Equivalents Record Form: I. Educational Attainment & Civil Service Eligibility

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 2

Republic of the Philippines

Departmet of Education
Region VI - Western Visayas
DIVISION OF BACOLOD CITY
Bacolod City

EQUIVALENTS RECORD FORM


Name: __FLORES_____MARY GRACE______NARCISO__ Date of Birth: FEBRUARY 19, 1988 Sex: FEMALE
(Surname) (Given Name) (Middle)
Employee No. ______633-5277________________ Authorized Position Title: SECONDARY SCHOOL TEACHER I
Item No. ___OSEC-DECSB-TCHR1-420056-2013 P.D. No. ____________________ _ Authorized Salary: P 24,450.00

I. Educational Attainment & Civil Service Eligibility:


Titles, Degrees or Highest Name of Year Civil Service Examination Rating Date
Grade Attained Institution Received
(LET)
LA CARLOTA
CAR/MAED-MATH 2016 LICENSURE EXAMINATION 79.00 APRIL 5, 2009
CITY COLLEGE
FOR TEACHERS

II. Service Records: ATTACHED DULY CERTIFIED SERVICE RECORD


III. Equivalent Units:
A. Total No. of Years Teaching: ( Public only) 7 YEARS (06/05/2013 TO PRESENT) Equivalent
__________
B. Degree to Degree equivalent: ( Present Degree) CAR/MAED-MATH Equivalent
__________
C. Areas of Equivalents : School Year : No. of Units : Description
1. Professional Study : 2014 – 2016 : CAR : MAED –
MATH
2. Teaching Experience
a. Public School : 2013–PRESENT: 7 YEARS : SUM-AG NHS
b. Private School :______________: ____________ : __________________
3. Adm. Supervisory Experience
a. Public School :______________: ____________ : __________________
b. Private School :______________: ____________ : __________________
4. Others (Seminar, Workshop, etc.): ______________________________________________
:_____________ : ____________ : __________________
TOTAL : ____________ : ____________ : __________________

LATEST EFFICIENCY RATING _______________________________


_____________________________
(Teacher’s Signature)
NOTE: TEACHERS DO NOT WRITE BELOW
IV. Division Action:
Classification Date Processed Grade Assignment Salary Grade Scheduled Salary REMARKS

CERTIFIED CORRECT: RECOMMENDING APPROVAL:

______________________________ _____________________________________
JOSIE D. SEVA GLADYS AMYLAINE D. SALES, CESO VI
Administrative Officer IV-Personnel Assistant Schools Division Superintendent
OIC – Office of the Schools Division Superintendent

V. DepEd Regional Office Action:


REPUBLIC OF THE PHILIPPINES
DEPARTMENT OF EDUCATION _________________________
REGION VI – WESTERN VISAYAS CONTROL NO. _________________________
DURAN STREET, ILOILO CITY
POST – AUDIT OF TEACHING POSITION
CLASS TITLE _____________________
SALARY GRADE ___________________
SUBJECT TO AVAILABILITY OF AN ITEM
______________________________
FOR THE REGIONAL DIRECTOR: Teacher Credentials Evaluator
Republic of the Philippines
Departmet of Education
Region VI - Western Visayas
DIVISION OF BACOLOD CITY
Bacolod City

SWORN STATEMENT

I hereby certify under oath that I have been actually enrolled in the school I listed in the
accompanying transcript of records that I have actually earned the units indicated therein as
required by the Bureau of Public Schools and has been furnished with authentic copies of the
sworn statements and its enclosures.

_________________________
Signature of Applicant

SUBSCRIBED AND SWORN TO before this _________ day of _________


affiant exhibiting his/ her Residence Certificate No. ____________________________ issued at
Bacolod City on ___________________________________.

GLADYS AMYLAINE D. SALES, CESO VI


Assistant Schools Division Superintendent
OIC – Office of the Schools Division Superintendent

Documentary
Stamp

You might also like