EQUIVALENT RECORD FORM

Name: , Date of Birth:

(Surname) (Given) (M.I.)
Emp. No.: Authorized Position Title:

Item No.: OSEC-DECSB- P.D. No. Authorized Salary:

I. Educational Attainment & Civil Service Eligibility:

Title, Degrees, or Highest Year
Name of Institution CSC/PRC Exam Rating Date
Grade Attained Received

II. Service Record: ATTACHED DULY CERTIFIED SERVICE RECORD

III. Equivalent Units:
A. Total Number of year/s teaching (Public Only):
B. Degree to degree equivalent (present degrees):
C. Areas Equivalent School Year No. of Units
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: Rating Period: SY 2021 to 2022 Rating: -
Rating Period: SY 2020 to 2021 Rating: -
Rating Period: SY 2019 to 2020 Rating: -

Teacher's Signature

Principal/School Head
*************************NOTE: TEACHERS ARE NOT TO WRITE ANYTHING BELOW *******************************
IV. Division Action
Classification Date Processed Preparation Level Salary Range Scheduled Salary Remarks

Certified Correct: Recommending Approval:

DARRELL T. TOMARONG ARMANDO B. PASOK EDWIN R. MARIBOJOC, EdD, CESO V

Administrative Officer IV - HRMO Administrative Officer V, Administrative Section Schools Division Superintendent
Division Processing Officer

V. DEPED Regional Office Action

Evaluated by: DEPARTMENT OF EDUCATION
REGION X, CAGAYAN DE ORO CITY
MA. DIVINA GRACIA M. ZAMUCO POST-AUDIT OF TEACHING POSITION
Teacher Credentials Evaluator II CLASS TITLE: ___________________
SALARY GRADE: _________________
Date: SUBJECT TO AVAILABILITY OF AN ITEM

Approved by:

DR. ARTURO B. BAYOCOT, CESO III

Regional Director
Revised 11102021 fml

ERF CHECKLIST OF REQUIREMENTS

Name: District/School:
Employee No.: PBET/LET:
Exam Date: Rating:
No. of Yrs in Private School: Covered SY:
1 copy indorsment from school signed by the School Head
5 copies Duly Accomplished ERF
2 copies Updated Service Record as of __________
2 copies Latest Approved Appointment
Graduate (duly Authenticated by School/University)
If Private School attach 2 copies Sworn Statements
2 copies Official Transcript of Records
if units earned, submit certification on number of units earned (duly Authenticated by School/University)
if MA Graduate, attach copy of Abstract and Approval Sheet
Thesis Title:
if MA (Non-thesis), prospectus/curriculum authenticated by registrar
Undergraduate (duly Authenticated by School/University)
2 copies Official Transcript of Records (duly Authenticated by School/University)
if Private School, attach 2 copies Sworn Statements
Special Order # of Graduation-for Private School
Board Resolution # of Graduation-for Public School
Diploma/Certification of Graduation
2 Copies PRC License (ATM Type)/Renewal of PRC (duly authenticated by PRC)
2 Copies Each Latest Performance Rating:
SY 2020-2021
SY 2019-2020
SY 2018-2019
IMPORTANT:
For ERF for Teacher 2
at least 20 MA units, or at least 20 years continuous service
Remarks:
For ERF for Teacher 3
MA degree, or 20 MA units + 20 years continous service
For those having less than 20 MA units
3 years continous service = 1MA unit
Remarks:
ALL PHOTOCOPIES MUST BE AUTHENTICATED BY
the Principal and Administrative Officer V
Sworn Statement issued by Notary Public or Municipal Mayor
NOTE:

To be filled by the receiving personnel

Action Taken:
Indorsed to region
For HRMO II and SDS Signature
Returned to applicant (state reason)

Signature over printed name of Action Officer

Revised 11102021 fml

ERF CHECKLIST OF REQUIREMENTS (SPED)

