Republic of the Philippines

Department of Education
REGION VIII (Eastern Visayas)
Division of Leyte, MacArthur District
MacArthur National High School
MacArthur, Leyte

EQUIVALENT RECORD FORM

Name:_ RIVAS, LEONEL V.____________Date of Birth: __________________
(Surname) (Given) (M.I.)
Employee No: _ _______________________ Authorized Position Title:____ _____
Item Mo: P.D. No.________________Authorized Salary:__ _____
I. Educational Attainment and Civil Service Eligibility
Civil Service
Title, Degree or Highest Attained Name of Institution Year Received Rating Date
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 degrees) Equivalent: ________
C. Areas Equivalent School Year No. of Units Descriptions

1. Professional Study ___ ___ ____ ____________

2. Teaching Experience
a. Public school ___________ ___________
b. Private school ___ _____________ ___________
3. Adm. Supervisory Experience ____________ _____________ ___________
a. Public school ____________ _____________ ___________
b. Private school ____________ _____________ ___________
4. Others (seminars, workshop, etc.) ____________ _____________ ___________
TOTAL ____________ _____________ ___________
LATEST EFFICIENCY RATING: ________________________
RECOMMENDING APPROVAL: _________________
__________________ Teacher’s Signature
Principal
NOTE: Teachers do no write below
IV. Division Action
Classification Date Range Salary Ranged Scheduled Remarks
Processed Assignment Salary

Certified Correct:

______________________________ _____________________________
(Division Teacher Credential Evaluation)
Classification: _________________________ Salary Grade:__________________
Date Processed: _______________________

DEPARTMENT OF EDUCATION
REGION VIII (EASTERN VISAYAS)
DIVISION OF LEYTE
DOST – AUDIT OF TEACHING POSITION:
CLASS TITLE: ______________________________
SALARY GRADE: ___________________________
SUBJECT TO AVAILABILITY OF FUNDS
FOR THE SECRETARY:

DATE APPROVED: ____________________________