Republic of the Philippines

Department of Education
REGION IV-A CALABARZON

District/School____CABAY NATIONAL HIGH SCHOOL_____

EQUIVALENT RECORD FORM

Name:________REYES__________CLARISSA_____ C______________ Date of Birth:__SEPTEMBER 11, 1984_
(Surname) (Given) (M.I.)
Employee No: _5484655____________ Authorized Position Title: SECONDARY SCHOOL TEACHER I
Item Mo: OSEC-DECSB-TCH1-246930-1998 P.D. No.__________________ Authorized Salary: ________________

I. Educational Attainment and Civil Service Eligibility

Civil Service
Title, Degree or Highest Attained Name of Institution Year Examination Rating Date
Received
TRECE MARTIREZ
MASTER OF ARTS IN EDUCATION LICENSURE
CITY COLLEGES,
MAJOR IN EDUCATIONAL 2018 EXAMINATION FOR 75.00 09/29/2013
TRECE MARTIREZ
MANAGEMENT TEACHERS
CITY, CAVITE

II. Service Record ATTACHED DULY CERTIFIED SERVICE RECORD

III. Equivalent Units
A. Total No. of years teaching (Public only) 4 YEARS_________________________________
B. Degree to degree equivalent (present degrees) ___2018_____ _____39_____ _GRADUATED_
C. Areas Equivalent School Year No. of Units Descriptions
MASTER OF ARTS IN EDUCATION MAJOR IN
1. Professional Study EDUCATIONAL MANAGEMENT
2. Teaching Experience
a. Public school ___4 YEARS__________________ ___________
b. Private school ____________ _____________ ___________
3. Adm. Supervisory Experience ____________ _____________ ___________
a. Public school ____________ _____________ ___________
b. Private school ____________ _____________ ___________
4. Others (seminars, workshop, etc.) K-12 MASS TRAINING FOR GRADE 10 TEACHERS
TOTAL ____________ _____________ ___________
LATEST EFFICIENCY RATING: 3.9. VERY SATISFACTORY
CLARISSA C. REYES
RECOMMENDING APPROVAL: Teacher’s Signature

SHIRLEY S. VILLA
Teacher-In-Charge

NOTE: Teachers do no write below

IV. Division Action Date Range Salary Ranged Scheduled Remarks
Classification Processed Assignment Salary

Recommending Approval: Certified Correct:

Schools Division Superintendent Administrative Officer V

V. DEPED Regional Office Action

Classification: __________________________ Range ___________________________
Date of approval/processed ______________ Post Audited Range ___________________________
(for future reference) ___________________________
______________________________________ __________________________________
Regional Director Evaluator

PROPER ACTION ________________________