Republic of the Philippines Bepartment of Education DAVAO REGION Office of the Regional Director March 19, 2021 REGIONAL MEMORANDUM No. 017, s. 2021 STRENGTHENING THE IMPLEMENTATION OF RECLASSIFICATION OF POSITIONS IN DEPED REGION XI TO. Schools Division Superintendents’ OIC-SDSs ementary and Secondary School Heads Chief Administrative Officer Human Resource Management Officers All Others Concemed 1, Pursuant to the DBM Budget Ci of Education relative to the Rect guidelines to strengthen and effi profession of teaching personnel and sc and the existing guidelines of the Department F Positions, this Office hereby issues the following tly implement the reclassification and advance the career ;001 heads of DepEd Region XI: ‘a. This Region shall adopt the Equivalents Record Form (ERF) and Reclassification Evaluation Application Process Flow and Timelines as contained in Enclosure No. |; b. To ensure uniformity and conformity with the department's issuances, the list of basic documentary requirements for Reclassification of ‘leaching and School Head Positions is contained in Enclosure No. 2; and The number of promoted and reclassified teachers shall be incorporated in the Office Performance Commitment and Review Form (OPCRP) of the Sehools Division Superintendents and School Principals as a performance indicator under the KRA - Human Resource Management and Development. 2. For any clarifications and inquiries, kindly coordinate with Mr. Leonides Jimmy T. Jesuro, III, Administrative Officer V of the Personnel Section, Administrative Services Division, DepEd RO XI through telephone number (082) 225-0816 and mobile number 0909-2135453 or email at personnel.region || @deped.gov.ph. 3. For immediate dissemination and strict compliance. To be indicated in the Perpernal inde iy ie folteynie sebfects ORSON” jo RECLASSIFICATION yl lt Address: F. Torres St., Daveo City (8000) Telephone Nos.: (082) 291-1665; (082) 221-6147Republic of the Philippines Department of Education DAVAQ REGION Office of the Regional Director Enclosure 1 to Regional Memorandum No, 017, s. 2021: Reclassification Evaluation ‘Application Process Flow and Timelines General Reclassification of Position Process Flow Soa aR ae PEC 4 Pree ies Gere eure ak Applicant See Adress: F. Tones st, bao ly (00 (2 Telephone Nos.: (082) 291-1665; (082) 221-6147 | TA| MABRepublic of the Whilippines Bepartment of Education DAVAO REGION Office of the Regional Director Specitic Reclassification of Position Process Flow with Timelines Activity |__ Duration Timeline ‘Responsible Person Career Guidance Tweek Tst or 2nd week of December Division SG0D Notice of Submission of ERF7 T working day | Ist Monday of the | | Reclassification Required Documents | year ‘Submission of ERF/Reclassification T working day | Ist week of every | Teacher-Applicant required documents to the Schoo! Head month (Elementary and Secondary) | School Head validates the documents T working day | Ist week ofevery | School Head submitted by Teacher month Submission of ERF/ Reclassificaiion [Tworking day [Ts week ofevery | School Head application by the School Head to the | month District Office (Elementary) el Submission of ERF/ Reclassification Tworkingday | 2nd Monday of |_| PSDS/Principal In- applications from District Office every month, Charge’ School Head (Elementary) and schoo! head (Secondary) to | the Division Office SDO receives application of Division Records ERF/Reclassificstion from School/District Officer ‘SDO verifies and validates documents submited | 3-5 working days Division HRMO 7.1. Authentication of photocopied 1-2 working days Administrative documents Ind to 3rd week of | Osficer V - Admin 72, Evaluation of documents by the ] Every Month Division ARMPSB7 HRMPSB (Principal, MT and HT) 5 working days TWG 73. Recommending approval by the Schools | | working day — | ‘Schools Division | Division Superintendent Superintendent | Preparation and release of Sub-ARO 75 working days | Immediately fier | SDO and RO- Budget the approval of the | Officer Current Year's GAA SDO submits validated ERE? 1 working day | Ist wesk of January| SDO HRMO Reclassification documents to the Regional | to 1* week of Office March | Optional: May