Name: District: Phone Number: ERF REQUIREMENTS 5 copies ERF Application Service Record Transcript of Records a. Undergraduate (Practice Teaching, Special Order of Board Resolution Number of Graduation as reflected in TOR and if the school is exempted from SO, ask for “Board Resolution Number of Exemption” ) b. MA (with certification at the back and noted by A.O.) Latest Performance Latest Appointment Professional License Guro/PRC Rating Undergraduate Diploma Certification of Participation in seminars attended (7-9 seminars) 10. Note: All documents must be authenticated by the office. Submit ONLY those that are required. ELMA CEZARIE Y. ROMERO AO IV - HRMORepublic of the Philippines: Department of Education REGION X SCHOOLS DIVISION OF MISAMIS OCCIDENTAL EQUIVALENT RECORD FORM (ERF) Date of Birth: Sex: (Surname) (Given Name) (Middle Name) Employee No.:___ = ‘Authorized Position Title: __ Ten os ‘Authorization Salary: 1. __ Educational Attainment and Civil Service Eligibility: | Title, degree or highest Name of Ye Degree attained Institution II. Service Records (Attached duly certified and updated Service Record) IIL Equivalent Units {. Total No, of Years Teaching (Public Equivalent: = B. Degree to Degree Equivalent (Present Degree) Equivalent C. Areas of Equivalents: School Year Units Bamned Deseription 1. Professional 2. Teaching Experience a. Prof School - b._ Private Schoo! 3. Adm, Supervisory Experience a. Public Schoo! _ ». Private School 4. Others (Seminar Workshop, ete. TOTAL: LATEST EFFICIENCY RATING: (PSDS/Principal/Head Teacher) Note: Teacher Do Not Write Below _ DATE RANGE | SALARY | SALARY] REMARKS | IV. DIVISION ACTION PROCESSED | ASSIGNMENT | GRADE | SCHEDULE | CERTIFIED CORRECT: RECOMMENDING APPROVAL: CLASSIFICATION -ELMA CEZARIE Y. ROMERO, AO IV_ EUGENE. MACAHIS JR. EDWIN R. MARIBOJOC, BaD, CESO V Division Processing Officer. OIC, Asst. Schools Div. Superintendent Schools Division Superintendent V. DepED REGIONAL OFFICE ACTION: DEPARTMENT OF EDUCATION EVALUATED BY; REGION X, CAGAYAN DE ORO CITY DATE: POST AUDIT OF TEACHING POSITION CLASS TITLI SALARY GRADE: = ‘SUBJECT TO AVAILABILITY OF ITEM ‘Teacher Credentials Evaluator ‘APPROVED:CERTIFICATION Thereby certify under oath that I have been actually enrolled in the school or schools listed in the accompanying transcript of records and that I have earned the units indicated therein. ‘As required, the Department of Education has been furnished with authentic copies of the sworn statement and its enclosures. Signature of Student SUBSCRIBED and swom to before me this day of , affiant exhibiting Community Tax Certificate No. dosed at on : JOHNNY M. BELOY ‘Administrative Officer V