ERF Form

Republic of the Philippines

DEPARTMENT OF EDUCATION
Region I
DIVISION OF ILOCOS SUR
Vigan City

NAME: Date of Birth Sex

Employee No. Authorized Position Title
Item No. G.A.A No. Authorized Position Title
I. Educationa Attainment and Civil Service Eligibility:

Title, Degrees or
Name of Institution Year Received CS Exam Rating Date
Highest Grade Atained
Master of Arts in
Education with
36 units in Doctor of
Education
II. Service Records: Attached duly certified Service Record
III. Equivalent Units:
A. Total Number of Years Teaching (Public Only) Equiv.
B. Degree to Degree Equivalent BSE, BSN, MAEd (Present Degree) Equiv.
C. Areas of Equivalents

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, Workshops, etc.)
Total

LATEST EFFICIENCY RATING:

Teacher's Signature
CERTIFIED AND VERIFIED CORRENT

Principal I

Note: Teachers DO not Write Below

IV. Division Action:
Grade Salary Scheduled
Classification Date Processed REMARKS
Assignment Grade Salary

RECOMMENDING APPROVAL: CERTIFIED CORRECT:

SCHOOLS DIVISION SUPERINTENDENT ADMINISTRATIVE OFFICER III

 V. DEPED REGIONAL OFFICE ACTION:
Classification Grade
Post-Audited at Grade
(For future reference)
Date approved/processed:

Evaluator Regional Director