1. Republic of the Philippines
Department of Education
National Capital Region
DIVISION OF MARIKINA CITY SCHOOLS
MARIKINA CITY
EQUIVALENT RECORD FORM
Name Date of Birth Sex
Surname Given Name Middle Name
Employee Number Authorized Position Title
Item Number _________ NCC # _________CY________ Authorized Salary____________________
1. Educational Attainment And Civil Service Eligibility
Title, Degree of
Civil Service
Highest Grade Name of Institution Year Received Rating Date
Eligibility
Attained
11. Service Record: ATTACHED DULY CERTIFIED SERVICE RECORD
111. 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 School : : : :
b. Private School : : : :
3. Adm/Supervisor Experience : : : :
a. Public School : : : :
b. Private School : : : :
4. Others: Seminars/Workshops etc. : : : :
LATEST EFFICIENCY RATING __________________________ TOTAL:_______________
NOTED BY:
Principal
Signature of Teacher
NOTE: Teacher: Do not write below: School
1V. Division
Date Range Schedule
Action Salary Range Remarks
Processed Assignment Salary
Classification
CERTIFIED CORRECT: RECOMMENDING APPROVAL:
WILMA P. MONTALLA EDUARDO V. LOPEZ
Human Resource Management Officer 1 Schools Division Superintendent
V. DEPED & Regional Office Action:
Classification _______________________________ Range: _________________________
Date Processed Approved: ________________________Post Audited at range __________
(For Future References)
Regional Director Evaluator
VI. DEPED PROPER ACTION: