Republic of the Philippines

DEPARTMENT OF EDUCATION
Region III – Central Luzon
SCHOOLS DIVISION OF TARLAC PROVINCE
Tarlac City

EQUIVALENT RECORD FORM

(Submit in 5 copies)

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
Year
(write in full with Earned (if not Name of School Equivalent
Completed
specialization) completed)

II. Years of Teaching Experience

Private: ______________________________
Public : ______________________________
III. Trainings Attended
Number of Sponsoring
Title Inclusive Dates
Hours Agency

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

V. Latest Performance Rating: _______________________

(Teacher’s Signature)
VI. Schools Division Action (For Schools Division Evaluator Only)
RANGE SALARY SALARY
CLASSIFICATION DATE PROCESSED REMARKS
ASSIGNMENT GRADE SCHEDULE

Teacher III M.A. Degree 13 339,312.00 NBC 584 s. 2021

Certified Correct: Recommending Approval:

JOVITA G. DIZON RONALDO A. POZON, Ph. D., CESO V

Administrative Officer V Schools Division Superintendent
Schools Division Evaluator

VII. DEPED REGIONAL OFFICE ACTION:

Classification: ___________________________ Post Audited Assignment: _______________
Date Approved/Processed: ________________ Salary Grade: _________________________
Salary Schedule: _______________________

Approved:

Evaluator
 REQUIREMENTS FOR UPGRADING OF POSITION THROUGH ERF
(T1 TO T3, HT1 TO HT3, SPED 1 TO SPED 3) - ORANGE FOLDER
3 copiesD.O. a.  Endorsement Letter duly signed by the Schools Division Superintendent
4 copies D.O. b.  Plantilla Allocation List - duly signed by the Schools Division Superintendent
5 copies c.  Equivalent Records Form (ERF) - duly signed by the Schools Division Superintendent
1 original d.  Certification, Authentication, Verification (CAV) of TOR- if from private school
1 copy e.  Original Copy of Transcript of Records with SO and school sealed and 1 xerox copy
3 copies f.  Updated Service Records - 1 Original & 2 certified photo copy & duly signed
by the authorized official/s
1 xerox copy g. Latest Approved/Attested Appointment - certified true & correct by
Administrative Officer
2 copies D. O. h. Copy of Personal Services Itemization and Plantilla of Personnel
(PSIPOP) - certified true & correct by Administrative Officer
i. Last Performance Rating - should be indicated on ERF
1 copy j. MA Curriculum - certified true & correct
1 copy **** k. Notarized List of Teachers together with their item number under the
Supervision of the proposed appointee (Head Teacher)

PLEASE FOLLOW STRICTLY THE ARRANGEMENT OF DOCUMENTS

Thesis – 1 photocopy of Title Page & Approval Sheet

Project Paper – 1 photocopy of Title Page & Table of Contents
Certificate of Trainings - 1 photo copy
Certificate of School attended - Original Copy
CERTIFICATION, AUTHENTICATION AND VERIFICATION FROM CHED

*** For Head Teacher Only

 HEAD TEACHER - Elementary
QUALIFICATION STANDARDS
POSITION EDUCATION EXPERIENCE TRAINING ELIGIBILITY NO. OF TEACHERS

24 hours of relevant training

At least 12 MA Units in the
Head fields of administration,
Teacher I supervision, leadership or
management
Three (3) years
initiated, sanctioned and
teaching experience
approved/recognized by DepEd RA 1080 (Teacher)
and TIC for at least 1
not used in the immediate
year
previous promotion

24 hours of relevant training

At least 24 MA Units in the
Head fields of administration,
Teacher II supervision, leadership or
management
initiated, sanctioned and
Head Teacher for one 6 teachers to be
approved/recognized by DepEd RA 1080 (Teacher)
(1) year supervised
not used in the immediate
previous promotion

32 hours of relevant training

At least 36 MA Units in the
Head fields of administration,
Teacher III supervision, leadership or
management
initiated, sanctioned and
Head Teacher for two
approved/recognized by DepEd RA 1080 (Teacher)
(2) years
not used in the immediate
previous promotion

* Performance Rating should be at least Very Satisfactory for the last 3 consecutive years
or Outstanding for the last two years from the effectivity of latest appointment

