Republic of the Philippines
DEPARTMENT OF EDUCATION
CORDILLERA ADMINISTRATIVE REGION
EQUIVALENTS RECORD FORM
Name Date of Bi Gender:
a
Item Number: Position Title: CPi
School/District: Monthly Salary (latest):
1. EDUCATIONAL ATTAINMENT & CIVIL SERVICE EUGIBIITY:
agree iow Goan] ty
Units Earned me of ee Period of Attendance | (CS Exam/PRC)| fase: bined
TT SERVICE RECORD atacand upd Sic Rea
A. Total number of years in teaching: Public: Equivalent:
st pccrs ot gies Catalan ete deers aga SOM ENE ane
rare ; a
C. Areas of Equivalent amnion Equivalent No. of Units Description
1. Professional study
2, Teaching Experiences
2. Publi Sehoo
Private Schoo
H,_ SEMINARS, WORKSHOPS, TC.
ULcoy econ) oon
IM, LATEST PRE RATING:
Chen ach ooh) ners TNT ae
Verified and Certified Correct:
Tope Ser ofa
V._ DIVISION ACTION:
lsifeoton | batched | @odeanigonens | SEY | monty soo rene
nc
PROCESSED BY CERTIFIED CORRECT RECOMMENDING APPROVAC:
Vi. Depd-CAR-RO Action: