Republic of the Philippines

Department of Education
Region IV-A CALABARZON
Division of Laguna
TUNTUNGIN-PUTHO INTEGRATED NATIONAL HIGH SCHOOL

EQUIVALENT RECORD FORM

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 Service Eligibility

Title, Degree or Highest Year Civil Service
Name of Institution Rating
Attained Received Examination

II. Service Record Attached DULY CERTIFIED SERVICE RECORD

III. Equivalent Units

A. Total No. or Years in Teaching (Public only)
B. Degree to degree equivalent (present degree)
C. Areas Equivalent School Year No. of Units Descriptions
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, workshop, etc.)
TOTAL

LATEST EFICIENCY RATING:

RECOMMENDING APPROVAL:

ANGEL G. ROSALES, JR.

Principal II Teacher's Signature

NOTE: Teachers do not write below.

IV. Division Action
Date Processed Range Assignment Salary Range Scheduled Salary
Classification

Recommending Approval: Certified Correct:

JOSILYN S. SOLANA, CESO V EMMANUEL E. ICALINA

Schools Division Superindent Administrative Officer V

V. DepEd Regional Office Action

Classification: Range
Date of Approval/Processed: Post Audired Range
(for future reference)
 Regional Director Evaluator
Supervising Administrative Officer

PROPER ACTION:
 Date

escriptions

ignature

Remarks

E. ICALINA
e Officer V