FRopublo of he Phiiprnos DEPARTMENT OF EDUCATION REGION I-CENTRALLUZON Schools Divon of a EQUIVALENT RECORD FORM (Subrntin Five Cops) Name: Date of Bit Gender (Sumnamey Given) (any Employee, ‘Autoren Paton Tie: Hr Ne 86 ‘Autboriaes Annual Salary. Educational Attainment Masters Degree | Completed’ | Name cfSchool | YearCompleted | Equivalent (orteintuwas | Unite Eamed ‘owctiaton) | raat comple) I Years of Teaching Experiance: Private Pabie inings Attonded, Tide Tnolusive | Number of ‘Sponsoring Agency Dates Hour 'V. For Head Teacher Positions and Other Related Teaching Pestions Years of Experonce in Present Postion. V. Latest Performance Rating: Teachers Signature) V.__Schgals Division Action For Schools Division Evaluator ‘lassiiation | Dat ‘Range SaleryGrade | Salary REMARKS Processed | Assignment Schedule Carad CORRE T cornering AAA OW Personnel vision Supetniandant ‘Schools Division Evaluator Classfatin Post Aaaiod Assignment Date Processed: Salary Grade Salary Schedule marke Anproved: HIGOLAST, CAPULONG, PRO. Olc-Assistant Regional Diector