Republic of the Philippines Department of Education Region x DIVISION OF CAGAYAN DE ORO Fr. William Masterson Ave., Upper Balulang, Cagayan de Oro City EQUIVALENT RECORD FORM Name : Date of Birth: Sex: (Surname) (Given Name) (WL) Employee No. Authorized Position Title: Item No. ‘Authorized Salary: |, EDUCATIONAL ATTAINMENT and CIVIL SERVICE ELIGIBILITY Title, Degree or Year CIVIL SERVICE ELIGIBILITY Highest Degree Name of institution Received Exam] Rating | Date ‘Attained Taken . SERVICE RECORD (attached duly certified and updated Service Record) IML, EQUIVALENT UNITS: ‘A.Total no. of years teaching: (public only)__ Equivalent : B. Degree of degree equivalent: (present degree) C. Areas of Equivalents: School Vear Units Description Earned 1.) Professional Study 2.) Teaching Experiences 2. Public School b. Private School 3.) Admin. Supervisory Exp. a. Public School b. Private School 4.) Others (seminars, work, et) TOTAL LATEST EFFICIENCY RATING: PSDS/PRINCIPAL/HEAD TEACHER Teacher's Signature NOTE: For Division Processing Officer WW, Division Date Range Salary ‘Schedule Action Process Assignment Range Salary Remarks Classification ‘CERTIFIED CORRECT: RECOMMENDING APPROVA\ RISA BEA SOCORRO M. BORRES LOREBINA C. CARRASCO (CHERRY MAE L. LIMBACO ‘Administrative Officer V {Assistant Schools Division Superintendent ‘Schools Division Superintendent \V. DepED REGIONAL OFFICE ACTION: Evaluated by: DEPARTMENT OF EDUCATION Date: REGION X, CAGAYAN DE ORO CITY POST-AUDIT OF TEACHING POSITION CLASS TITLE: SALARY GRAI SUBJECT TO AVAILABITY OF AN ITEM