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
Degree Attained

NAME OF
INSTITUTION

YEAR
RECEIVED

CS Eligibility
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_______________________________

School Year

C. Areas of Equivalents
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.)

Units Earned

Description

TOTAL

LATEST EFFICIENCY RATING _________________________

__________________________________
_______________________________
IV.

PSDS/PRINCIPAL/HEAD TEACHER
DIVISION ACTION

Classification

Data
Processed

Certified Correct:

Range Assignment

Teachers Signature

Salary
Ratings

Scheduled
Salary

Remarks

Recommending Approval:

NOVEM ABAO SESCON

EDILBERTO L. OPLENARIA

Division Processing In Charge

Schools Division Superintendent

V. DepEd REGIONAL OFFICE ACTION

Evaluated By: ________________________
Date: _______________________________
______________________________________
TEACHERS CREDENTIAL EVALUATOR

APPROVED:
___________________________
Regional Director

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

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

PANUNUMPA SA KATUNGKULAN

Ako Si,_____________________________________ng __________________________________na

(hinirang/itinalaga) sa katungkulan bilang__________________________ ay taimtim na nanunumpa na
tutuparin kong buong husay at katapatan , sa abot ng aking kakayahan, ang mga tungkulin ng aking
kasalukuyang katungkulan at ng mga iba pang pagkaraan nitoy gagampanan ko sa ilalim ng republika ng
pilipinas, na aking itataguyod at ipagtatanggol ang konstitusyon ng Pilipinas; na tunay na manalig at tatalima
ako rito; na susundin ko ang mga batas, mga kautusang legal, at mga dekretong pinaiiral ng mga sadyang
maykapangyarihan ng Republika ng Pilipinas; at kusa kung babalikatin ang mga pananagutang ito, nang walang
ano mang pagsubali o hangaring umiwas.

KASIHAN NAWA AKO NG DIYOS.

___________________________
Pangalan at Lagda
Sedula, Klase__________________, Bldg.__________
Kinuha sa ____________________________________
Petsa________________________________________

Nilagdaan
at
Pinanumpaan
sa
harap
ko
ngayong
ika_________________ng
_________________________2012. sa ___________________________________________ Pilipinas.

JUTCHEL L. NAYRA, DPA

Administrative Officer V