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Teacher Record Verification Form

This document is an Equivalent Record Form (ERF) containing the educational and employment history of an individual. It includes sections on the individual's education attainment, civil service eligibility, service record spanning various teaching experiences, equivalent units earned, performance ratings, and required oath and signatures for processing by the school and division office. Upon verification and approval, the form determines the individual's classification, salary grade, and range assignment.

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BEN BANDOJO
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226 views2 pages

Teacher Record Verification Form

This document is an Equivalent Record Form (ERF) containing the educational and employment history of an individual. It includes sections on the individual's education attainment, civil service eligibility, service record spanning various teaching experiences, equivalent units earned, performance ratings, and required oath and signatures for processing by the school and division office. Upon verification and approval, the form determines the individual's classification, salary grade, and range assignment.

Uploaded by

BEN BANDOJO
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Republika Ng Pilipinas

KAGAWARAN NG EDUKASYON
Rehiyon XI
SANGAY NG LUNGSOD NG DAVAO
Lungsod Ng Davao

EQUIVALENT RECORD FORM (ERF)

Name: _________________________________________________________ Date of Birth: ______________________ Sex: ____________


(Surname) (First Name) (Middle Name)
Employee Number: ______________________________ Authorized Position Title: ______________________________
Item No.: ______________________________________ Authorized Annual Salary: _____________________________
Station Code No.: _______________________________

I. Education Attainment and Civil Service Eligibility: :


Units, Degrees of Highest Year CS / Board
Name of Institution Rating Date
Grade Attained Received Examination

II. Service Record: Attached Duly Certified 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 Equivalent

School Year No. of Units Description

1. Professional Study

2. Teaching Experience

a. Public School

b. Private School

3. Adm. & Supervisory Experiences

a. Public School

b. Private School

c. Other (Seminar Workshop, etc.) Please see separate sheets

LATEST PERFORMANCE RATING (Adjectival and Numerical): ______________________________


_______________________________
Teacher’s Signature
IV. School / District Action (To be filled out by the District Office or Secondary School):

Classification Date Processed Range Assignment Salary Grade Salary Schedule Remarks

Recommending Approval: Verified:

_____________________________________ ____________________________________
PSDS (Elementary) / School Head (Secondary) Reclass In-charge (Elementary) / HRMO
(Secondary)

V. DIVISION OFFICE ACTION:


Classification: _________________________ Range: ________________________ Post Audited Range: _________________________
POST AUDIT OF TEACHING POSITION
CLASS TITLE : ____________________
SALARY GRADE : ____________________
SUBJECT TO AVAILABILITY OF AN ITEM
BY THE AUTHORITY OF THE SECRETARY OF EDUCATION
ROMEL L. TAMBIS REYNALDO M. GUILLENA, CESO V
Administrative Officer IV / Evaluator Schools Division Superintendent

OATH

I hereby certify that I have been actually enrolled in the schools listed in the
accompanying transcript of records and that I have actually earned the units indicated
therein.

As required, the Commission on Higher Education has been furnished with authentic
copies of the sworn statement and its enclosure.

_____________________________
Signature over printed name

SUBCRIBED AND SWORN to before me this _______________ day of


________________ 2020 affiant exhibiting his/her Community Tax Certificate No.
________________ issued at Davao City on _________________.

___________________________________
Signature of Person Administering the Oath

Doc. No. : ______________


Page No. : ______________
Book No. : ______________
Series No.: _____________

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