Republic of the Philippines

Department of Education
REGION IV-A CALABARZON
Division of Rizal
JOAQUIN GUIDO ELEMENTARY SCHOOL-ANGONO DISTRICT

EQUIVALENT RECORD FORM

Name: SAN JUAN EVELYN BALANDRA
1969___________________
(Surname)

Date of Birth:_MAY 10,

(Given)

(M.I.)

Employee No:
_______________________________Authorized Position Title:_TEACHER
1___________
Item Mo:
__________________P.D. No._____________ ___Authorized Salary:________________
I
Educational Attainment and Civil Service Eligibility
Title, Degree or Highest
Attained

MASTER IN
EDUCATIONAL
MANAGEMENT

Name of
Institution

Year
Received

Civil Service
Examination

Rating

Date

POLYTECHNI 2016
C
UNIVERSITY
OF THE
PHILIPPINES

II.
III.

Service Record
ATTACHED DULY CERTIFIED SERVICE RECORD
Equivalent Units
A. Total No. of years teaching
(Public only) ______3_____ ___________
__
___________
B. Degree to degree equivalent (present degrees) ___2015-2016
_____42______ __MEM____
C. Areas Equivalent
School Year
No. of Units
Descriptions
1. Professional Study
MASTER IN EDUCATIONAL
MANAGEMENT
2. Teaching Experience
a. Public school
______3_____
_____________
___________
b. Private school
______1____ _____________ ___________
3. Adm. Supervisory Experience
____________ _____________
___________
a. Public school
____________ _____________ ___________
b. Private school
____________ _____________ ___________
4. Others (seminars, workshop, etc.) ____________ _____________
___________
TOTAL
____________ _____________
___________
LATEST EFFICIENCY RATING: ________________________
RECOMMENDING APPROVAL:
_________________
JONATHAN D. PION
Teachers Signature
Principal
NOTE: Teachers do no write below
IV. Division Action
Date
Range
Salary
Scheduled
Remarks
Classification
Processed
Assignme
Ranged
Salary
nt

Recommending Approval:
MARITES A. IBAEZ, CESO V

Certified Correct:
AMELIA R.

DEAN
Schools Division Superintendent
Officer V

Administrative

V. DEPED Regional Office Action

Classification: __________________________
___________________________
Date of approval/processed ______________
___________________________

Range
Post Audited Range
(for future reference)

___________________________
______________________________________
Regional Director

PROPER ACTION

__________________________________
Evaluator

________________________