Republic of the Philippines

Department of Education
REGION IV-A CALABARZON
Schools Division Office of Laguna

EQUIVALENT RECORD FORM

Name: Date of Birth: Sex:

Surname Given name Middle
School: District: Address:
Employee No: Authorized Position/Title:
Item No: Authorized Salary:

I. EDUCATIONAL ATTAINMENT AND CIVIL SERVICE ELIGIBILITY

Year
Title, Degree or Highest Grade Attained Name of Institution Civil Service PRC Exam Rating Date
Received

II. SERVICE RECORD: (Attached duly certified Latest Service Record)

III. EQUIVALENT UNITS:

A. Total No. of Years Teaching: (Public Only) Equivalent:
B. Degree to Degree Equivalent: (Present Degree) Equivalent:

C. Areas of Equivalent: School Year No. Of Units Description

1. Professional Study
2. Teaching Experience
a. Public School
b. Private School
3. Adm. Supervisory Experience
a. Public School
b. Private School
4. Others (Seminars, Workshop, etc.
TOTAL
LATEST EFFICIENCY RATING

Teacher's Signature
NOTE: Teacher (Do Not Write Below)

IV. DIVISION ACTION

Classification Date Processed Grade Assignment Salary Grade Scheduled Salary Remarks

RECOMMENDING APPROVAL:

MARITES A. IBAÑEZ, CESO V ANGELA F. LATINA

Schools Division Superintendent Administrative Officer V

V. DepEd REGIONAL OFFICE ACTION

DEPARTMENT OF EDUCATION
REGION IV-A CALABARZON
POST AUDIT OF TEACHING POSITION
CLASS TITLE:
SALARY RANGE:
SUBJECT TO AVAILABILITY OF AN ITEM NIMFA A. BERMENDI
AUTHORITY OF THE SECRETARY, DEPED Teacher Credential Evaluator II

Regional Director