FORMs For ERF-RECLA-REVISED

Republic of the Philippines Department of Education SOCCSKSARGEN REGION Division of __________________
EVALUATION SHEET FOR MASTER TEACHER

MASTER TEACHER ____
(ELEM./SECONDARY LEVEL)
_____________________________
Name of Teacher School District
BASIC REQUIRMENTS: Please check if attached
Superintendent's recommendation
Latest Class Program
Appointment:
Service Record/or other , status and length of service:
Records showing educational qualification: TOR SO/CAV/Certificate of Acad. Requirement for MT II
Performance Rating: Last two rating periods for MT I;
S.Y.
S.Y.
S.Y.
CREDITED POINTS EARNED: 25-30-45-60 SCHOOL/DISTRICT DIVISION REGION
10-6-3 A. Demonstration Teaching

B. Leadership Potential
20-15-10-5 a. Curriculum Materials/Teaching Technique/simplified

work/income generating
12-9-6-3 b. Subject coordinator/ Grade Chairman/ Club
adviser
12-6-3 c. Special Committee Chairman
12-7-6-3 d. Educational Research
12-7-6-3-2-1 e. Project Coordinator/Committee Member
12-7-3 f. In-service training
10-5-3-1 g. Trainer or coach/Coordinator
10-5-1 h. Authorship
TOTAL: LEADERSHIP POTENTIAL AND ACCOMPLISHMENTS 0.00
A. SCHOOL/DISTRICT EVALUATION/ SCREENING COMMITTEE
Member Member
Member Chairperson
B. DIVISION EVALUATION/SCREENING COMMITTEE
Member Member
Member Chairperson
Republic of the Philippines Department of Education SOCCSKSARGEN REGION Division of __________________
Recommending Approval:
Schools Division Superintendent
B. REGIONAL SCREENING COMMITTEE
LEONARDO B. MISSION, Ph. D. MICHAEL A. POBLADOR, Ph. D. JOVEL S. HUNAS

Education Program Supervisor Education Program Supervisor Teacher Credentials Evaluator II
Chairperson Member Member
APPROVED:
ALLAN G. FARNAZO, CESO IV

Regional Director
Republic of the Philippines Department of Education SOCCSKSARGEN REGION
Republic of the Philippines

Region XII
SOCCSKSARGEN
Division of COTABATO
EQUIVALENT RECORD FORM (ERF)
School: District:
Name: Date of Birth: Gender:

(Surname) (Given) (Middle)
Employee No. Authorized Position Title:
Item No. Authorized Salary: Present SG rcvd: Step:
I. EDUCATIONAL ATTAINMENT AND CIVIL SERVICE ELIGIBILITY:

Titles, Degree
Civil Service
Highest Grade Name of Institution Year Received Examination
Rating Date
Attained
II. SERVICE RECORDS (ATTACH DULY CERTIFIED SERVICE RECORD)
III. EQUIVALENT UNITS

A. Total number of years teaching: (Public only) Equivalent
B. Degree to Degree Equivalent: Present Degree + + Equivalent
SCHOOL YEAR NO OF UNITS DESCRIPTION

C. Areas of Equivalents:
1. Professional Study:
2. Teaching Experiences:
a. Public Schools
b. Private Schools
3. Adm. Supervisory Experience:
a. Public Schools
b. Private Schools
4. Others (Seminars, Workshops, etc.)
TOTAL
LATEST EFFICIENCY Numerical:

RATING: Adjectival:
Conforme:
Teacher's Name and Signature (Name and Signature of PIC/PSDS)
Note: TEACHERS-Do not write below.

