Republic of the Philippines

Department of Education
REGION X – NORTHERN MINDANAO
SCHOOLS DIVISION OF MISAMIS ORIENTAL

EQUIVALENT RECORD FORM

Name: HALLAZGO FLORA PACILITA MABILANGA Date of Birth: 01-29-1972 Gender: FEMALE
(Surname) (Given Name) (Middle Name)

Item Number: Employee No.: Authorized Position Title:

School/District: Authorized Monthly Salary:

I. EDUCATIONAL ATTAINMENT & CIVIL SERVICE ELIGIBILITY:

Year
Title/Degree/Highest Name of Institution Civil Service Exam Rating Date
Grade Attained Received

II. SERVICE RECORD: (Attached duly certified & updated Service Record)
III. EQUIVALENT UNITS
a. Total Number of years teaching (Public only) : Equivalent:
b. Degree or Degree Equivalent (Present Degree): Equivalent:
c. Areas Equivalents:
School Year No. of Units Description
1. Professional Study
2. Teaching Experiences
a. Public School
b. Private School
3. Admin. & Supervisory Experience
a. Public School
b. Private School
4. Others (Seminars, Workshops, etc.) (attached copies)
TOTAL:
Latest Efficiency Rating:

PSDS/PRINCIPAL/HEAD TEACHER Teacher's Signature

NOTE: TEACHERS PLS. DO NOT WRITE BELOW
IV. DIVISION ACTION:
Range
Classification Date Processed Assignment Salary Range Scheduled Salary Remarks

Processed by: Certified Correct: Recommending Approval:

 Republic of the Philippines
Department of Education
REGION X – NORTHERN MINDANAO
SCHOOLS DIVISION OF MISAMIS ORIENTAL

SHELLA JOY A. RAMIRO RHODORA L. GALLARES EDILBERTO L. OPLENARIA, EdD, CESO V

Division ERF Evaluator/AO II EPS/ OIC Administrative Officer V Schools Division Superintedent

V. DepED REGIONAL OFFICE ACTION:

Classification: Ranges:
Date Approved/Processed: Post Audited at Range:

APPROVED:

MA. DIVINA GRACIA M. ZAMUCO DR. ARTURO B. BAYOCOT, CESO III

Teacher Credentials Evaluator II Regional Director
 Republic of the Philippines
Department of Education
REGION X – NORTHERN MINDANAO
SCHOOLS DIVISION OF MISAMIS ORIENTAL