Republic of the Philippines

Department of Education
REGION VI – Western Visayas
SCHOOLS DIVISION OF SAGAY CITY

VERIFICATION OF TEACHING/ADMINISTRATIVE EXPERIENCE FORM

Social Security Number_____________________

This is to certify that ____ESPAÑOL______REGINA ___________DIAZ____

(Last name) (First name) (Middle name)
Any other name(s) used___________________________________________
Was implemented by: HIMOGAAN BAYBAY INTEGRATED SCHOOL- SENIOR HIGH SCHOOL
City of SAGAY______ State/Country of NEGROS OCCIDENTAL, PHILIPPINES_________

*NUMBER
*BEGINNING *ENDING OF DAYS *HOURS PER FULL-TIME
MONTH-DAY-YEAR MONTH-DAY-YEAR *POSITION WORKED DAY PART-TIME
01/06/2003 12/31/2003 Teacher I 360 days 8 hours FULL-TIME
01/01/2004 12/31/2004 Teacher I 365 days 8 hours FULL-TIME
01/01/2005 12/31/2005 Teacher I 365 days 8 hours FULL-TIME
01/01/2006 12/31/2006 Teacher I 365 days 8 hours FULL-TIME
01/01/2007 12/31/2007 Teacher I 365 days 8 hours FULL-TIME
01/01/2008 12/31/2008 Teacher I 365 days 8 hours FULL-TIME
01/01/2009 12/31/2009 Teacher I 365 days 8 hours FULL-TIME
01/01/2010 12/31/2010 Teacher I 365 days 8 hours FULL-TIME
01/01/2011 12/31/2011 Teacher I 365 days 8 hours FULL-TIME
01/01/2012 12/31/2012 Teacher I 365 days 8 hours FULL-TIME
01/01/2013 02/28/2013 Teacher I 78 days 8 hours FULL-TIME
03/01/2013 12/31/2013 Teacher III 287 days 8 hours FULL-TIME
01/01/2014 12/31/2014 Teacher III 365 days 8 hours FULL-TIME
01/01/2015 12/31/2015 Teacher III 365 days 8 hours FULL-TIME
01/01/2016 12/31/2016 Teacher III 365 days 8 hours FULL-TIME
01/01/2017 01/02/2017 Teacher III 2 days 8 hours FULL-TIME
01/03/2017 12/31/2017 Master Teacher I 365 days 8 hours FULL-TIME
01/01/2018 12/31/2018 Master Teacher I 365 days 8 hours FULL-TIME
01/01/2019 12/31/2019 Master Teacher I 365 days 8 hours FULL-TIME
01/01/2020 12/31/2020 Master Teacher I 365 days 8 hours FULL-TIME
01/01/2021 To date Master Teacher I 365 days 8 hours FULL-TIME
*Must be completed
Authorized signature, Title & Organizational Stamp (official stamp or seal is required if verification is from
a country outside the United States). I attest, under penalty of perjury, that to the best of my knowledge, this
employee was authorized and worked as an educator within the school district and the above verification is
genuine and relates to the individual.

NOE B. ABDON__ June 22,2021

SIGNATURE DATE

ADMINISTRATIVE OFFICER V Sagay.city001@deped.gov.ph

TITLE E-MAIL

Division of Sagay City, Quezon St., Poblacion 1, Sagay City

6122 Negros Occidental, Philippines________________
MAILING ADDRESS