IV. DIVISION ACTION
Scheduled
Classification Date Processed Range Assignment Salary Range Remarks
Salary
CERTIFIED CORRECT: RECOMMENDING APPROVAL:
Regional Center, Brgy. Carpenter HIll, City of Koronadal Telefax No.: (083) 2288825/ (083) 2281893 Website: depedroxii.org Email:
[email protected]
VIRGILIO P. UNGAB ISAGANI S. DELA CRUZ, CESO V
Schools Division Evaluator Schools Division Superintendent
V. DepEd-REGIONAL OFFICE ACTION:

EVALUATED BY:
LEONARDO B. MISSION PhD MICHAEL A. POBLADOR JOVEL S. HUNAS

Education Program Supervisor-Chairman Education Program Supervisor-Member Teacher Credentials Evaluator II
CERTIFIED CORRECT: APPROVED:
KATHRINE H. LOTILLA REBONFAMIL R. BAGUIO, CESO V

Chief Administrative Officer OIC-Assistant Regional Director
JSH/AD-P/ERF/______/______________________
PLEASE FILL-UP AT THE BACK
VI. DepEd PROPER ACTION
I hereby certify that under oath that I have actually enrolled in the school or schools in the accompanying
transcript of records that I have earned the units and/or graduated as indicated therein.
As required, the Bureau of Public Schools or the Department of Education has been furnished with
authentic of the Sworn Statement and its enclosures.
(Teacher's Printed Name and Signature)
SUBSCRIBED AND SWORN to before me this _______day of ___________________,20______ affiant

exhibiting his/her Residence Certificate No. ______________________ at _______________________________
on ________________________________.
Signature of Person Administering Oath
Doc No.:
[email protected]
Page No.:
Book No.:
Series of:
DO/Page:
JSH/AD-P/ERF/_____/__________
[email protected]
School: District:


Titles, Degree
Civil Service
Rating Date
Attained

C. Areas of Equivalents: SCHOOL YEAR NO OF UNITS DESCRIPTION

a. Public Schools
b. Private Schools
a. Public Schools
b. Private Schools
TOTAL

RATING: Adjectival:
Conforme:

IV. DIVISION ACTION
Scheduled
Salary


EVALUATED BY:


CARLITO D. ROCAFORT
KATHRINE H. LOTILLA Director IV
Chief Administrative Officer Office of the Regional Director
JSH/AD-P/MT/______/______________________
[email protected]

on ________________________________.
Doc No.:
Page No.:
Book No.:
Series of:
DO/Page:
JSH/AD-P/ERF/000/May 31,2021
[email protected]
School: District:


Titles, Degree
Civil Service
Rating Date
Attained

C. Areas of Equivalents: SCHOOL YEAR NO OF UNITS DESCRIPTION

a. Public Schools
b. Private Schools
a. Public Schools
b. Private Schools
TOTAL

RATING: Adjectival:
Conforme:

IV. DIVISION ACTION
Scheduled
Salary


EVALUATED BY:


CARLITO D. ROCAFORT
KATHRINE H. LOTILLA Director IV
Chief Administrative Officer Office of the Regional Director
JSH/AD-P/SH/______/______________________
[email protected]

on ________________________________.
Doc No.:
Page No.:
Book No.:
Series of:
DO/Page:
JSH/AD-P/SH/____/_______
[email protected]
FOR TEACHER II
✓ Bachelor’s Degree + 20 MA Units w/ 3 years teaching
experience
✓ Bachelor’s Degree + 20 years teaching experience w/
at least 5 units in Learning & Development Activities
(Seminars attended – 125 hours)
✓ Bachelor’s degree + Combination of 15 MA Units, 5
Units teaching experience and Learning &

Development Activities
experience
experience + 2 units in Learning & Development
Activities (seminars attended-50 hours)
FOR TEACHER III

✓ Master’s Degree in Education w/ at least 3 years
teaching experience
✓ CAR in MA + 5 units Learning & Development
Activities w/ at least 3 years teaching experience
✓ Bachelor’s Degree for Teacher or equivalent + 20
years teaching experience + 20 MA Units w/ a
combination of at least 15 MA units and Learning &
Development Activities
FOR MASTER TEACHERS