to September Regional Office re-evaluates the validated | 10-13 working | Ist week of Teacher Credentials ERF/ Reclassification of Position days February to April | Evaluator! TWG Bocas Sealers DepEd RO submission of validated | 3 working days [1* week of March | Teacher Credentials ERF/MT/Reclassification with documentary | 10 April | Evaluator TWG requirements to DBM | Preparation and Releasing of NOSCA Notto exceed 15 calendar days for more | DBM Processor T WG than 10 positions (ORM. sondards) Releasing of NOSCA from DepEd ROW | 2-3 working days Regional Dice bo ‘Send Memo and issuance of Appointment | __working days Division HRMO Address: F, Torres St., Davao City (8000) |) Telephone Nos.: (0&2) 251-1665; (082) 221-6147Republic of the Philipines: Department of Coucation DAVAO REGION, Office of the Regional Director Enclosure 2 (o Regional Memorandum No. 017, s. 2021: Basic Documentary Requirements for Reclassifieation of Teaching and School Head Positions A. List of Basie Documentary Requirements per Position 1, TEACHING AND TEACHING-RELATED POSITIONS (through ERF) © Teecher Mand IIL ‘+ School Librarian {land Ill © Guidance Counselor I and IIT Special Education Teacher I - Il ‘© Head Teachers | - VI (Academic HT) Legal References: * Chapter 6 Manual on Position Classification and Compensation Scheme for Teaching Positions in Elementary and Secondary Schools + DECS Order No. 5, s. 1998 Reclassification of Regular Teacher and Principal Items to Special Education (SPED) Teacher and Special School Principal Items = Memorandum Circular No. 16, s. 2011 Qualification Standards for Guidance Counselor Positions in Government Note: Schools Division Initiative (SDI) Reclassification: + This apply to teachers who have rendered at least 20 yrs. satisfactory teaching services which ‘were not counted in the grant of step increments pursuant to DECS Order No. 52, s. 1999s amended by DECS Order No. 89, s. 1999, «Based on DepEd RO XI Regional Memorandum No. 078, s. 2018, dated April 12, 2018, citing Item 6.3 of DBM Budget Circular No. 2004-1, dated January 23, 2004, for automatic upgrading of Teacher | positions with twenty (20) years of satisfactory teaching service, the computation of the length of service shall include only the years of teaching experience which were not eredited in the computation of step increment due to the length of service, ‘+ Therefore, the years served which were credited for the grant of step increment benefits shall not be counted as part of the twenty (20) year service requirement for the automatic upgrading of Teacher | position, Address Tore, dee ty (00 (| > Telephone Nos.: (082) 291-1665; (082) 221-6147 AJA | 4BRepublic af the Philippines Bepartment of Education DAVAO REGION Office of the Regional Director Basic Documentary Requirements (Teaching and Teaching-Related Positions) Category [ Requirements No. of Copies ‘Applicant 10 T, Duly accomplished Equivalent Record Form (ERF) | 5 original copies School/DistrievDivision "2. ‘Transcript of Records (College, Master's Degree, | | certified eopy each Doctoral ifapplicable) | 3. CAV of Master's degros andlor Doctoral T certified copy each applicable | | 4, Updated Service Records (within 3 months) | Toriginal copy | 5. Duly accomplished CSc Farm 212 (PDS) T original copy & Performance Rating for the lest three ‘consecutive years or two (2) years ifratings are both “Ourstanding" 7, Latest Appointment T Certified True Copy Authenticated PRC License 1 Certified Te | cop; 9_ Omnibus Certification 1 original copy Division Office In- 1. DBM Form | (Elementary) / DBM Farm % original copies Charge to RO (Secondary) ~ Duly signed List of Teacher [ Qualified for Reclassification due to Masterel Units Earned pursuant to Presidential Decree No, 985 dated August 22, 1976 7, Computation of PS RequirenentConpuation | Porighal copke Worksheet T Leter Request te te Regional Dicor ot T orignal copy DepEd Xi | 4 Endorsement oF he Schools DivBion Te) Saperintendent 5. Letter Request of the School Head/Principal (for | 1 original copy TUs-Secondary schools only) 6 Approved Equivalent Record Forms (ERPS) Toriginal copy | 7, ePSIPOP printout refiesting the names of the certified true copy teachers