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Tandag City Educational Record Form

This document is an Equivalent Record Form (ERF) containing information about an employee's educational and employment history. It includes sections on their educational attainment, civil service eligibility, service records, equivalent teaching units from various experiences, and their latest efficiency rating. Upon review and processing by the division office, it will include their classification, salary range assignment, and scheduled salary. This form provides the key details to evaluate an employee's qualifications and compensation.

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82 views2 pages

Tandag City Educational Record Form

This document is an Equivalent Record Form (ERF) containing information about an employee's educational and employment history. It includes sections on their educational attainment, civil service eligibility, service records, equivalent teaching units from various experiences, and their latest efficiency rating. Upon review and processing by the division office, it will include their classification, salary range assignment, and scheduled salary. This form provides the key details to evaluate an employee's qualifications and compensation.

Uploaded by

DhangManongas-LlaboreVete
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Enclosure to Department Memorandum No.

140 s, 1976

Republic of the Philippines


DEPARTMENT OF EDUCATION
CARAGA ADMINISTRATIVE REGION
Division of Surigao del Sur
Tandag City

EQUIVALENT RECORD FORM (ERF)

Name: ___________________________________________ Date of Birth: ________________Sex: _______


(Surname) (Given Name) (M.I.)
Employee No.: ____________________________________ Authorized Position Title: _________________
Item Number: ____________________________________ Actual Salary: ___________________________
I. EDUCATIONAL ATTAINMENT AND CIVIL SERVICE ELIGIBILITY:

Titles,
Year Civil Service
Degree/Highest Name of Institution Rating Date
Received Examination
Grade Attained

II. SERVICE RECORDS: (Attach 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
2. Teaching Experience
a. Public School
b. Private School
3. Adm./Supervisory Experience
a. Public School
b. Private School
4. Others (Seminars, Workshops,
Others)
TOTAL

LATEST EFFICIENCY RATING : ___________________________

CERTIFIED CORRECT: ______________________________


Teacher’s Signature

ROSALINDA E. URBIZTONDO, Ph.D. SHIRLENE E. CRABAJALES


(School Principal / District Supervisor) Administrative Officer V

Note: Teachers Do not Write Below


IV – DIVISION ACTION:
Range Scheduled of
CLASSIFICATION Date Processed Salary Range REMARKS
Assignment Salary

CERTIFIED CORRECT: APPROVED:

______________________________ MARILOU B. DEDUMO, CESO VI


Division Processing Officer Schools Division Superintendent
OATH

I HEREBY CERTIFY under oath that I have actually enrolled in the school or
schools listed in accompanying transcript of record and that I have the units indicated therein.

As required the Bureau of Private Schools has been furnished with authentic copies of the
sworn statement and its enclosure.

________________________
Signature

SUBSCRIBE AND SWORN to before me this _______________ day of


_______________ 201_ affiant exhibiting his/her Residence Certificate No. ______________ Issued at
________________________ on ______________________________.

___________________________
Signature of Person Administering Oath

Doc. No. _____________________


Page No. _____________________
Book No. _____________________
Series of _____________________

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