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Erf Form

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Republic of the Philippines

Department of Education
Region V
DIVISION OF SORSOGON
Sorsogon

EQUIVALENT RECORD FORM


(Submit to DepEd in 3 Copies)

NAME: MANALO SHEENA S. Date of Birth: 09-27-1987 Sex: F


(Surname) (Given Name) (M.J)

Employee No: 6313760 Authorized Position Title: _________Name of School/District: GENABLAN ORIENTAL ES,MATNOG II

Item No: __________________________________ P.D. No ________________ Authorized Salary: _________________

Contact No.: 09672632110

I. EDUCATIONAL ATTAINMENT AND CIVIL SERVICE ELIGIBILITY :

Titles, Degree of Highest Year Civil Service


Name of Institution
Grade Attained Received Examination Rating Date

II. SERVICE RECORDS


ATTACHED DULY CERTIFIED SERVICE RECORDS

III. EQUIVALENT UNITS: (Public Only)____ years: Equivalent: __________


A. Total No. of Years of Teaching
( Present Degree) ____ Equivalent: School Number Description
__________ Year of Units
B. DEGREE to Degree Equivalent
C. AREAS of Equivalent
1. Professional Study
2. Teaching Experience
a. Public School
b. Private School
3. Adm. Supervisory Experiences
a. Public School
b. Private School
4. Others (Seminars,Workshop, etc)

TOTAL

LATEST EFFICIENCY RATING:________________ ______________________________________________


(Teacher’s Signature)

Note: Teacher Do Not Write Below


IV.
DIVISION DATE RANGE SALARY SCHEDULE REMARKS
CLASSIFICATION PROCESSED ASSIGNMENT RANGE SALARY

RECOMMENDING APPROVAL: CERTIFIED CORRECT:

JOSE L. DONCILLO, CESO V GIDEON KARL L. GREFALDA


Schools Division Superintendent Administrative Officer IV

V. Deped, Regional Office Action


Classification ______________________ Range: ____________________
Date Approved /Processed __________ Post Audited at Range_______

____________________ ______________________

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