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

Year
Highest Grade Name of Institution Service Rating Date
Received
Attained Eligibility

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: