Republic of the Philippines

DEPARTMENT OF EDUCATION
Region III
DIVISION OF CITY OF SAN FERNANDO
City of San Fernando, Pampanga

EQUIVALENT RECORD FORM (ERF)

(Submit in Five (5) Copies)

Name: _________________________________________ Date of Birth: ______________________ Gender: _____

(Surmane) (Given) (M.I.)

Employee No.: __________________ Authorized Position Title: __________________________

Item No.: ______________________ SG: __________ Authorized Annual Salary: __________________________

I. EDUCATIONAL ATTAINMENT
Completed /
Masters Degree Earned Units Year
Name of School Equivalent
(write in full with specialization) (if not Completed
completed)

II. YEARS OF TEACHING EXPERIENCE: _______________________________

Private: __________________________________
Public: ___________________________________
III. TRAININGS ATTENDED (Do not fill-up this portion)
Inclusive Number of
Title Sponsoring Agency
Dates Hours

IV. FOR HEAD TEACHER POSITIONS AND OTHER RELATED TEACHING POSITIONS
Years of Experience in Present Position: _____________

V. LATEST PERFORMACE RATING: __________

(Teacher's Signature)
VI. SCHOOLS DIVISION ACTION (For Schools Division Evaluator Only)
Dete Salary
Classification Processed Range Assignment Salary Schedule REMARKS
Grade

Certified Correct: Recommending Approval:

REGINALD S. PATIO IMELDA P. MACASPAC, Ph.D.

AO IV - Personnel Officer-In-Charge
Schools Division Evaluator Office of the Schools Division Superintendent

VII. DEPED REGIONAL OFFICE ACTION

Classification: _________________________________ Post Audited Assignment: __________________________
Date Processed: _______________________________ Salary Grade: _____________________________________
Salary Schedule: __________________________________
Remarks: ________________________________________

Approved:

Evaluator BENJAMIN D. PARAGAS, CESO V

OIC - Office of the Regional Director
Gender: _____