(Enclosure No. to Division Memorandum OSDS No. S.

2020)

Republic of the Philippines

Department of Education
SOCCSKSARGEN
Division of SOUTH COTABATO

EQUIVALENT RECORD FORM (ERF)

School: District:

Name: Date of Birth: Gender:

(Surname) (Given) (Middle)
Employee No. Authorized Position Title:
Item No. _________________________P.D. No. ______ Authorized Salary: ___________Present SG rcvd:______Step:_______

I. EDUCATIONAL ATTAINMENT AND CIVIL SERVICE ELIGIBILITY:

Titles, Degree Highest Grade Year Civil Service

Name of Institution Rating Date
Attained Received Examination

II. SERVICE RECORDS (ATTACH DULY CERTIFIED SERVICE RECORD)

III. EQUIVALENT UNITS

A. Total number of years teaching: (Public only) ___________________________________ Equivalent_____________
B. Degree to Decree Equivalent: Present Degree ___________________________________ Equivalent ____________
SCHOOL
DESCIRPTION
C. Areas of Equivalents: YEAR NO OF UNITS
1. Professional Study:
2. Teaching Experiences:
a. Public Schools
b. Private Schools
3. Adm. Supervisory Experience:
a. Public Schools
b. Private Schools
4. Others (Seminars, Workshops, etc.)
TOTAL

LATEST EFFICIENCY RATING: Numerical:

Adjectival: Teacher's Signature

Verified Correct:
(Name and Signature of School Head) (Name and Signature of PIC/PSDS)

Note: TEACHERS-Do not write below.

IV. DIVISION ACTION
Range Scheduled
Classification Date Processed Salary Range Remarks
Assignment Salary

CERTIFIED CORRECT: RECOMMENDING APPROVAL:

CARLOS G. SUSARNO Ph.D DR. RUTH L. ESTACIO, CESO VI

PSDS/Special Assistant to the Schools Division Superintendent Asst. Schools Division Superintendent
HRMPSB-Chairman Officer In-Charge
Office of the Schools Division Superintendent
V. DepEd-REGIONAL OFFICE ACTION:

Classification: Range:
Date approved, processed: Post audited at Range
(for future reference)
APPROVED:

JOVEL S. HUNAS ALLAN G. FARNAZO, CESO IV

Teacher Credentials Evaluator II Regional Director

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.

(Teacher's Printed Name and Signature)

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

exhibiting his/her Residence Certificate No. ______________________ at _______________________________
on ________________________________.

Signature of Person Administering Oath

Doc No.:
Page No.:
Book No.:
Series of:
DO/Page:
Office of the Schools Division Superintendent