Republic of the Philippines
Department of Education
Region IV-A (CALABARZON)
DIVISION OF CAVITE
Trece Martires City
EQUIVALENT RECORD FORM
Name :
Sex:
Date of Birth:
(Surname)
(Given Name)
(Middle)
School :
Address:
Employee No.
Item No.
Authorized Position Title
Authorized Salary
P.D. No.
I. EDUCATIONAL ATTAINMENT & CIVIL SERVICE ELIGIBILITY
Title, Degree or
Highest Grade
Attained
Name of Institution
Civil
Service
/PRC Exam
Year
Received
Rating
Date
II. SERVICE RECORD: (Attached duly certified Service Record)
III. EQUIVALENT UNITS:
A. Total No. Of Years in Teaching (Public Only)____________ Equivalent
____________
B. Degree to Degree Equivalent (Present Degree) ________
Equivalent ____________
C. Areas of Equivalent:
School Year
No. of Units
Description
1. Professional Study
2. Teaching Experience
a) Public Schools
b) Private School
3. Adm. Supervisory Experience
a) Public School
b) Private School
4. Others (Seminars, Workshop)
TOTAL
LATEST EFFICIENCY RATING: _______
Recommending Approval:
School Principal
Teachers
Signature
IV. DIVISION ACTION
Date
Grade
Classifica Processe Assignme
tion
d
nt
Salary
Grade
RECOMMENDING APPROVAL:
Schedule
d
Salary
CERTIFIED CORRECT:
CHERRYLOU D. DE MESA
VERNA C. CABAYA
OIC, Schools Division Superintendent
Officer V
Administrative
V. DepEd REGIONAL OFFICE ACTION:
Classification _________________________
_________________________
Remarks
Range
Date Approved/Processed_______________
_______________
Post audit at Range