REQUIREMENTS
Endorsement from the Schools Division Superintendent
Plantilla Allocation List
Copy of the latest post-audited Personal Services Itemization and Plantilla of Personnel (PSIPOP) where the item is reflected
Certification of non-availability of item
Justification for the reclassification of position
Duly Accomplished CSC Form 212 (Personal Data Sheet
Certified, Authenticated and Verified Transcript of Records
Notarized self-certification that the applicant officially enrolled/ personally attended and obtained his/her
units/diploma during the SYs as indicated in his/her TOR
PRC ID
CSC attested appointment
Service Records
Summary of Performance Rating
Performance Ratings for the last three (3) rating periods (incurred during present position)
SY 2018-2019
SY 2019-2020
SY 2020-2021
Certificates/Proofs of Outstanding Accomplishment
Certificates of Training recognized by DepED, not used in the immediate previous promotion
Position Description Form
Ranklist duly signed by proper authorities/ Division Selection and Promotions Board's Certification on the points
obtained in the Psychological Attributes and Personality Traits assessment
Enrolment Data (Form 3) in the present school assignment, including the cluster schools handled (if any)
Notarized list of teachers with their item number to be handled by the incumbent
General Class/School Program
Individual/ Daily Teacher's Schedule

NAME:
PROPOSED POSITION:
SCHOOL/DISTRICT/DIVISION:
ITEM NUMBER: OSEC-DECSB-TCH3-
EDUCATIONAL ATTAINMENT
EXPERIENCE:
NUMBER OF TEACHERS:

Note: All the submitted photocopies of documents must be certified true copy

I hereby certify that the above documents are complete, adequate, and authenticated records to the best of my knowledge and
ability. I understand that I was also held responsible and accountable for whatever inconsistencies made during the process of pre-
evaluation.

Evaluated by: Noted by:

SHIRLEY S. TUIZA MARY ROSE A. CORPUZ

(Personnel-in-Charge) (Division HRMO)

Date: Date:
 HEAD TEACHER -SECONDARY
QUALIFICATION STANDARDS
POSITION EDUCATION EXPERIENCE TRAINING ELIGIBILITY NO. OF TEACHERS

Bachelor's Degree in Secondary

HEAD Education; or Bachelor's Degree with TIC for 1 year or 24 hours of 7 teachers under the
18 professional education units with Teacher for 3 years
RA 1080 (Teacher)
TEACHER I relevant Training subject area
appropirate field of specialiization

BS Secondary Education or
HEAD Bacherlos'Degree with 18 professional Head Teacher for 1year or 24 hours of 7 teachers under the
Education Units with appropriate field Teacher for 4 years
RA 1080 (Teacher)
TEACHER II relevant Training subject area
of specialization

BS Secondary Education or
Head Teacher for 2 years or
HEAD Bacherlos'Degree with 18 professional 24 hours of 7 teachers under the
Education Units with appropriate field
RA 1080 (Teacher)
TEACHER III Teacher for 5 years relevant Training subject area
of specialization

BS Secondary Education or
Head Teacher for 3 years or
HEAD Bacherlos'Degree with 18 professional 24 hours of 21 teachers under
Education Units with appropriate field
RA 1080 (Teacher)
TEACHER IV Master Teacher for 2 years relevant Training the subject area
of specialization

BS Secondary Education or
HEAD Bacherlos'Degree with 18 professional Head Teacher for 4 years or 24 hours of 21 teachers under
Education Units with appropriate field Master Teacher for 3 years
RA 1080 (Teacher)
TEACHER V relevant Training the subject area
of specialization

BS Secondary Education or
HEAD Bacherlos'Degree with 18 professional Head Teacher for 5 years or 24 hours of 21 teachers under
Education Units with appropriate field Master Teacher for 4 years
RA 1080 (Teacher)
TEACHER VI relevant Training the subject area
of specialization

* Performance Rating should be at least Very Satisfactory for the last 3 consecutive years
or Outstanding for the last two years from the effectivity of latest appointment

REQUIREMENTS
Endorsement from the Schools Division Superintendent
Plantilla Allocation List
Copy of the latest post-audited Personal Services Itemization and Plantilla of Personnel (PSIPOP) where the item is reflected
Certification of non-availability of item
Justification for the reclassification of position
Duly Accomplished CSC Form 212 (Personal Data Sheet)
Certified, Authenticated and Verified Transcript of Records
Notarized self-certification that the applicant officially enrolled/ personally attended and obtained his/her
units/ diploma during the Sys as indicated in his/her TOR
PRC ID
CSC attested appointment
Service Records
Summary of Performance Rating
Performance Ratings for the last three (3) rating periods (incurred during present position)
SY 2017-2018
SY 2018-2019
SY 2019-2020
Certificates/Proofs of Outstanding Accomplishment
Certificates of Training recognized by DepED, not used in the immediate previous promotion
Ranklist duly signed by proper authorities/ Division Selection and Promotions Board's Certification on the points
obtained in the Psychological Attributes and Personality Traits assessment
Notarized list of teachers with their item number to be handled by the incumbent
General Class/School Program
Individual/ Daily Teacher's Schedule ( with subject per time schedule)