Name: District/School:
Employee No.: PBET/LET:
Exam Date: Rating:
No. of Yrs in Private School: Covered SY:
1 copy indorsment from school signed by the School Head
5 copies Duly Accomplished ERF
2 copies Updated Service Record as of ___________
2 copies Latest Approved Appointment
2 copies Certification from the School Head that candidate has at least 3 years experience in teaching children
in any of the categories of children with special needs
2 copies of Data Report on the number of pupils/students enrolled in the category of children with special needs handled
for the last 3 years
2 copies Certification that current station/school is an existing authorized SPED school/center
Graduate (duly Authenticated by School/University)
If Private School attach 2 copies Sworn Statements
2 copies Official Transcript of Records (duly Authenticated by School/University)
if units earned, submit certification on number of units earned (duly Authenticated by School/University)
Undergraduate (duly Authenticated by School/University)
2 copies Official Transcript of Records (duly Authenticated by School/University)
if Private School, attach 2 copies Sworn Statements
Special Order # of Graduation-for Private School
Board Resolution # of Graduation-for Public School
Diploma/Certification of Graduation
2 Copies PRC License (ATM Type)/Renewal of PRC (must be duly authenticated by PRC)
2 Copies Each Latest Performance Rating:
SY 2020-2021
SY 2019-2020
SY 2018-2019
IMPORTANT:
For ERF for SPED Teacher I
Bachelors Degree in Education with a minimum of 18 units of SPED at the graduate level
Remarks:
For ERF for SPED Teacher 2
38 units in Special Education at the masteral level
Remarks:
For ERF for SPED Teacher 3
MA in SpEd or its equivalent
3 years continous service = 1MA unit
Remarks:
ALL PHOTOCOPIES MUST BE AUTHENTICATED BY
the Principal and Administrative Officer V
Sworn Statement issued by Notary Public or Municipal Mayor
NOTE:

To be filled by the receiving personnel

Action Taken:
Indorsed to region
For HRMO II and SDS Signature
Returned to applicant (state reason)

Signature over printed name of Action Officer

 EQUIVALENT RECORD FORM
Name: DELA CRUZ JUAN MAGALANG Date of Birth: January 01, 1985
(Surname) (Given) (M.I.)
Emp. No.: 1234567 Authorized Position Title: TEACHER I

Item No.: OSEC-DECSB- TCH1-123456-2000 P.D. No. Authorized Salary: ₱ 23,877.00

I. Educational Attainment & Civil Service Eligibility:

Title, Degrees, or Highest Year
Name of Institution CSC/PRC Exam Rating Date
Grade Attained Received
Master of Arts in Education Major in
UNIVERSITY OF SAN CARLOS - MAIN
Educational Admnistration (CAR-36MA
CAMPUS
2018 LET 85.20% date of exam
UNITS)

II. Service Record: ATTACHED DULY CERTIFIED SERVICE RECORD

III. Equivalent Units:
A. Total Number of year/s teaching (Public Only): SY 2014-15 TO PRESENT 2 7
B. Degree to degree equivalent (present degrees): SY 2017-18 36 MAE-EAD (CAR)
C. Areas Equivalent School Year No. of Units
1 Professional Study
2 Teaching Experience
a. Public School SY 2014-15 TO PRESENT 2 7
b. Private School
3 Adm. Supervisory Experience
a. Public School
b. Private School
4 Others (seminars, workshop, etc.)
TOTAL 38
LATEST EFFICIENCY RATING: Rating Period: October 2020 to July 2021 Rating: 4.500 - OUSTANDING
Rating Period: June 2019 to April 2020 Rating: 4.500 - OUSTANDING
Rating Period: June 2018 to April 2019 Rating: 4.500 - OUSTANDING

Signature over Printed name of Applicant

Teacher's Signature
SIGNATURE OVER PRINTED NAME
Principal/School Head
*************************NOTE: TEACHERS ARE NOT TO WRITE ANYTHING BELOW *******************************
IV. Division Action
Classification Date Processed Preparation Level Salary Range Scheduled Salary Remarks

Certified Correct: Recommending Approval:

ANNA MAE M. ATILLO OLGA C. ALONSABE

Human Resource Management Officer II Schools Division Superintendent
Division Processing Officer Office of the Schools Division Superintendent

V. DEPED Regional Office Action

Evaluated by: DEPARTMENT OF EDUCATION
REGION X, CAGAYAN DE ORO CITY
POST-AUDIT OF TEACHING POSITION
Teacher Credentials Evaluator CLASS TITLE: ___________________
SALARY GRADE: _________________
Date: SUBJECT TO AVAILABILITY OF AN ITEM

Approved by:

VICTOR G. DE GRACIA, Ph.D., CESO V

Assistant Regional Director