(Enclosure to Department Memorandum No. 140 s.

1976)

Republic of the Philippines

DEPARTMENT OF EDUCATION
CARAGA ADMINISTRATIVE REGION
Division of Surigao del Sur
Tandag City

EQUIVALENT RECORD FORM

Paler Ariel A.
Name: ______________________________________ Nov. 11,1991
Date of Birth _______________ Male
Sex ____________
(Surname) (Given Name) (MI)
Employee No.:________________________________
30486110 Authorized Position Title Teacher I
: _____________________
Item No. :________________________________
TCH1-1020243-2002 Actual Salary : _____________________
Php 20,437.00

I – Educational Attainment and Civil Service Eligibility:

Titles, Degree or Highest Year Civil

Attained Name of Institution Received Service Rating Date
Examination
Master of Arts in
Education w/ Philippine Normal University- September
2016 LET 80.80
specialization in Mindanao Campus 2011
Educational Management

II – Service Records: (ATTACH DULY CERTIFIED SERVICE RECORD)

III – Equivalent Units:

A. Total No. of Years Teaching: (Public Only) ______________________
4 years Equivalent: ____________
B. Degree to Degree Equivalent: (Present Degree) MaEd-EdM
___________________ Equivalent: ____________
C. Areas of Equivalent : _________________________________________________________
School Year No. of Units Description
1. Professional Study 2017 to present 33 units Ed.D
2. Teaching Experience
a. Public School 2014 to present Teacher I
b. Private School 2011-2014 Teacher
3. Adm. Supervisory Experience
a. Public School 2014-2016 Records In Charge/CFSS Faci.
2016-2017 School Planning Officer Designate
District Planning Officer Designate
2017 to present
b. Private School
4. Others (Seminars, Workshops, Others) 2011-2016 Sequential Certificates
TOTAL

LATEST EFFICIENCY RATING:___4.240

_________________________
Teacher’s Signature
CERTIFIED CORRECT:

BRENDA U. ADLAWAN SHIRLENE E. CRABAJALES

School Principal/Head/District Supervisor Administrative Officer V

Note: Teachers Do not Write Below

IV Division Action Date Processed Range Salary Scheduled Salary Remarks

Classification Assignment Range

CERTIFIED CORRECT: APPROVED:

RODEL R. GUJILDE MARILOU B. DEDUMO, Ph. D.,CESO V

Division Processing Officer Schools Division Superintendent
 OATH

I hereby certify under oath that I have been actually enrolled in the school or schools listed in
accompanying transcript of record and that I have the units indicated therein.
As required the Bureau of Private Schools has been furnished with authentic copies of the
sworn statement and its enclosure.

ARIEL A. PALER
SIGNATURE OVER PRINTED NAME

SUBSCRIBED AND SWORN to before me this ______________ day of __________2019

affiant exhibiting his Residence Certificate No. 17676956 issued at Barobo, Surigao del Sur on January
14,2019.

________________________________________
SIGNATURE OF PERSON ADMINISTERING OATH

Doc. No. ________________

Page No.________________
Book No. _______________
Series of ________________