
PSDS/PRINCIPAL/HEAD TEACHER Teacher’s Signature
IV. DIVISION ACTION:
Date Range
Classification Salary Range Scheduled Salary Remarks
Processed Assignment
Certified Correct: Recommending Approval:
___________________ _______________________ _______________________
Division Processing Officer Asst. Schools Div. Superintendent Schools Division Superintendent
__________________________________________________________________________________
V. DepED REGIONAL OFFICE ACTION:
EVALUATED BY: DEPARTMENT OF EDUCATION
DATE: ________________________ REGION X, CAGAYAN DE ORO CITY
POST-AUDIT OF TEACHING POSITION
CLASS TITLE: ____________________
______________________________ SALARY GRADE: _________________
TEACHER CREDENTIALS EVALUATOR SUBJECT TO AVAILABILITY OF AN ITEM