DEPARTMENT OF EDUCATION

Region X- Northern Mindanao

DIVISION OF MALAYBALAY CITY
Corner Don Carlos and Guingona Sts., City of Malaybalay
Telefax # 088-813-2894 or 221-4597, E-mail add: dpdmlyblycity@yahoo.com
Website: http://depedmalaybalay.net

EQUIVALENT RECORD FORM

Name: ___________________________________________Date of Birth_________________ Sex_________

(Family Name, Given Name, M.I) (Month, Day, Year)

Employee no. ____________________________________Authorized Position Title: ____________________

Item No_________________________________________ Authorized Salary: __________________________
Actual Salary: _____________________________
I. Educational Attainment and Civil Service Eligibility:
Title, Degree or Highest NAME OF YEAR CS Eligibility
Degree Attained INSTITUTION RECEIVED
Exam Rating Date Taken

II. Service Record ( Attached duly certified and updated Service Record)
III. Equivalent Units:
A. Total no. of Years Teaching (Public only) __________________ Equivalent________________________________
B. Degree to degree Equivalent (present degree_______________ Equivalent_________________________________

C. Areas of Equivalents School Year Units Earned Description

1. Professional Study
2. Teaching Experiences:
A. Public School
B. Private School
3. Admin. Supervisory Experience
A. Public School
B. Private School
4. Others (Seminar, workshop, etc.) TOTAL

LATEST EFFICIENCY RATING _________________________

__________________________________ _______________________________
PSDS/PRINCIPAL/HEAD TEACHER Teacher’s Signature
IV. DIVISION ACTION
Classification Data Range Assignment Salary Scheduled Remarks
Processed Ratings Salary

Certified Correct: Recommending Approval:

NOVEM A. SESCON EDILBERTO L. OPLENARIA

Division Processing In Charge Schools Division Superintendent

DEPARTMENT OF EDUACTION
REGION X, CAGAYAN DE ORO CITY
POST-AUDIT OF TEACHING POSITION
CLASS TITLE_____________________
SALARY GRADE:__________________
SUBJECT TO AVAILABILITY OF AN ITEM