Republic of the Philippines

Department of Education
Region IV-A
SCHOOLS DIVISION OF QUEZON PROVINCE

Date:____________

CERTIFICATION

This is to certify that ________________________________, ______________________ of

Name Designation/Position
__________________________________has obtained the following true and correct performance
School/District

rating to wit:

RATING
Rating Period
Numerical Descriptive
SY 2016 - 2017 4.25 Very Satisfactory
SY 2015 - 2016 4.18 Very Satisfactory
Nov. 2014 - March 2015 3.53 Outstanding

Issued this ____day of ________________, 20__ for whatever legal purpose this may serve.

___________________________________________

Public School District Supervisor/School Head/Principal

(For School Head) / (For Teacher)

_____________________________________
OIC-ASDS in-charge

DEPEDQUEZON-TM-ASD-04-026-003

“Creating Possibilities, Inspiring Innovations”

Address: Sitio Fori, Brgy. Talipan, Pagbilao, Quezon
Trunkline #: (042) 784-0366, (042) 784-0164, (042) 784-0391, (042) 784-0321
Email Address: quezon@deped.gov.ph
Website: www.depedquezon.com.ph
 Republic of the Philippines
Department of Education
Region IV-A
SCHOOLS DIVISION OF QUEZON PROVINCE

DEPEDQUEZON-TM-ASD-04-026-003

“Creating Possibilities, Inspiring Innovations”

Address: Sitio Fori, Brgy. Talipan, Pagbilao, Quezon
Trunkline #: (042) 784-0366, (042) 784-0164, (042) 784-0391, (042) 784-0321
Email Address: quezon@deped.gov.ph
Website: www.depedquezon.com.ph