Master Teachers standards are contained in DECS Order 57, s.
-1997,
For elementary
to wit: schools: The total number of Master Teachers I-
-IVMaster
shall Teacher
not exceed III10%
positions
of thein each
total districtofshall
number not exceed
authorized
-25%
For secondary
of the total schools
number particularly
of authorizedin MT
the Ijunior high school
positions. Likewise,
teaching
teacher: positions
One in each district (MT1 –regardless
6.6%, MT2of– level
3.4%)
the number of(1) Master
Master Teacher
Teacher IVposition
shall not exceed 25% of the may
be allowed
present per subject
number areaTeacher
of Master and perIIsubject area of specialization
positions.
of secondary teacher with at least 5-7 authorized teacher
positions within the school.
For Master Teacher I
1.Permanent teacher
2.Bachelor’s degree for teachers or equivalent as provided in the
Magna Carta for teachers,
3.Very Satisfactory plus 18
performance M.A.for
rating Units
at least 2 years (at
least 33 points)
4.At
5.At least
least 3
25years in in
points teaching
leadership and potential or has been a
demonstration teacher on the district level plus 15 points in the
leadership potential
For Master Teacher II
1.Master Teacher I (or ESP I) for at least 1 year
2.Very Satisfactory rating (at least 33 points) as Master Teacher I
3.
(orBachelor’s
4.At least
ESP degree in
I) 30 points forleadership
teachers or equivalent
, potential andasachievement
provided in the
or
Magna Carta for
demonstration teachers,
teacher plusdivision
on the completion
level of Academic
plus 20 points in
Requirements
leadership andfor M.A. provided the activities or
potential
accomplishments listed for this purpose had not been credited or
used for earlier promotions.
For Master Teacher III
1.Master Teacher II
2.M.A. in Education
3.Very Satisfactory
4.At least 45 pointsperformance
in leadershiprating as Master
potential, Teacher
potential and II
achievement provided the activities or accomplishments cited for
this purpose had not been credited for an earlier promotion.
For Master Teacher IV
1.Master Teacher III
2.At least an M.A. in Education, MAT or M.Ed
3.Outstanding
4.At performance
least 60 points ratingpotential,
in leadership as Masterpotential
Teacher and
III
achievement provided the activities or accomplishments cited for
this purpose had not been credited for an earlier promotion.
For HEAD TEACHER
ON ALLOCATION
• One (1) head teacher position per school with at least six (6) teachers;
• One (1) head teacher position in a cluster of three (3) schools with an aggregate of at least
six (6) teachers;
• In case of far-flung areas, a cluster of schools shall be entitled to one (1) head teacher
position as determined by schools division superintendent;
• Schools with at least sixty (60) teachers shall be provided with head teacher to assist the
school head. Integrated school with at least thirty (30) teachers shall be allowed to have a
head teacher; and
• Clustering of at least three (3) neighbouring schools within the schools district which
includes primary and multi-grade schools maybe allowed; provided there are no other
available school heads to handle the schools to be clustered.
• With Division SBM Level of Practice
FOR PRINCIPAL
- With Division SBM Level 3 of Practice

REQUIREMENTS FOR TEACHER II & III
Arrange according to its sequence
Use SKY BLUE folder
NUMBER OF
DOCUMENT
COPIES
Omnibus Certification of Authenticity and Veracity of
1 1 original copies
Documents
2 Duly accomplished ERF 4 original copies
3 Updated and Comprehensive Service Records 1 original copy
Copy of the Transcript of Records, Special Order & CAV
4 1 copy each
(College, Master's Degree, Doctoral)
5 IPCR for the last three rating periods (at least VS) 1 copy each
Certificate of Employment (for Teachers with Private
6 1 original copy
School teaching experience)
7 Duly accomplished CSC Form 212 1 original copy
8 Latest Appointment 1 copy
Recognition for any related School’s Accomplishments
9 1 copy
(within the last 5 years)
10 Teacher's Sworn Statement of Attending School 1 original copy
11 Photocopy of updated PRC license (LET) or/PBET Rating 1 copy
Copy of Approved Study Leave/Permit per Semestral

12 1 copy
Basis or Scholarship
REQUIREMENTS FOR SPET I - III

Use SKY BLUE folder
NUMBER OF
DOCUMENT
Omnibus Certification of Authenticity and Veracity of COPIES
1 1 original copies
Documents
2 Duly accomplished ERF 4 original copies
3 Updated and Comprehensive Service Records 1 original copy
Copy of the Transcript of Records, Special Order & CAV
(BSE/Eed w/ specialization in SPED/has minimum of 18
4 1 copy
units if SPED (SPED 1) or 38 units in SPED (SPED II) and
5 IPCR for in
Masters theSPEd
last three
(SPEDrating
III) periods (at least VS) 1 copy each
6 Duly accomplished CSC Form 212 1 original copy
Certificate of Recognition for any related School’s
7 1 copy
Accomplishments
Certificationofthat
Certificates the the teacher has
one-month at least
summer years in
training of SPEd
8 1 original copy
experience at
conducted teaching
the PNU,3 children
UP, YMCAwith special
Open needsManila
College,
9 1 copy
and other institutions through DepED shall be given 9
10 Photocopy
units of updated PRC license (LET) or/PBET Rating 1 copy
11 1 copy
Basis or Scholarship
REQUIREMENTS FOR MASTER TEACHER I - IV

Use SKY BLUE folder
NUMBER OF
DOCUMENT
1 1 original copies
Documents
2 Duly accomplished
Endorsement ERF
from Division Office with Comparative 4 original copies
3 Assessment of MT Applicants duly signed by the Division 1 copy
4 Selection Committee
Demonstration approved by the SDS
Teaching 1 copy
Leadership Potential
• Curriculum Materials/Teaching Technique/Simplified
1 copy
work/Income generating
• Subject Coordinator/Club Adviser 1 copy
• Special Committee Chairman 1 copy
5 • Educational Research 1 copy
• Project Coordinator/Committee Member 1 copy
• In-Service Training 1 copy
• Trainer or coach/Coordinator 1 copy
• Authorship 1 copy
6 Duly Accomplished Form 212 (Personal Data Sheet) 1 original copy
7 Updated and comprehensive Service Record 1 original copy
8 Transcript of Records (College, Masteral, Doctoral) 1 copy
Special Order Certified, Authenticated & Verified (CAV) of
9 1 copy
Masteral and Doctoral
10 IPCR for the last three rating periods(at least VS) 1 copy
11 Photocopy of Updated PRC License 1 copy
12 Latest Appointment 1 copy
13 1 copy
Basis
Latestor
Table 14 Scholarship
Approved
(DistrictClass
Data Program
Bulletin)(Elementary) and
for Elementary/List of
14 1 copy
Teaching Per
Teachers LoadSubject
for (Secondary)
Area of Specialization for Secondary
15 1 original copy
duly signed
School Formby7 –immediate head, certified
School Personnel correct
Assignment by of
List
16 Planning Officer and approved by SDS 1 original copy
Basic Profile
REQUIREMENTS FOR SCHOOL ADMINISTRATORS