for reclassification (only those pages containing such names) & Certification of Availability of Funds duly signed _| 1 original copy by the Schools Division Budget Oficer’Accountant 9. Sub-ARO 1 certified true 69 For Academic Head Teacher | 1. DBM Form 7 (Academic HT) — Duly signed _] 3 original copies List of Qualified Personnel for Reclassification | |_ to Academie Head Teacher Positions | | 2 Leiter Request the Regional Director oF original copy DepEe XI | 3. Endorsement of the Schools Division Toriginal copy Superintendent Leiter Request ofthe School Head/Prineipal in | | original copy case of 1Us Secondary School | Address: F. Torres St., Davao City (8000) & Telephone Nos.: (082) 291-1665; (082) 221-6147 AJA| JAB = —=~Republic of the Ppilippines Department of Education DAVAO REGION Office of the Regional Director Category. Requirements No.of Copies 3._ Approved Equivalent Record Fomns (ERFS) | Toriginal cop 6, List of Teachers per Subject Area (duly noiecized) 7._Designation Order as subject ceordinator Tofiginal oy 8. ePSIPOP printout reflecting the names of the | Ieemified te copy teachers for reclassification (only those pages containing such names) 3. Certification of Availability Of Funds duly T ofiginal copy signed by the Schools Division Budget Officer/Accountant L Sub-ARO, Tcerified tie copy Leiter Request of the Regional Direcior OF DepEW | 1 orginal copy x1 BI Daly signed List of Teachers Qualified for orignal copy Reclassification due to Masteral Units Earned 22. Daly signed List of Teachers Qualified for Recissification to Academic Head Teacher Position 3. Computation of PS requirement / Computation | T original copy Worksheet RO In-charge to DBM 2. MASTER TEACHER POSITIONS ‘© Master Teacher I, Il, and Il] Legal References: * Chapter 6 Manual on Position Classification and Compensation Scheme for Teaching Positions in Elementary and Secondary Schools + MEC Order No. 10, s. 1979 and DECS Order No. 57, series of 1997 (Requisites & qualifications needed for a candidate to be considered for the MT position) + DECS Order No. 70, s. 1988 issued by the DECS with respect to its “Revised Policy on Master Teachers for Secondary School” [ Category Requirements No. of Copies ‘Applicant 10 T. Duly accomplished Evaluation Sheet for MT T original copies SchooWDistrievDivision |_ applicants 2. SDS Recommendation original copy (depends on the level of | 3. Transcript of records (College, Masieral, Doctoral) __| | certified copy each screening committee) [4. CAV of Masieral and Doctoral 1 Certified True Copy | 5._Updated Service Records (within 3 manihs) Toriginal copy | 6._Duly Accomplished CSC Ferm 212 (PDS) [original cop} | 7. Performance Rating for the last 1wo (2) consecutive | | certified copy each |" years 3 Latest Appointment | Teeaifed Tre | | Co 9. Renewed PR Lieease 1 Certified True copy Address: F, Torres St., Davao City (8000) || ey) Telephone Nos.: (082) 291-1665; (082) 221-6147 | 1A) “ABRepublic of the Philipyines Department of Education DAYAO REGION ector Office of the Regional (Gatesory Requirement No. of Copies T0, Certification by the Schoo! Head cenified correct by and advisory (at leat Gh's teaching load per day) | T Certified True the PSDSIPIC that the applicant has. regular load | Copy 7. Latest Approved Individual Class Program: [original copy 12, Certificate of Demoasiration teaching and lesson | | Certified True |_ plan evaluation forthe tast five (5) school years __| Copy [13 Leadership, Potential end Accomplishments {clear copy each [714 For lone applicant, waiver regarding noninterest in| | original copy | applying for MT Reslase only those wi are ‘qualified for M position listed under the concerned subject area (for secondary only) [TS Schoo! Form (SF)7—_ T original copy 16. Omnibus Certification original copy. Division Office In- 1, DBM Form 3 (MT for Elen) /OBM Form 4 (MT Charge to RO for Seo) — Duly signed List of Teachers Qualified for Reclassification to Master Teacher Positions ‘pursuant to Executive Order No. 300 dated March 21, 1978. 