Republic of the Philippines

Department of Education
MIMAROPA Region
Meralco Ave. cor. St. Paul Road

District/School___________Sablayan South District________________________________

EQUIVALENT RECORD FORM

Name:______David____________Ma. Theresa_______Go______Date of Birth:_______July 9, 1973____
(Surname) (Given) (M.I.)
Employee No: ______5315233___________________Authorized Position Title:________T-III/TIC______
Item No: ____TC H3-241224-1998__P.D. No._____________ ___Authorized Salary:Php 26,181.00_____
I. Educational Attainment and Civil Service Eligibility
Civil Service
Title, Degree or Highest Attained Name of Year Received Examination Rating Date
Institution
CARMA NTC May 2002 PBET 75.06 May 30,1993
MAEd in Mgmt. GRAD. FEAST May 2018
II. Service Record ATTACHED DULY CERTIFIED SERVICE RECORD
III. Equivalent Units
A. Total No. of years teaching (Public only) ___21 years__ ___________ __ ___________
B. Degree to degree equivalent (present degrees)____________ _____________ ___________
C. Areas Equivalent School Year No. of Units Descriptions

1. Professional Study _1999-2000___ ___36 Units___ _CARMA___

2017-2018 __33 Units MAEd in Mgmt.
2. Teaching Experience
a. Public school _June15, 1998_ _Up to present _21 years__
b. Private school _June 2, 1993_ March 30, 1998 _5 years__
3. Adm. Supervisory Experience ____________ _____________ ___________
a. Public school __T-III/TIC_____ __Jan 3,2018_ 2 years
Head Teacher I Jan.23,2020 up to present

b. Private school __N/A______ ______________ ___________

4. Others (seminars, workshop, etc.) National and International Seminars _________
TOTAL ____________ _____________ ___________
LATEST EFFICIENCY RATING: _______4.325_________________
RECOMMENDING APPROVAL:

________EVELYN C. BARRIENTOS__________ ____MA. THERESA G. DAVID____

Principal III Head Teacher I
NOTE: Teachers do no write below
IV. Division Action
Classification Date Range Salary Ranged Scheduled Remarks
Processed Assignment Salary

Recommending Approval: Certified Correct:

RAFAEL G. MANALO,PhD DENNIS MICHAEL G. ABELEDA,PhD

OIC-Schools Division Superintendent Administrative Officer V

V. DEPED Regional Office Action

Classification: __________________________ Range ___________________________
Date of approval/processed ______________

TEODORICO O. SALIDO III

Approved: Teacher Credentials
Evaluator II

NICOLAS T. CAPULONG
PhD., CESO III
Director IV
 Republic of the Philippines
Department of Education
MIMAROPA Region
Meralco Ave. cor. St. Paul Road
Regional Director