Use SKY BLUE folder
NUMBER OF
DOCUMENT
1 1 original copies
Documents from Division Office with Comparative
2 Endorsement
Duly accomplished ERF 4 original copies
Assessment of School Head Applicants duly signed by the
3 1 original copy
Division Selection Committee and Justification for the
4 Actual
positionDuties and Responsibilities
Reclassification of position 1 copy
5 Duly accomplished CSC Form 212 (Personal Data Sheet) 1 original copy
Copy of Transcript of Records (College, Masteral and
6 1 copy
Doctoral)
Special Order, Certified, Authenticated & Verified (CAV) of
7 1 copy
Masteral and Doctoral
8 Updated and comprehensive Service Record 1 original copy
9 Performance Rating Sheet for the last 3 consecutive years 1 copy
10 Certificates/Proofs of Outstanding Accomplishments 1 copy
NEAP Certification as to the result of NQEP (FOR
11 1 copy
PRINCIPAL)
Certificate of Completion/Participation/Attendance for the
12 1 copy
Basic Training
SBM Task Course
Force's for School
Certification asHeads
to the rating obtained
13 1 copy
in the internal
School Form 7 and external
– School – SBMAssignment
Personnel Level III of Practice
List of
14 List of teachers under his/her supervision with item 1 copy
Basic Profile
15 number duly certified by the Schools Division 1 original copy
Superintendent
FORM NO. CR-2
SERVICE RECORDS
(To be accomplished by the Employer)
Name: _______________________________
(Surname) (First Name) (Middle Name) (If married woman, give also full maiden name)
Birth: (Data herein should be checked from Birth

(Date) (Place) Certificate or some other reliable documents)
This is to certify that the employee named herein above actually rendered services in this office as shown by the service records below,
each line of which is supported by appoinments and other papers actually issued by this office and approved by authorities concerned.
SERVICE OFFICE ENTITY LEAVES AND ABSENCES REASON FOR

RECORD OF APPOINTMENTS
(Inclusive Date) DIVISION WITHOUT PAY SEPARATION
FROM TO DESIGNATION STATUS Station Place of Assignment
SALARY
Issued in compliance with Executive Order No. 54, dated August 10, 1954 and in accordance with Circular No. 58, dated August
10, 1954 of the system.
Certified Correct:
VIRGILIO P. UNGAB
Chief or Head of Office
Administrative Officer V
Date Designation
Region XII
SOCCSKSARGEN
DIVISION OF COTABATO
DISTRICT DATA BULLETIN
(Table 14)
___________________________________________
District
SY: ___________________
PRINCIPAL HEAD TEACHER MASTER TEACHER TEACHER SPET

SCHOOLS TOTAL TOTAL TOTAL TOTAL
I II III IV I II III IV V I II III I II III I II
TOTAL
Prepared by: Certified Correct: Approved:
________________________ FELICITAS C. JAYAG ISAGANI S. DELA CRUZ

PIC/PSDS Planning Officer III Schools Division Superi
DIVISION OF ___________________
SPET GRAND
TOTAL
III TOTAL
ANI S. DELA CRUZ, CESO V
ools Division Superintendent
________
Region XII
SOCCSKSARGEN
LIST OF TEACHERS PER SUBJECT AREA OF SPECIALIZATION
SY: ____________________
NAME OF SCHOOL: ________________________________

SCHOOL I.D.: ________________________________
NAME OF TEACHER POSITION SPECIALIZATION

NO. ITEM NUMBER
LAST NAME, FIRST NAME MIDDLE NAME TITLE ENGLISH FILIPINO MATH SCIENCE ARAL.PAN TLE
1 1
2 1
3 1
4 1
5 1
6 1
7
8
9
10
11
12
13
14
15
16
17
18
19
TOTAL 1 1 1 1 1 1
Prepared By: Approved:
___________________________ FELICITAS C. JAYAG ISAGANI S. DEL

School Head Planning Officer III Schools Division
CIALIZATION
MAJOR MINOR
MAPEH EsP
1
1
1 1
ISAGANI S. DELA CRUZ, CESO V

Schools Division Superintendent
Region XII
SOCCSKSARGEN
LIST OF TEACHERS UNDER SUPERVISION

District and School:
School ID:
Name of Teacher Grade

No. Item Number
Last Name, First Name Middle Name Level
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Prepared by:
School Head
Certified Correct: Approved:
FELICITAS C. JAYAG ISAGANI S. DELA CRUZ, CESO V

