Republic of the Philippines
Department of Education
Region V – Bicol
SCHOOLS DIVISION OFFICE OF CATANDUANES
School H/S: ____________________
District E/S: ___________________
Contact No.: ___________________
EQUIVALENT RECORD FORM
(Submit to DepEd in 3 copies)
Name: _______________________________________________________ Date of Birth: ________________________
(Surname) (Given) (M.I.)
Employee No.: __________________________ Authorized Position Title: ________________________
Item No. _______________________________ Authorized Salary: ______________________________
I. Educational Attainment and Civil Service Eligibility
Name of Civil Service
Title Degree or Highest Attained Year Received Rating Date
Institution Examination
II. Service Records: DULY ATTACHED CERTIFIED RECORD
III. Equivalent Units:
A. Total No. of Years Teaching (Public Only) ____________ Equivalent: __________
B. Degree to degree equivalent (Present Degree) ____________ Equivalent: __________
C. Areas Equivalent School Year No. of Units Description
1. Professional Study (M.A.) ___________ ____________ ___________
2. Teaching Experience
a. Public Schools ___________ ____________ ___________
b. Private Schools ___________ ____________ ___________
3. Adm. Supervisory Experience
a. Public School ___________ ____________ ___________
b. Private School ___________ ____________ ___________
4. Others (seminars, workshops etc.)
TOTAL ___________ ____________ ___________
LATEST EFFICIENCY RATING: ________________________
NOTE: Teachers do not write below.
__________________
Teacher’s
Signature
IV. Division Section
Range Schedule
Classification Date Processed Assignment Salary Ranged Remarks
Salary
RECOMMENDING APPROVAL: CERTIFIED TRUE CORRECT:
CECILE C. FERRO CESO VI MARICHELLE B. LLAVE
Assistant Schools Division Superintendent Administrative Officer IV
Officer-In-Charge
Office of the Schools Division Superintendent
V. DEPED Regional Office Action
Classification: _______________________________ Range: ______________________
Date of Approval/Processed: ____________________ Post Audited Range ___________
For future references ___________
MARY ANN T. BAÑAS
Administrative Officer V
Republic of the Philippines
Department of Education
Region V – Bicol
SCHOOLS DIVISION OFFICE OF CATANDUANES
Personnel Section