3 original copies 2. Computation of PS Reguiremeny/Computation Worksheet original copes 3, Endorsement of the Schools Division | Superintendont Toriginal copy @, Letter Request of the School Head/Principal (Tor 1Us Secondary schools on'y) T original copy 3, Evaluation SheevRanking of Master Teacher applicants (duly notarized) T original copy Duly notarized List of Existing MTs and tachers per sulbject area for secondary only) T original copy 7. Duly notarized summary on the total number oF teachers per district (for elementary only) Toriginal copy @, ePSIPOP printout reflecting the names of the | teachers for reclassification (only those pages containing sueh names) T certified true copy 9. Certification of Availability of Funds duly signed by the Schools Division Budget Officer/Accountant T original copy Worksheet 10,Sub-ARO ce Teertiied wue copy | [ROTn-sharget DBM | 1, Letter Request ‘egional Director of DepEd | | original copy xl “2, List of Teachers Qualified for Reclassification to | T original copy Master Teacher positions 3. Computation of PS requirement / Computation Toriginal copy Address: F. Torres St., Davao City (8000) Telephone Nos.: (082) 291-1665; (082) 221-6147Republic of the Philippines Department of Cducation DAVAO REGION Office of the Regional Director 3. SCHOOL HEAD POSITIONS ‘+ Head Teacher I-VI © School Principal I-IV Legal References: + DepEd Order No. 97, 5. 2011 - The Revised Guidelines on the Allocation and Reclassification of School Head Positions Category Requirements L__No. of Copies Applicant Head Teacher I-VI. SehooVDistievDivision [T, Duly accomplished Evaluaion Sheet orilead | $ copies Teacher [2 Transcript of Records (College, Masteral, T sented copy each | Doctera | SCAV of Master and Doctoral 1 serie copy 4. Updaied Service Records (within J months) | Loriinal copy S_Duly accomplished CSC Form 212 (PDS) original copy 6. Periormance Rating forthe last thee (3) Treertfed copy ath consecutive years or 2 years ifratings are both “Outstanding” 7 Latest Appointment T certified tue cop; 8. Renewed PRC License 1 Certified True 69 9. Special Order Designated as TIC or OC signed | 1 Certified True by SDS Copy 10. Organizational Chart 1 original cop [IL-SF 7 (Enrolment Data) in the present school Totiginal copy assignment including the cluster of schools handled, ifany | 12.Certificates/Prools of Outstanding. T certified copy | Accomplishment | TS.NEAP Basic Training Course for School Head | 1 Ceriified True I Sop: 14,SBM Level Certification as tothe rating obiained | 1 Ceriified True in the internal and external stakeholder’s Copy assessment TE-Dinision PSB Cerification onthe points abiained | Taviginal Cony in Psychological Attibutes and Personality Traits Assessment [76-Omnibus Cerification Toviginal copy. To he secured from the Division Office/ School or Disirict in churge 17.ePSIPOP printout reflecting the names of the 1 certified tue copy applicant for reclassification ané the teachers under her/his supervision (only those pages "| Teriginal copy applicant for reclassification (as reflected in the | e2S1POP) )) Address: F, Torres St., Davao City (8000) | Telephone Nos.: (082) 291-1655; (082) 221-6147Republic of the Whilippines Department of Education DAVAO REGION Office of the Regional Director Category | re “Requirements No. of Copies 19. Certification of non-availability of HT Hem for | Toriginal copy the sehool 20. Justification and recommendation for original copy reclassification of position (signed by SDS) 21, Updated Service Record (within 3 month [22 Position Description Form (PDF) Toriginal apy original cops 23. Designation Onder on the Actual Duties and Responsibilities Toriginal copy Schoo! Principal I- Heads attended 1_ Duly accomplished Evaltation Sheet for Principal | S copies 2. Duly Accomplished CSC Form 212 PDS) ‘original copy 3. Transcript of Records (College, Masteral, T certified copy exch Doctoral CAV Masteral and Dactaral i Cenified True | cop 5. Updated Service Record (within 3 months) 1 original copy | 6. Performance Rating for the last three @) Teopy each | consecutive years or 2 years if ratings are both “Outstanding” 7, Latest Appointment 1 Ceriied Trae Copy 8. Renewed PRC License | Certified True Copy 5. Cerf catesProows Of OuisTEnEinE 1 Cerified True Accomplishment Copy 16; Pasition Description Form (PDF) 1 original eapy I1-NEAP Certification as to the