EQUIVALENT RECORD FORM

(Submit to DepEd in Five Copies)

Name: Date of Birth: Sex:

(Surname) (Given) (Middle Name)
Employee No.: Authorized Position Title:
Item No.: P.D./L.O. No.: Authorized Salary:
District: ___________________________ School Assignment: _________________________________________

I. Education Attainment and Civil Service Eligibility:

Title Degree or Highest Grade Year Civil Service
Name of Institution Rating Date
Attained Received Examination

II. Service Records: (Attach duly certified service record)

III. Equivalent Units:
a. Total No. of years teaching (Public Only) Equivalent:
b. Degree to Degree Equivalent: (Present Only) 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, Workshops, etc.)
TOTAL
Latest Efficiency Rating:

NOTE: (Teachers do not write below) (Teacher's Signature)

IV. Division Action:

Salary Scheduled
Classification Date Processed Range Assignment Remarks
Range Salary
HEAD TEACHER VI M.A. Deg. ; Ed.D.. Deg. 19 561, 492 NBC No. 579, s. 2020
HEAD TEACHER V M.A. Eq.; M.A. Deg. ; Ed.D. Deg. 18 541, 908 NBC No. 579, s. 2020
HEAD TEACHER IV M.A. Eq; M.A. Deg.; Ed.D. Deg. 17 461, 568 NBC No. 579, s. 2020
HEAD TEACHER III M.A. Eq.; M.A. Deg.; Ed.D. Deg. 16 421, 272 NBC No. 579, s. 2020
HEAD TEACHER II M.A. Eq.; M.A. Deg.; Ed.D. Deg. 15 384, 636 NBC No. 579, s. 2020
HEAD TEACHER I M.A. Eq.; M.A. Deg.; Ed.D. Deg. 14 351, 324 NBC No. 579, s. 2020
TEACHER III M.A. Eq.; M.A. Deg.; Ed.D. Deg. 13 321, 048 NBC No. 579, s. 2020
TEACHER II BSE+20; MA Eq.; M.A. Deg.; Ed.D. Deg. 12 293, 940 NBC No. 579, s. 2020

CERTIFIED CORRECT: RECOMMENDING APPROVAL:

RENZ ROY A. RAMOS DR. JEANELYN A. ALEMAN, CESE

Administrative Officer IV (HRMO II) (OIC, Schools Division Superintendent)

V. DepEd Regional Action:

Classification: T-II; T-III; HT-I; HT-II; HT-III; HT-IV; HT-V; HT-VI Range: SG- 12, 13, 14, 15, 16, 17, 18, 19
Date Approved / Processed: Post Audited at Range:
For Future Reference:

Evaluator
PEDRO MELCHOR M. NATIVIDAD, PhD., CSEE
OIC, Assistant Regional Director