Republika Ng Pilipinas

KAGAWARAN NG EDUKASYON
Rehiyon XI
SANGAY NG LUNGSOD NG DAVAO
Lungsod Ng Davao

EQUIVALENT RECORD FORM (ERF)

School: __________________________________________________ District/Cluster: ________________________________

Name: ___________________________________________________ Date of Birth: _________________________ Sex:___________

(Surname) (Given Name) (M. I.)
Employee Number: _______________ Item No.: _______________________________ Authorized Position Title: ___________________
Page number: ___________________________ Authorized Annual Salary: ___________________

I. Educational Attainment and Eligibility:

Title, Degree or Highest Year
Name of Institution Eligibility Rating Date
Grade Attained Received

II. Service Record: Attached Duly Certified Service Record

III. Equivalent Units:
A. Total No. of years teaching (Public only): ________________ years Equivalent: ______________________
B. Degree to Degree Equivalent (Present Degree) ____________ M. A. Units Equivalent: ______________________
C. Areas of Equivalent School Year No. of Units/Years Description

1. Professional Study

TOTAL _______________

2. Teaching Experience

a. Public School

b. Private School

LATEST EFFICIENCY RATING (Adjectival and Numerical): _________________________________

_______________________________
Teacher’s Signature
Recommending approval: ____________________________________
PSDS (Elementary) / School Head (Secondary)
IV. Division Action:
Classification Date Processed Range Assignment Salary Grade Salary Schedule Remarks

Evaluated by: Certified Correct:

ROMEL L. TAMBIS JINKY B. FIRMAN, CESE

Administrative Officer IV ASDS / Chair, HRMPSB
Approved:

REYNALDO M. GUILLENA, CESO V

Schools Division Superintendent

O A T H

I hereby certify under oath that I have actually enrolled in the school(s) listed in the accompanying Transcript of Records and that I
have earned the units indicated therein.

_____________________________
Signature over printed name

SUBCRIBED AND SWORN to before me this _______________ day of ________________ 2021 affiant exhibiting his/her
Community Tax Certificate No. ________________ issued at ________________________ on _________________.
 ___________________________________
Signature of Person Administering the Oath
Doc. No. : ______________
Page No. : ______________
Book No. : ______________
Series No. : _____________