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Republic of the Philippines

DEPARTMENT OF EDUCATION
Region IV – MIMAROPA
Division of Oriental Mindoro
EQUIVALENT RECORD FORM
(Submit in five copies)
NAME Date of Birth Sex
Employee No. Authorized Position Title
Item No. Authorized Salary
I. Educational Attainment and Civil Service Eligibility
Title Degree Highest : : Year : Civil Service : : Date
Grade Attainment : Institution : Received : Examination : Rating : Taken

II. Services Rendered: (Attached Duly Certified Service Record)

III. Equivalent Units:


A. Total no. of years teaching, (public only) Equivalent
B. Areas of Equivalent School Year : No. of Units : Description
1. Professional Study
2. Teaching Experience
a) Public School
b) Private School
3. Administrative Supervisory Experience
a) Public School
b) Private School
4. Other: Seminars, Workshop, etc.

LATEST EFFICIENCY RATING:

LORETO S. LABRADOR
(Name/Signature) (Applicant’s Signature)
District Supervisor/Principal/TIC (Sec)
Note: Teachers Do Not Write Below
IV. Division Action : Date : Ranged : Salary : Scheduled :
Classification : Processed : Assignment : Grade : Salary : REMARKS
: : : : :
: : : : :
RECOMMENDING APPROVAL: CERTIFIED CORRECT:

KRYSTEL CHARISMA L. JUMANOY


MARIA LUISA D. SERVANDO, Ph.D., CESO VI Human Resource Management Officer
Schools Division Superintendent Division Processing Officer
DepEd Regional Office Action

Department of Education
Region IV – MIMAROPA
POST-AUDIT OF TEACHING POSITION
CLASS TITLE
SALARY GRADE
SUBJECT TO AVAILABILITY OF ITEM
BY AUTHORITY OF THE SECRETARY/DepEd
For the Director
_________________________
_____________________________ (Regional Processing Officer)
(Authorized Person)

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