Document Code: SDO-BUL-QF-OSDS-

Republic of the Philippines PER-002

Department of Education
Revision: 02
SCHOOLS DIVISION OF BULACAN
Effectivity date: 08 - 13 2018

ERF Form Name of Office: Personnel

Name: _________________________________________________________________Date of Birth: __________Gender: _______

(Surname) (Given Name) (M.I)
Employee No.: ____________________ Authorized Position Title: _______________
Item No.: _OSEC-DECSB-________________ SG: ________________ Authorized Annual Salary: ______________

I. Educational Attainment
Masters Degree Completed/Units
Earned Name of School Year Completed Equivalent
(write in full with specialization) (if not completed)

II. Years of Teaching Experience: ______________________

Private: _______________ Public: ________________

III. Trainings Attended

Title Inclusive Dates Number of Sponsoring Agency
Hours

IV. For Head Teacher Positions and other Related Teaching Positions
Years of Experience in Present Position: _______________________

V. Latest Perfomance Rating: _____________________

_______________________________________
(Teacher's Signature)

VI. Schools Division Action (For Schools Division Evaluator Only)

Classification Date Processed Range Salary Grade Salary Schedule Remarks
Assignment
NBC No.
___ S. __

Certified Correct: Recommending Approval:

MERLE M. DE JESUS ZENIA G. MOSTOLES, Ed.D., CESO V

Administrative Officer V Schools Division Superintendent
Schools Division Evaluator

V. DepEd Regional Office Action

Classification: _________________________________________ Post Audited Assignment: _____________________
Date Processed: _______________________________________ Salary Grade: ________________________________
Salary Schedule: _____________________________
Remarks: ____________________________________

Approved:

Evaluator