result cENQEP | 1 Cenified Trus taken and Basie Treining Course for School Copy TZ. Division Level SBM Cenification as to the vailng ‘obtained in the internal and external stakeholder’s assossmont 1 Cenified True Copy 5. Division PSB Certiticaiion on the points obtained in the Psychological Attributes and Personality f8) in the present school assignment including the cluster schools handled, ifany 15 Omnibus Certification (“0 Be secured from the Di | 16.ePSIPOP printout reflecting the names ofthe | applicant for reclassification and the teachers under her/his supervision (only these pages containing such names) T7. List of teachers under the supervision of the applicant for reclassification (as reflected in the ePSIPOP) TE. Certification of non-availability of School Principal item for the school T original copy T original copy T original copy mn Office? School or Distrler tn charge T certified tue copy T original copy | oriinal copy ‘Address: F. Torres St,, Davao City (8000) Telephone Nos.: (082) 291-1665; (082) 221-6147Republic of the Philippines Bepartment of Education DAVAO REGION Office of the Regional Director Category Requirements ‘No. of Copies 19 Justification and recommendation for Toriginel copy | reclassification of position (signed by SDS) 70, Position Description Form (PDF) [ierginaleopy | 71. Designation Order on the Actual Duties and original copy i Responsibilities Division Office t= DBM Form 5 (SH_Elemy DBM Form 6 T original copies Charge to RO (GH_Sec) —Duly signed 14st of Qualified Personnel for Reelessification to School Head positions pursuant 19 Executive Order No. 500 Toted March 21, 1978 and Republic Act No. 9153 |_dated August 11, 2001 | Letter Request of the Regional Director of DepEd | | original copy Xl Fo Computation of PS RequiremenComputation | 2 original copies |__ Worksheet J, Endorsement af the Schools Division Toiginal eopy Superintendent 5 Letter Request ofthe School HeadPrincipal for | 1 original copy Us Secondary schools) Updated Service Records [with 3 montis a + Performance Rating for 3 consecutive years or 2 | 1 certified copy years ifratings are both “Outs‘anding. $._ Position Description Forms (PDF) Toriginal copy —_| | (9. Organizational Chart T original cop To-In case of reclassification from Head Teather | I ezrified copy position toa higher level of Heed Teacher | position or from School Principal to higher level ‘Of School Principal position, any document that ‘would support the educational qualification (CAV/ and lengih of service ofthe incumbent 10 the existing HTISP position) Th-ePSIPOF priniout reflecting the names ofthe Teanified ie Cony | teachers for reclassification (only those pages containing such names) | 7D Certification of Availability of Funds duly signed | Toriginal copy 1 | by the Schools Division Budget |__officer/Accountant = (5, Sub-ARO Teenified tue copy RO Tr dhargeto DEM 1. Letter Request of te Regional Director of Deped XI | Toriginel copy 2 Lisi of Qualified Personnel for Reclassification to | original copy School Head positions “Computation of PS requirement / Computation Toriainal oopy [7 Worksheet Address: F. Torres St., Daveo Clty (8000) Telephone Nos.: (082) 291-1665; (082) 221-6147 Se 22Republic af the Boilippiues Department of Education DAVAO REGION Office of the Regional Director Pertinent Papers of Applicants to be submitted are festened in a folder according to the following details: a, Cover Page (shall inelude the School, District, Division, Name of the applicant, present position title and desired position. Checklist of Requirements (Certified Complete by the AO-IV / AO-V) Table of Contents Basic Requirements should be in order and properly labeled All supporting documents in photocopies must be duly certified by AO-IV, AO-V or head of the agency. (1 clear copy each) For easy tracking of documents, color coding of folders shall be assigned by division: School Division Offices Color of Folder 1. Davao City | Brown (Regular) 2, Davao del Norte Maroon 3._Davao del Sur (vice On 4, Davao de Oro a | Blue 5. Davao Occidental Light Green 6_Davao Oriental White F7rctioor Cig: almaunnpOrange 8 IGACOS Pink [9._ Mati City Yellow | 10, Panabo City |_Dark Green 1, Tagum City To ensure the uniformity in the use of forms, the templates to be accomplished are the following: DBM Forms 1-7 b. Equivalent Record Form ¢. Evaluation Sheet for Master Teacher 4, Evaluation Sheet for School Head . Summary on the Number of Teachers and Existing Master Teachers by District £ List of Existing Master Teachers and Teachers per Subject Area (For Secondary School) 2. Letter Request of SDO to RO (for Elementary Schools and IUs) h, Indorsement from SDO to RO (for Uls) i. Letter Request of the School Principal (for Us only) j. Certification of Availability of Funds k. Detailed PS Computation ll |. 