Department of Education Regional Office VIII (Eastern Visayas)
___________________________________________________________________________________________________________________________
Enclosure to Regional Memorandum No. _______ s. 2021
Republic of the Philippines
Department of Education
REGION VIII – EASTERN VISAYAS
Division of Samar
School _____________________
EQUIVALENT RECORD FORM (ERF)
Name: _____________________________________________________ Date of Birth: __________________ Sex: _____
(Surname) (Given Name) (Middle Name)
Employee No. __________________________________ Authorized Position Title (Present): _______________________
Item No.: ______________________________________ P.D. No.: ________________ Authorized Salary: _____________
I. Educational Attainment and Eligibility
Degree/Course/ Name of School or Year PRC/CSC Rating Date of
Institution Graduated Eligibility Obtained Conferment/
Highest Educational
Attainment Examination
II. Service Records: Attached duly Certified Service Record
III. Equivalent Units:
A. Total No. of Years in Teaching (Public Only): ______________________ Equivalent: ______________
B. Degree-to-Degree Equivalent (Present Degree): ____________________ Equivalent: ______________
C. Areas of Equivalents:
1. Professional Study: ______________________________________________________
2. Teaching Experience (Public School): _______________________________________
3. Others (Seminar, Workshops, etc.): ________________________________________
Total: __________________________________________
PERFORMANCE RATING (Latest Rating Period): _______________________________
___________________________
Teacher’s Signature
Endorsed by:
___________________________
School Head
NOTE: Teachers do not write below
IV. Division Action
Classification Date Range Salary Scheduled Remarks
Processed Assignment Grade Salary
Certified Correct: Recommending Approval:
ATTY. LIVI N. ORALLER CARMELA R. TAMAYO, Ed.D., CESO V
Attorney III/OIC GASU Schools Division Superintendent
Approved:
DR. EVELYN R. FETALVERO, CESO IV
Regional Director
(055) 832-2997 region8@deped.gov.ph DepEdRO8 ATA-F22 (CY2018-v03-r00) Page 2 of 2