(Enclosure to Regional Memorandum No. _____, s.

2021

Republic of the Philippines

Department of Education
REGION VIII - EASTERN VISAYAS
Division of Northern Samar
School: INANAHAWAN ELEMENTARY SCHOOL

EQUIVALENT RECORD FORM (ERF)

NAME: _______________________________________ Date of Birth: _______________ Sex:

______
(Surname) (Given) (M.I.)
Employee No: __________ Authorized Position Title (Present): _____________
Item: _____________P.D. No.________________ Authorized Salary: _____________

I. Educational Attainment and Civil Service Eligibility:

Basic Degree Name of School or Year Civil Service Rating Date Taken
& Highest Institution Received Examinations Obtained
Degree
Attained

II. Service Records: Attached Duly Certified Service Record

III. Equivalent Units:
A. Total No. of years in Teaching (Public only): _____________Equivalent: _____________
B. Degree-to-Degree Equivalent: (Present Degree): _____________ Equivalent:
___________
C. Areas of Equivalents:
1. Professional Study: _____________
2. Teaching Experience: (Public School): _____________
3. Others (Seminars, Workshop, etc.) _____________
Total: _____________
PERFORMANCE RATING (Latest Rating Period): ______________

________________________
Teacher’s Signature
Endorsed by:

________________________
School Head

NOTE: Teachers do no write below

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

Certified Correct: Recommending Approval:

_______________________ ___________________________
Administrative Officer V School Division Superintendent

Approved:

MA. GEMMA MERCADO LEDESMA

Regional Director