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Equivalent Record Form (ERF) sghfanal ng EON@STON a aa DepED owsionsreemoonsn ‘a. cr Dive Sa5u EQUIVALENT RECORD FORM Muniaosty STA.GUZ __Siicol SNOROWEKEMENTARY SCHOOL Oivict: STA, CRUBSOUTH ree Employ No. soo emnNnbe” oaRSmrER unm AUDOrzeSPoutonTINe mace Aue ae Numb ‘ascoinad Seay 7237 38.00, 1,_DUCATIONAL ATTANMAENT AND EUG: IT” SaRGE RECORD. Atteched cay road senveeresor I, EQUYVALENT UMTS ‘A Total Noo tows Techn icon yar Gaui eee S.owestodegee equivalent ipesentcegoe]_MAED_ MA Uns Eulalent aoe Cheer afeaanntent | ~SineolYewr [Ne offen Deszipion TE fesfecinsl Susy | _ 205420 os escngeipatence Schaal ssosprerent | _205veure Tae ana Rang 495008) Cconazan romewacun Tedersigaure A FROUA. RECOMMENDED: roses [orsans | macewee | 9 | Ptseee | sictoins.cine move Nason c 19FeZ 0 v sehen DinsonSuparotendent erty cortfy under oath thi | Neve sexy eed 1 of Reserdeand at have sined thaunteralestia eer ne schools) ted in the accompanying sunscmBEO AO SWORN) TO REEORE ME the Mare thing shat cen. Gosh Oo. aeFilling up of ERF (Equivalent Record Form) PARTICULARS INSTRUCTIONS/ SAMPLE PERSONAL INFORMATION Muricipaiity/ City Doves City School Tolomo Notional High Schoo! District Talomo Name Sumeme, Given name, Mi (Cruz Richard L. Date of Birth Month, Date, Year (June 10, 1986) sex (Male/ Femate} Employee No. Based on paystip (3004050) Item Number Based on PSIPOP (OSEC-DECSE-ICHI-776431-1998) Page number ‘Based on PSIPOP (14 of 1] Authorized Postion Tile Based on PSIPOP {Teacher | (11/02) ‘Authorized Sclory ‘Annual, based on PSIPOP (P249,048.00) 1. EDUCATIONAL ATTAINMENT AND ELIGBILITY Tile, Degree or Highest (Bachelor of Science in Elementary Education) Education Aticined Name of institution (University of Mindanao) Year Received Year (2011) Eigibilty (LET/PBET) Rating Eligioiity rating (80.40%) Dote Date of isuance of the eligibiity rating (March 2016) I, SERVICE RECORD Service Record Attached duy cetlified service record, updated signed by the HRMO/AO. EQUIVALENT UNITS A. Total Number of yeors Total number of years in teaching In public school as Teaching (public on¥y! permanent (20 years) Equivalent The equivalent units for experience fs one (1) unit ior every three (8) years for public schools ond one (1) for every five (5) years in private schools 3, Degree to degree Equivalent (present degree| le of course degree (MAED) Equivalent Masters Degree (MA Degree) C. Areas of EquivalentPARTICULARS INSTRUCTIONS/ SAMPLE 1. Professional sts School Year (20% 2011 No. of Units/Yeors (Graduated, 36 Units, Compieted the Academic Requirements) Description First line: (MAED-Malar in Educational Management) Second line: (CAV (RXI) No. A 02879, $. 2015 2. Teaching Experience Date hired as permanent teacher @. Public School (2014 to Present) 'b, Private Schoo! Latest Efficioncy Rating: Performance rating as reflected in the IPCRF: 3 decimal places {4.350 (VS)] Teacher's sgnature signature of the cpplicant above printed name Approval Recommended: School Head for Secondary and Elementary schoo! Signature above Printed Name and Position Tile IV. DIVISION ACTION Classiicetion Position recommended far reciossfication to (Teacher Ii, Teache: li, Special Education Teccher |i, Guidance Counsellor Il Date Processed Date processed by the evaluator (5/07/2019) Range Assignment Applicont qualifications (BSE¥20, MA Degiee, MA Equivalent) Solary Grade Salary grade of the reclassified postion (13) Scheduled Salary Manthly Basic Salary [Pap 24,754.00) Remarks N8C number of the salary stancaraiization low NBC NO. 579, s. 2020} Cattified Correct: Evaluator Name Administrative Officer V Signature over Printed Name and Fosition Title Name of Assstant Schools Division Superintendent Signaiure over Printed Name and Position Title/esignation Approved Namie of the Schools Division Superintendent Signcture over Printed Name anc Postiion Title/Designation Oath Name of Teacher signoture over printed name ‘Communtly Tax Cerificate, ID number of any Government issued ID (PRC/ UMID) Current Notary Public Notarized by Mayor/fiscal or Lowyer©. Evaluation Sheet for Master Teacherd, Evaluation Sheet for School Heade. Summary on the Number of Teachers and Existing Master Teachers by District SUNINMRY OH THE NUMBER OF TEACHERS AND EXISTING MASTER TEACHERS BY DISTRICT As of ] No. of Master No. of Master special Education Number of Existing Master Teacher Kindergarten Teacher Teacher Distei Teacher Al Teachers, pie TOTAL | enuitled for the lowable Tal] tan [sper [rer T District ar | rat mete alee ol tt + = | TOTAL Prepared by: Conified Covectf._ List of Existing Master Teachers and Teachers per Subject Area (For Secondary School) List OF EXISTING MASTER TEACHERS AND TEACHERS PER SUBJECT AREA asof__ Subject Area Name of Teacher Position: Item Wo. certified Correct Prepared by:9. letler Request of SDO to RO (for Elementary Schools and IUs) SDO Letter Head Date ALLAN G. FARNAZO Director 1V Office of the Regional Director DepEd Region XI Sir The undersigned respectfully requests for the release of Notice of Organization, Staffing, and Compensation Action (NOSCA) amounting to per Sub-Allotment Release Order No, __ ou dated for the implementation of Equivalent Record Form (ERF), Conversion io Maser Teashe (MD), and Reclassification of Positions under the program for Kindergarten, Elementary, and Secondary Education ‘Mat this requost be favorably granted. Thank you. Very truly yours, ‘Name of SDSh, Indorsement from SDO to RO (for Uls)1. Letter Request of the School Principal (for |Us only)Certification of Availability of Funds SDO Letterhead CERTIFICATION This is to certify that the funding requirements for the payment of salary differentials us teachers in the Division of for the implementation of Equivalent Record Forms (ERF) amounting to Four Hundred Twenty-Seven Thousanl Nine Pesos & 97/100 (P427,009.97) shall be charged against Sub-Allotment Release Order (Sub-ARO) No. ROP-11-19-199 dated June 3, 2020, to wit: Equivalent Record Forms (ERF) 427,009.97 isa computationof the actual PS requirementstotaling, Attached with this eestifi the said amount, Issued this___day of at the Division Office of ‘Name of Budget Officer/AccountantDetailed Ps Computation School/Osons ‘etal Ps computeion for Equivalent Record Farm, Conversion to Muster Teachers ard Reessifiaton of Pastiens -Mayto December 2071 i say i No.of RGus cincuneenn | PosmionTire | tal seus | ntontiy [§2-2F] tora | ne | orate a Toe Fang enters a taney a oieceria [P| slay oiterensal|7™! PHC] YE] FUP | eecucerent 2 resent [Propesed Proposed | resem [Propane [OSE ECS TOA var, ary Rose ifreacre nooner] a2 [22216] 222] ame | 2 | sox a2 [aois| 20] oasa7e seu? 2012 (GRAND TOTAL — T ae Boproved by: Prepared br| Omnibus Certification OMNIBUS CERTIFICATION OF AUTHENTICITY AND. VERACITY OF DOCUMENTS L Filipino, of legal age, (marnedisingle) with permanent address at after having been duly swom in accordance with law, hereby depose and state that: 1. Lam applying for a Son ie Aas Sees ice 2. Lam exceuting this Omnibus Sworm Certification to attest to the authenticity and veracity of all documents I submitted: 3. Lassume full responsibility and accountability on the validity and authenticity of the documents submitted and I understand that aay violation will automatically disqualify me from the selection process IN WITNESS WHEREOF, J have hereunto set my hand this of at Philippines, ‘Dena ove prods SUBSRIBE AND SWORN TO before me this of with Affiant exhibitingto me his/her Community Tax No. issued on at » Philippines. wae sega ‘Notary Publicm. List of teachers under the supervision of HT/School Head LUST OF TEACHERS UNDER THE SUPERVISION OF SCHOOL HEAD POSITION (HT/SP) S¥ 2021-2022 [ item No. ‘Name of Teacher | Position Prepared by: Certified Correct: