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Equivalent Record Form (Erf)

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Republika ng Pilipinas

KAGAWARAN NG EDUKASYON
Rehiyon XII
SANGAY NG MGA PAARALANG LUNGSOD
Lungsod ng Heneral Santos

EQUIVALENT RECORD FORM (ERF)


School/District: DADIANGAS NORTH ELEMENTARY SCHOOL/PEDRO ACHARON SR. DISTRICT

Name: _____________________ Date of Birth: _____________


(Surname) (Given) (M.I)
Employee No: Authorized Position Title: ___________
Item No: ___________ P.D. No.___________________ Authorized Salary: ___________
I. Educational Attainment and Civil Eligibility
Title, Degree or Name of Institution Year Civil Service Rating Date
Highest Attained Received Examination

II. Service Record: See Attached Service Record


III. Equivalent Units
A. Total No. of years teaching: (Public only) Equivalent: ______________
B. Degree Equivalent (Present Degree): ____________ Equivalent: ______________
C. Areas Equivalent
School Year No. of Units Description
1. Professional Study _________ ___________ ____________
Graduate Study _________ ___________ ____________
2. Teaching Experience
a. Public School- 3 yrs.=1 unit ___________ _______ ____________
b. Private School- 5 yrs.=1 unit _____________ ______________ ____________
3. Adm. Supervisory Experience _____________ ______________ ____________
a. Public School _____________ ______________ ____________
b. Private School _____________ ______________ ____________
4. Others (Seminars, Workshop, etc.) _____________ ______________ ____________
TOTAL _____________ ______________ ____________
Latest Performance Rating: __________

LILANE M. JOSOL, Ph.D. ___________________


District Supervisor/Principal Teacher’s Signature

NOTE: TEACHERS DO NOT WRITE BELOW


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

Recommending Approval: Certified Correct:

ROMELITO G. FLORES, CESO V NERISSA A. ALFAFARA


Schools Division Superintendent Education Program Supervisor
V. DEPED Regional Office Action:
Classification on: ___________________________ Range: _______________________
Date Approved/Processed: ___________________ Post Audited Range: _______________________
(For future reference)

DR. ALLAN G. FARNAZO, CESO IV JOVEL S. HUNAS


Regional Director Teacher Credential Evaluator
________________________________________________________________________________________
VI. DEPED PROPER ACTION
I hereby certify under oath that I have actually enrolled in the schools or schools in the accompanying
transcript of records and that I have earned the units indicated herein.

As required, the Bureau of Private schools has been furnished with the authentic copies of the Sworn
Statement and its enclosures.

______________________
(Teacher’s Printed Name and Signature)

SUBSCRIBED AND SWORN to before me this ________________ day of _____________________


202__ affiant exhibiting his/her Residence Certificate No. ________________ at _______________________
on ____________________________________________.

_________________________________________
Signature of Person Administering Oath

Doc. No.: ____________________


Page No.: ____________________
Book No.: ____________________
Series of: ____________________

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