NAME:
PROPOSED POSITION:
SCHOOL/DISTRICT/DIVISION:
ITEM NUMBER:
EDUCATIONAL ATTAINMENT/ SCHOOL:

EXPERIENCE:
NUMBER OF TEACHERS: SUBJECT AREA:

Note: All the submitted photocopies of documents must be certified true copy
I hereby certify that the above documents are complete, adequate, and authenticated records to the best of my knowledge and
ability. I understand that I was also held responsible and accountable for whatever inconsistencies made during the process of pre-
evaluation.

Evaluated by: Noted by:

SHIRLEY S. TUIZA MARY ROSE A. CORPUZ

 (Personnel-in-Charge) (Division HRMO)

Date: Date:
 MASTER TEACHER- Elementary
QUALIFICATION STANDARDS
POSITION EDUCATION EXPERIENCE ADDITIONAL REQUIREMENTS ELIGIBILITY NO. OF TEACHERS

BEED or Bachelor's Degree At least 25 points in leadership

plus 18 professional units in Three (3) years and potential or has been a 6.6% of the total
RA 1080
Master Teacher I Education and 18 Units for a relevant demonstration teacher on number of teachers
(Teacher)
Master's Degree in Education experience district level plus 15 points in in the District
or its equivalent leadership and potential

BEED or Bachelor's Degree
plus 18 professional units in
Master Teacher II Education and 24 Units for a
Master's Degree in Education or four (4) years
or its equivalent
At least 30 points in
One (1) year as
leasdership and potential or
MT 1 3.4 % of the total
has been a demonstration RA 1080
number of teachers
teacher on district level plus 20 (Teacher)
in the District
points in leadership and
as Teacher III
potential

* Performance Rating should be at least Very Satisfactory for the last 3 consecutive years
or Outstanding for the last two years from the effectivity of latest appointment

REQUIREMENTS
Endorsement from the Schools Division Superintendent
Plantilla Allocation List
Copy of the latest post-audited Personal Services Itemization and Plantilla of Personnel (PSIPOP) where the item is reflected
Certification of non-availability of item
Justification for the reclassification of position
Duly Accomplished CSC Form 212 (Personal Data Sheet)
Certified, Authenticated and Verified Transcript of Records
Notarized self-certification that the applicant officially enrolled/ personally attended and obtained his/her
units/diploma during the SYs as indicated in his/her TOR
PRC ID
CSC attested appointment
Service Records
Summary of Performance Rating
Performance Ratings for the last three (3) rating periods (incurred during present position)
SY__________________________________
SY__________________________________
SY__________________________________
Certificates/Proofs of Outstanding Accomplishment
Certificates of Training recognized by DepED, not used in the immediate previous promotion
Ranklist duly signed by proper authorities/ Division Selection and Promotions Board's Certification on the points
obtained in the Psychological Attributes and Personality Traits assessment
Latest District Data Bulletin with school breakdown and complete data
Latest List of Master Teachers in the District
General Class/School Program
Individual/ Daily Teacher's Schedule

NAME:
PROPOSED POSITION:
SCHOOL/DISTRICT/DIVISION:
ITEM NUMBER: OSEC-DECSB-
EDUCATIONAL ATTAINMENT/ SCHOOL:

EXPERIENCE:

Teacher I-III MT 1 MT2

NUMBER OF TEACHERS:

Note: All the submitted photocopies of documents must be certified true copy

I hereby certify that the above documents are complete, adequate, and authenticated records to the best of my knowledge and
ability. I understand that I was also held responsible and accountable for whatever inconsistencies made during the process of pre-
evaluation.

Evaluated by: Noted by:

(Personnel-in-Charge) (Division HRMO)

Date: Date:
 MASTER TEACHER - Secondary
QUALIFICATION STANDARDS
POSITION EDUCATION EXPERIENCE ADDITIONAL REQUIREMENTS ELIGIBILITY NO. OF TEACHERS

Bachelor of Secondary Education or At least 25 points in leadership and

Bachelor's Degree plus 18 professional Three (3) potential or has been a
Master RA 1080
units in Education with appropriate years relevant demonstration teacher on district
Teacher I major and 18 Units for a Master's level plus 15 points in leadership (Teacher)
experience
Degree in Education or its equivalent and potential
5-6 teachers to be
handled
One (1) year
Bachelor of Secondary Education or as MT 1 At least 30 points in leasdership and
Bachelor's Degree plus 18 professional potential or has been a
Master RA 1080
units in Education with appropriate demonstration teacher on district
Teacher II major and 24 Units for a Master's or four (4) level plus 20 points in leadership (Teacher)
Degree in Education or its equivalent years as and potential
Teacher III

* Performance Rating should be at least Very Satisfactory for the last 3 consecutive years
or Outstanding for the last two years from the effectivity of latest appointment
REQUIREMENTS
Endorsement from the Schools Division Superintendent
Plantilla Allocation List
Copy of the latest Post-Audited Personal Services Itemization and Plantilla of Personnel (PSIPOP) where the item is reflected
Certification of non-availability of item
Justification for the reclassification of position
Duly Accomplished CSC Form 212 (Personal Data Sheet
Certified, Authenticated and Verified Transcript of Records
Notarized self-certification that the applicant officially enrolled/ personally attended and obtained his/her
units/diploma during the Sys as indicated in his/her TOR
PRC ID
CSC attested appointment
Service Records
Summary of Performance Rating
Performance Ratings for the last three (3) rating periods (incurred during present position)
SY 2018-2019
SY 2019-2020
SY 2020-2021
Certificates/Proofs of Outstanding Accomplishment
Certificates of Training recognized by DepED, not used in the immediate previous promotion
Ranklist duly signed by proper authorities/ Division Selection and Promotions Board's Certification on the points
obtained in the Psychological Attributes and Personality Traits assessment
Notarized list of teachers with their item number to be handled by the incumbent
General Class/School Program
Individual/ Daily Teacher's Schedule ( with subject per time schedule)

NAME:
PROPOSED POSITION:
SCHOOL/DISTRICT/DIVISION:
ITEM NUMBER: OSEC-DECSB-
EDUCATIONAL ATTAINMENT/ SCHOOL:

EXPERIENCE:
SUBJECT AREA :

Teacher I-III MT 1 MT2

NUMBER OF TEACHERS:

Note: All the submitted photocopies of documents must be certified true copy
I hereby certify that the above documents are complete, adequate, and authenticated records to the best of my knowledge and
ability. I understand that I was also held responsible and accountable for whatever inconsistencies made during the process of pre-
evaluation.

Evaluated by: Noted by:

SHIRLEY S. TUIZA MARY ROSE A. CORPUZ

(Personnel-in-Charge) (Division HRMO)
Date: Date:
 PRINCIPAL
QUALIFICATION STANDARDS
POSITION EDUCATION EXPERIENCE TRAINING ELIGIBILITY
Two (2) years as
Master's Degree in the Head Teacher III 48 hours of relevant training initiated,
fields of administration, (ELEM); sanctioned and approved/recognized by RA 1080
PRINCIPAL I
supervision, leadership or DepEd not used in the immediate (Teacher)
management 2 yrs as HT VI previous promotion
(SEC)

* Performance Rating should be at least Very Satisfactory for the last 3 consecutive years
or Outstanding for the last two years from the effectivity of latest appointment

REQUIREMENTS
Endorsement from the Schools Division Superintendent
Plantilla Allocation List
Copy of the latest post-audited Personal Services Itemization and Plantilla of Personnel (PSIPOP) where the item is reflected
Notarized list of teachers with their item number to be handled by the incumbent
Certification of non-availability of item
Justification for the reclassification of position
Duly Accomplished CSC Form 212 (Personal Data Sheet)
Certified, Authenticated and Verified Transcript of Records
Notarized self-certification that the applicant officially enrolled/ personally attended and obtained his/her
units/ diploma during the SYs as indicated in his/her TOR
PRC ID
CSC attested appointment
Service Records
Summary of Performance Rating
Performance Ratings for the last three (3) rating periods (incurred during present position)
SY__________________________________
SY__________________________________
SY__________________________________
Certificates/Proofs of Outstanding Accomplishment in terms of Curriculum, Instruction and Leadership
Certificates of Training recognized by DepED, not used in the immediate previous promotion
Position Description Form
NEAP Certification as to the result of NQEP taken and Basic Training Course for School Heads attended
SBM Task Force's Certification as to the rating obtained in the internal and external stakeholders' assessment
Ranklist duly signed by proper authorities/ Division Selection and Promotions Board's Certification on the points
obtained in thePsychological Attributes and Personality Traits assessment
Enrolment Data (Form 3) in the present school assignment, including the cluster schools handled (if any)

Additional Requirements for NQEP Non-passer Principal I Applicants

* Supervising a school that belongs to the top 10 Performing schools in the region/division/secondary or
elementary level for the last 2 school years based on any three of the following: a. NAT; b. Completion rate;
c. Cohort Survival Rate; d. Drop Out Rate; or e. those who have achieved the maturity level of SBM
practice and Level III
Copy of innovations accreditation
in curriculum and instruction introduced, adopted or implemented, certified by the
* SDS

NAME:
PROPOSED POSITION:
SCHOOL/DISTRICT/DIVISION:
ITEM NUMBER: OSEC-DECSB-
EDUCATIONAL ATTAINMENT/ SCHOOL:

EXPERIENCE:
NUMBER OF TEACHERS:

Note: All the submitted photocopies of documents must be certified true copy

I hereby certify that the above documents are complete, adequate, and authenticated records to the best of my
knowledge and ability. I understand that I was also held responsible and accountable for whatever inconsistencies made
during the process of pre-evaluation.

Evaluated by: Noted by:

(Personnel-in-Charge) (Division HRMO)

Date: Date:
 PRINCIPAL
QUALIFICATION STANDARDS
POSITION EDUCATION EXPERIENCE TRAINING ELIGIBILITY

Master's Degree in the fields

48 hours of relevant training initiated,
of administration,
One (1) year as sanctioned and approved/recognized by
PRINCIPAL II supervision, leadership or DepEd not used in the immediate previous
RA 1080 (Teacher)
Principal I
management plus 6 Doctoral promotion
Units

Master's Degree in the fields

of administration, 56 hours of relevant training initiated,
Two (2) years as sanctioned and approved/recognized by
PRINCIPAL III supervision, leadership or RA 1080 (Teacher)
Principal II DepEd not used in the immediate previous
management plus 12 promotion
Doctoral Units

Master's Degree in the fields

of administration, 56 hours of relevant training initiated,
Two (2) years as sanctioned and approved/recognized by
PRINCIPAL IV supervision, leadership or RA 1080 (Teacher)
Principal III DepEd not used in the immediate previous
management plus 24 promotion
Doctoral Units

* Performance Rating should be at least Very Satisfactory for the last 3 consecutive years
or Outstanding for the last two years from the effectivity of latest appointment

REQUIREMENTS
Endorsement from the Schools Division Superintendent
Plantilla Allocation List
Copy of the latest post-audited Personal Services Itemization and Plantilla of Personnel (PSIPOP) where the item is reflected
Notarized list of teachers with their item number to be handled by the incumbent
Certification of non-availability of item
Justification for the reclassification of position
Duly Accomplished CSC Form 212 (Personal Data Sheet)
Certified, Authenticated and Verified Transcript of Records
Notarized self-certification that the applicant officially enrolled/ personally attended and obtained his/her
units/ diploma during the SYs as indicated in his/her TOR
PRC ID
CSC attested appointment
Service Records
Summary of Performance Rating
Performance Ratings for the last three (3) rating periods
SY 2017-2018
SY 2018-2019
SY 2019-2020
Certificates/Proofs of Outstanding Accomplishment in terms of Curriculum, Instruction and Leadership
Certificates of Training recognized by DepED, not used in the immediate previous promotion
Position Description Form
NEAP Certification as to Basic Training Course for School Heads attended
SBM Task Force's Certification as to the rating obtained in the internal and external stakeholders' assessment
Ranklist duly signed by proper authorities/ Division Selection and Promotions Board's Certification on the points
obtained in the Psychological Attributes and Personality Traits assessment
Enrolment Data (Form 3) in the present school assignment, including the cluster schools handled (if any)

NAME:
PROPOSED POSITION:
SCHOOL/DISTRICT/DIVISION:
ITEM NUMBER: OSEC-DECSB-
EDUCATIONAL ATTAINMENT/ SCHOOL:

EXPERIENCE:
NUMBER OF TEACHERS:

Note: All the submitted photocopies of documents must be certified true copy

I hereby certify that the above documents are complete, adequate, and authenticated records to the best of my knowledge and
ability. I understand that I was also held responsible and accountable for whatever inconsistencies made during the process of pre-
evaluation.

Evaluated by: Noted by:

SHIRLEY S. TUIZA MARY ROSE A. CORPUZ

(Personnel-in-Charge) (Division HRMO)
Date: Date: