ERF FORM

Republic of the Philippines

DEPARTMENT OF EDUCATION
CARAGA Administrative Region
Division of Surigao City
Surigao City

Name:___ WOODIE V. DIZON______ Date of Birth:__September 24, 1977__ Sex: __Male____

Employee No.: __________________ Authorized Position Title: __TEACHER II_______________
Item No.:__TCH2-1021417-2017____ Actual Salary: ____Php 22,149.00/month______________

I- Educational Attainment and Civil Service Eligibility

Titles, Degree or Highest Grade Name of Year Civil Service Rating Date
Attained Institution Received Examination
Completed Academic Requirements Bukidnon May 2013 LET passer Aug. 2001
(CAR ) Masters of Arts In Educational State
Management) University

II- Service Records (attach duly certified Service Records)

III- Equivalent Units

A. Total No. of Years of Teaching: ___9 ½ years_____________ Equivalent: _________
B. Degree to Degree Equivalent: (Present Degree) __________ Equivalent: _________
C. Area of Equivalent:
Areas School Year No. of Description
Units
1. Professional Study 2013 30 MAED (CAR)
2. Teaching Experience
a. Public School 2009- Present 9.4 years Teacher II
b. Private School
3. Administrative/Supervisory Experience
a. Public School
b. Private School
4. Others (Seminars, Workshops, etc.)
Total:

Latest Efficiency Rating: Very Satisfactory ____WOODIE V. DIZON______

Teacher’s Signature
CERTIFIED CORRECT:

___VALERIA C. EDER_____ ____GEMMA P. SINDAY____

(School Principal/Supervisor) (Administrative Officer V)

Note: (Teachers do not write below)

IV- Division Action Date Range Assignment Salary Scheduled Remarks
Classification Processed Range Salary

Evaluated by: Verified by: APPROVED:

LEA S. SARVIDA_____ FLORENCE E. ALMADEN, CESE GILDA G. BERTE, PhD, CESO VI

Education Program Supervisor OIC-Asst. Schools Div. Superintendent Schools Division Superintendent