Republic of the Philippines

Department of Education
SOCCSKSARGEN REGION
Division of _________________

EVALUATION OF CANDIDATE REPORT FOR PRINCIPAL/HEAD TEACHER _____________RECLASSIFICATION

EVALUATION FORM II
SCHOOL & DISTRICT: PRESENT POSITION:
NAME OF CANDIDATE: SALARY GRADE:
STATUS OF POSITION: ITEM NO.:

SCHOOL/DISTRICT
DIVISION EVALUATION REGION EVALUATION
CRITERIA POINTS EVALUATION COMMITTEE REMARKS
COMMITTEE ACTION COMMITTEE ACTION
ACTION
Performance 20
Outstanding Accomplishments 30
Experience 10
Education & Trainings 15
Psychological Attributes & Physical Characters 15
Potentials 10
TOTAL 100 0
*To qualify for the Reclassification, a candidate must earned not less than 60 points (D.O # 097 s. 2011)

Evaluators: District Level Division Level Region Level

____________________________________ LEONARDO B. MISSION, Ph. D.

Chairperson Chairperson Education Program Supervisor
Chairperson

____________________________________
Vice Chairperson Vice Chairperson MICHAEL A. POBLADOR, Ph. D.
Education Program Supervisor
Member
____________________________________
Member Member
JOVEL S. HUNAS
____________________________________ Teacher Credentials Evaluator II
Member Member Member

____________________________________
Member Member

RECOMMENDING APPROVAL; APPROVED:

____________________________________
PSDS Schools Division Superintendent ALLAN G. FARNAZO, CESO IV
Regional Director
 Republic of the Philippines
Department of Education
SOCCSKSARGEN REGION

Division of SOUTH COTABATO

EQUIVALENT RECORD FORM (ERF)
School: _SURALLAH NATIONAL HIGH SCHOOL______ District: SURALLAH NORTH II

Name: CATEDRAL MA.RIZA RANIO Date of Birth: 06/04/1974 Gender: FEMALE

(Surname) (Given) (Middle)
Employee No. 4456126 Authorized Position Title: TEACHER II
Item No. __TCH2-840238-2015_____Authorized Salary: _26,336.00______Present SG rcvd:_12_____Step: 1

I. EDUCATIONAL ATTAINMENT AND CIVIL SERVICE ELIGIBILITY:

Titles, Degree
Civil Service
Highest Grade Name of Institution Year Received Examination
Rating Date
Attained

Sultan Kudarat Polytechnic State

AB-ED HISTORY 2003 LET 78.40% 8/27/2000
College

Mindanao State University - General

MAED-CAR 30 Units - CAR
Santos City

II. SERVICE RECORDS (ATTACH DULY CERTIFIED SERVICE RECORD)

III. EQUIVALENT UNITS

A. Total number of years teaching: (Public only) __12 years__________________ Equivalent________________
B. Degree to Degree Equivalent: Present Degree _MAED - CAR_____ Equivalent ________________

SCHOOL YEAR DESCIRPTION

C. Areas of Equivalents: NO OF UNITS
1. Professional Study: 2015-2017 30 units MAED- CAR
2. Teaching Experiences:
a. Public Schools 2009 - Present 12 years of teaching

b. Private Schools
3. Adm. Supervisory Experience:
a. Public Schools
b. Private Schools
4. Others (Seminars, Workshops, etc.) 2016-2021 512hrs.
TOTAL

LATEST EFFICIENCY Numerical: 4.573

RATING: Adjectival: Outstanding
Conforme:
LUZVIMINDA D. LAMZON FLORANTE L. LACHICA
Teacher's Name and Signature (Name and Signature of School Head)

Note: TEACHERS-Do not write below.

IV. DIVISION ACTION
Range Scheduled
Classification Date Processed Salary Range Remarks
Assignment Salary
NBC _______ s. ________

Regional Center, Brgy. Carpenter HIll, City of Koronadal

Telefax No.: (083) 2288825/ (083) 2281893
Website: depedroxii.org Email: region12@deped.gov.ph
CERTIFIED CORRECT: RECOMMENDING APPROVAL:
Republic of the Philippines
JASMIN P. ISLA Department of Education
RUTH L. ESTACIO PhD., CESO VI
Assistant Schools Division Superintendent/HRMPSB Chairman SOCCSKSARGEN REGIONOfficer In-Charge -Schools Division Superintendent
V. DepEd-REGIONAL OFFICE ACTION:
EVALUATED BY:

LEONARDO B. MISSION PhD MICHAEL A. POBLADOR JOVEL S. HUNAS

Education Program Supervisor-Chairman Education Program Supervisor-Member Teacher Credentials Evaluator II

CERTIFIED CORRECT: APPROVED:

KATHRINE H. LOTILLA REBONFAMIL R. BAGUIO, CESO V

Supervising Administrative Officer OIC-Assistant Regional Director
JSH/AD-P/ERF/____________/_____________
PLEASE FILL-UP AT THE BACK

VI. DepEd PROPER ACTION

I hereby certify that under oath that I have actually enrolled in the school or schools in the accompanying
transcript of records that I have earned the units and/or graduated as indicated therein.

As required, the Bureau of Public Schools or the Department of Education has been furnished with
authentic of the Sworn Statement and its enclosures.

LUZVIMINDA D. LAMZON
(Teacher's Printed Name and Signature)

SUBSCRIBED AND SWORN to before me this _______day of ___________________,20______ affiant

exhibiting his/her Residence Certificate No. _CCI2019 - 16179409_ at _Dajay, Surallah, South Cotabato_
on __July 25, 2021__________.

Signature of Person Administering Oath

Doc No.:
Page No.:
Book No.:
Series of:
DO/Page:

Regional Center, Brgy. Carpenter HIll, City of Koronadal

Telefax No.: (083) 2288825/ (083) 2281893
Website: depedroxii.org Email: region12@deped.gov.ph
 Republic of the Philippines
Department of Education
SOCCSKSARGEN REGION

JSH/AD-P/ERF/000/May 31,2021

Division of SOUTH COTABATO

CERTIFICATION
TO WHOM IT MAY CONCERN:

This is to certify under oath that I have been actually enrolled in MINDANAO STATE UNIVERSITY- S
School
ACCESS, EJC Montilla, Tacurong City, Master of Arts in Teaching (MAT) - Mathematics. As listed in the
Address Course
accompanying Transcript of Records and that I have earned the units indicated herein. As required, the

Department of Education has been furnished with authentic copies of the sworn statement and its enclosure in

Regional Center, Brgy. Carpenter HIll, City of Koronadal

Telefax No.: (083) 2288825/ (083) 2281893
Website: depedroxii.org Email: region12@deped.gov.ph
 Republic
accordance with the provisions of Department Order of
12,thes.Philippines
1962, enclosures to Memorandum No. 51, s. 1962.
Department of Education
SOCCSKSARGEN REGION

LUZVIMINDA D. LAMZON
Signature Over Printed Name of Teacher

SUBSCRIBED AND SWORN before me this _____day of ___________,20___at _________________

affiant exhibiting his Residence Certificate No. CCI2019-16179409 issued at Dajay, Surallah, South Cotabato

on __July 25, 2021__________.

Notary Public

Doc No.:
Page No.:
Book No.:
Series of:
DO/Page:

Regional Center, Brgy. Carpenter HIll, City of Koronadal

Telefax No.: (083) 2288825/ (083) 2281893
Website: depedroxii.org Email: region12@deped.gov.ph
 Republic of the Philippines
Department of Education
SOCCSKSARGEN REGION

Regional Center, Brgy. Carpenter HIll, City of Koronadal

Telefax No.: (083) 2288825/ (083) 2281893
Website: depedroxii.org Email: region12@deped.gov.ph
 Republic of the Philippines
Department of Education
SOCCSKSARGEN REGION
Division of _________________

EVALUATION OF CANDIDATE REPORT FOR PRINCIPAL/HEAD TEACHER _____________RECLASSIFICATION

EVALUATION FORM II
SCHOOL & DISTRICT: PRESENT POSITION:
NAME OF CANDIDATE: SALARY GRADE:
STATUS OF POSITION: ITEM NO.:

SCHOOL/DISTRICT DIVISION REGION

CRITERIA POINTS EVALUATION EVALUATION EVALUATION REMARKS
COMMITTEE ACTION COMMITTEE ACTION COMMITTEE ACTION
Performance 20
Outstanding Accomplishments 30
Experience 10
Education & Trainings 15
Psychological Attributes & Physical Characters 15
Potentials 10
TOTAL 100 0
*To qualify for the Reclassification, a candidate must earned not less than 60 points (D.O # 097 s. 2011)

District Level

Chairperson Vice Chairperson Member Member Member

Division Level

Chairperson Vice Chairperson Member Member Member

RECOMMENDING APPROVAL;
____________________________________
Schools Division Superintendent

Region Level
LEONARDO B. MISSION, PhD MICHAEL A. POBLADOR, PhD JOVEL H. HUNAS
Education Program Supervisor Education Program Supervisor Teachers Credential Evaluator II
Chairperson Member Member

APPROVED:
FRANCIS CESAR B. BRINGAS
Director IV