Republic ofthe Philippines Department of Education Region Wl. Centra Visayas DIVISION OF EQUIVALENT RECORD FORM Name: Date of Birth, _ Sex (Sumame) (Given Name) ML) Employee No. _ Current Position Title; tem No. NUC. No, ‘Authorized Monthly Salary P. 1,____ EDUCATION ATTAINMENT B CIVIL SERVICE ELIGIBILITY: [UNITS DEGRESS NAME OF YEAR GWVIL SERVICE RATING DATE ORHIGEST INSTITUTION RECEIVED EXAMINATION GRADE ATTAINED. IL SERVICE RECORDS: Attached duly certified service record: M,—ERIVALENT UNITS: ‘A Toa no. of years teaching (Public only) Equivalent B, Dogroe or Degree Equivalent (Present Degree) Equivalent: C. Area of Equivalent ‘SCHOOL YEAR. NO. OF UNITS DESCRIPTION 1. Professional Sty 72. Teaching Experience 2 Pub School | ®. Pate School Adm, & Supervisory Experienced 2. Public School Pvt School .Obrer (eminar Workshop ea) Please see separate Sheets TOTAL LATEST EFFICIENCY RATING: (Teachers Signature) NOTE : Teachers Da Not Write Below DIVISION ACTION: DATE RANGE ‘SALARY SCHEDULED CLASSIFICATION | PROCESSED | ASSIGNMENT | ___GRADE SALARY REMARKS RECOMMENDING APPROVAL: IERTIFIED CORRECT ‘Schools Division Superintendent Division Processing Ofcer ¥._DEPED REBIONAL OFAICE ACTION: Classifcaion:___Range:__ Poot Aurted Range: POST AUDIT OF TEACHING POSTION ‘LASS TLE SALARY GRADE ‘SUGIECT 0 AVAILITY OF ATTEN ‘THE AUTHORITY OFTHE SECRETARY OF EDUCATION Vi DEPED PROPER ACTION: PROCESSED BY: ‘REVIEWED BY: (CERTIFIED TRUE & CORRECT: ‘DR. JOY KENNETH BIASONG ZVISMINDA TALAN (DAF, CABANTAN Teacher Credentials Evaluator 1 Teacher Credentials Evaluator II Administrative Officer V RECOMMENDING APPROVAL: APPROVED ANIANO T. BAUTISTA JR. RECAREDO G. BORGONIA Chief Administrative Officer Director 1V. Regional Director