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Equivalent Record Form: Department of Education MIMAROPA Region

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Edgardo De Mesa Malait
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14 views1 page

Equivalent Record Form: Department of Education MIMAROPA Region

Uploaded by

Edgardo De Mesa Malait
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines

Department of Education
MIMAROPA Region
Meralco Ave. cor. St. Paul Road
Pasig City

District/School : ___________________________________________

EQUIVALENT RECORD FORM


Name: ________________________________ Date of Birth : __________ Sex : ______
(Surname) (Given) (M.I.)
Employee No: _______________________________Authorized Position Title:_____________________
Item Mo: __________________P.D. No._____________ ___Authorized Salary:_________________
I. Educational Attainment and Civil Service Eligibility
Civil Service
Title, Degree or Highest Name of Institution Year Received Examination Rating Date
Attained

II. Service Record ATTACHED DULY CERTIFIED SERVICE RECORD


III. Equivalent Units
A. Total No. of years teaching (Public only) _________________________
B. Degree to degree equivalent (present degrees) _____________________
C. Areas Equivalent School Year No. of Units Descriptions
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:
RECOMMENDING APPROVAL:
____________________
________________________ Teacher’s Signature
Principal
NOTE: Teachers do no write below
IV. Division Action
Classification Date Processed Range Salary Ranged Scheduled Remarks
Assignment Salary

Recommending Approval: Certified Correct:

DENNIS MICHAEL G. ABELEDA, PhD


ROGER F. CAPA, CESO VI Administrative Officer V
Schools Division Superintendent

V. DEPED Regional Office Action


Classification: __________________________ Range ___________________________
Date of approval/processed ______________

For the Director:

TEODORICO O. SALIDO III


ATTY. SUZETTE T. GANNABAN-MEDINA Teacher Credentials Evaluator II
Chief Administrative Officer
OIC, Office of the Assistant Regional Director

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