Republika Ng Pilipinas
KAGAWARAN NG EDUKASYON
Rehiyon XI
SANGAY NG LUNGSOD NG DAVAO
Lungsod Ng Davao
EQUIVALENT RECORD FORM (ERF)
School: __________________________________________________ District/Cluster: ________________________________
Name: ___________________________________________________ Date of Birth: _________________________ Sex:___________
(Surname) (Given Name) (M. I.)
Employee Number: _______________ Item No.: _______________________________ Authorized Position Title: ___________________
Page number: ___________________________ Authorized Annual Salary: ___________________
I. Educational Attainment and Eligibility:
Title, Degree or Highest Year
Name of Institution Eligibility Rating Date
Grade Attained Received
II. Service Record: Attached Duly Certified Service Record
III. Equivalent Units:
A. Total No. of years teaching (Public only): ________________ years Equivalent: ______________________
B. Degree to Degree Equivalent (Present Degree) ____________ M. A. Units Equivalent: ______________________
C. Areas of Equivalent School Year No. of Units/Years Description
1. Professional Study
TOTAL _______________
2. Teaching Experience
a. Public School
b. Private School
LATEST EFFICIENCY RATING (Adjectival and Numerical): _________________________________
_______________________________
Teacher’s Signature
Recommending approval: ____________________________________
PSDS (Elementary) / School Head (Secondary)
IV. Division Action:
Classification Date Processed Range Assignment Salary Grade Salary Schedule Remarks
Evaluated by: Certified Correct:
ROMEL L. TAMBIS JINKY B. FIRMAN, CESE
Administrative Officer IV ASDS / Chair, HRMPSB
Approved:
REYNALDO M. GUILLENA, CESO V
Schools Division Superintendent
O A T H
I hereby certify under oath that I have actually enrolled in the school(s) listed in the accompanying Transcript of Records and that I
have earned the units indicated therein.
_____________________________
Signature over printed name
SUBCRIBED AND SWORN to before me this _______________ day of ________________ 2021 affiant exhibiting his/her
Community Tax Certificate No. ________________ issued at ________________________ on _________________.
___________________________________
Signature of Person Administering the Oath
Doc. No. : ______________
Page No. : ______________
Book No. : ______________
Series No. : _____________