Republic of the Philippines

Department of Education
REGION IV-A CALABARZON
Division of RIZAL

EQUIVALENT RECORD FORM

Name: DIONISIO, ELMERLYN ASESOR Date _of Birth: Sex:
7/19/1989________________

Surname Given name Middle

School: MONTALBAN HEIGHTS NHS istrict: RODRIGUEZ II-A ddress: VILLA ANA SUBD.SAN JOSE, RO

Employee No. 4689724 horized Position/Title: TEACHER I

Item No.OSEC-DECSB-TCH1278628-2012 Authorized Salary: Php 20,437.0

I. EDUCATIONAL ATTAINMENT AND CIVIL SERVICE ELIGIBILITY

Title, Degree or Highest Year Civil Service

Name of Institution Received
Grade Attained PRC Exam

BTTE MAJOR IN PHYSICS MARIKINA POLYTECHNIC COLLEGE 2011 L.E.T.

II. SERVICE RECORD: (Attached duly certified Latest Service Record)

III. EQUIVALENT UNITS:
A. Total No. of Years Teaching: (Public Only)___________________ Equivalent: ______5 YEARS___
Equivalent: _____CAR____________

C. Areas of Equivalent: School Year No. of Units Description

1. Professional Study 2014-2018 30 C.A.R.
2. Teaching Expeience
a. Public School 2013 UP TO PRESENT 5 YEARS
b. Private School 2011-2012 1 YEAR
3. Adm. Supervisory Experience
a. Public School
b. Private School
4. Others (Seminars, Workshop, etc.,
LATEST EFFICIENCY RATING: 3.990 V.S
___________________________
Teacher's Signature
NOTE: Teacher (Do Not Write Below)
IV. DIVISION ACTION
Classification Date Processed Grade Assignment Salary Grade Scheduled Salary

RECOMMENDING APPROVAL:

CHRISTOPHER R. DIAZ AMELIA R. DEAN

Officer In-Charge Administrative Officer V
Schools Division Superintendent

V. DepEd REGIONAL OFFICE ACTION

Classification:____________________________________________Range:_________________________________
Date Approved/Processed:________________________________Post Audit at ange:_____________________
(For future ref
 FEMALE

D.SAN JOSE, RODRIGUEZ,RIZAL

CHER I
hp 20,437.00

Rating Date

75 5/22/2012

EARS___
______________

Description
C.A.R.

5 YEARS
1 YEAR

_________________
s Signature

Remarks

DEAN
fficer V

_______________________
________________________
or future reference)