Planning Officer III Schools Division Superintendent

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Republic of the Philippines Department of Education SOCCSKSARGEN REGION Division of __________________

EVALUATION SHEET FOR MASTER TEACHER

BASIC REQUIRMENTS: Please check if attached

10-6-3 A. Demonstration Teaching

20-15-10-5 a. Curriculum Materials/Teaching Technique/simplified

A. SCHOOL/DISTRICT EVALUATION/ SCREENING COMMITTEE

B. DIVISION EVALUATION/SCREENING COMMITTEE

Schools Division Superintendent

B. REGIONAL SCREENING COMMITTEE

LEONARDO B. MISSION, Ph. D. MICHAEL A. POBLADOR, Ph. D. JOVEL S. HUNAS

ALLAN G. FARNAZO, CESO IV

Republic of the Philippines

Name: Date of Birth: Gender:

I. EDUCATIONAL ATTAINMENT AND CIVIL SERVICE ELIGIBILITY:

II. SERVICE RECORDS (ATTACH DULY CERTIFIED SERVICE RECORD)

III. EQUIVALENT UNITS

SCHOOL YEAR NO OF UNITS DESCRIPTION

LATEST EFFICIENCY Numerical:

Teacher's Name and Signature (Name and Signature of PIC/PSDS)

Note: TEACHERS-Do not write below.

CERTIFIED CORRECT: RECOMMENDING APPROVAL:

V. DepEd-REGIONAL OFFICE ACTION:

LEONARDO B. MISSION PhD MICHAEL A. POBLADOR JOVEL S. HUNAS

CERTIFIED CORRECT: APPROVED:

KATHRINE H. LOTILLA REBONFAMIL R. BAGUIO, CESO V

VI. DepEd PROPER ACTION

(Teacher's Printed Name and Signature)

SUBSCRIBED AND SWORN to before me this _______day of ___________________,20______ affiant

Signature of Person Administering Oath

Name: Date of Birth: Gender:

I. EDUCATIONAL ATTAINMENT AND CIVIL SERVICE ELIGIBILITY:

II. SERVICE RECORDS (ATTACH DULY CERTIFIED SERVICE RECORD)

III. EQUIVALENT UNITS

C. Areas of Equivalents: SCHOOL YEAR NO OF UNITS DESCRIPTION

LATEST EFFICIENCY Numerical:

Teacher's Name and Signature (Name and Signature of PIC/PSDS)

Note: TEACHERS-Do not write below.

CERTIFIED CORRECT: RECOMMENDING APPROVAL:

VIRGILIO P. UNGAB ISAGANI S. DELA CRUZ, CESO V

V. DepEd-REGIONAL OFFICE ACTION:

LEONARDO B. MISSION PhD MICHAEL A. POBLADOR JOVEL S. HUNAS

CERTIFIED CORRECT: APPROVED:

VI. DepEd PROPER ACTION

(Teacher's Printed Name and Signature)

SUBSCRIBED AND SWORN to before me this _______day of ___________________,20______ affiant

Signature of Person Administering Oath

Name: Date of Birth: Gender:

I. EDUCATIONAL ATTAINMENT AND CIVIL SERVICE ELIGIBILITY:

II. SERVICE RECORDS (ATTACH DULY CERTIFIED SERVICE RECORD)

III. EQUIVALENT UNITS

C. Areas of Equivalents: SCHOOL YEAR NO OF UNITS DESCRIPTION

LATEST EFFICIENCY Numerical:

Teacher's Name and Signature (Name and Signature of PIC/PSDS)

Note: TEACHERS-Do not write below.

CERTIFIED CORRECT: RECOMMENDING APPROVAL:

VIRGILIO P. UNGAB ISAGANI S. DELA CRUZ, CESO V

V. DepEd-REGIONAL OFFICE ACTION:

LEONARDO B. MISSION PhD MICHAEL A. POBLADOR JOVEL S. HUNAS

SUBSCRIBED AND SWORN to before me this _day of _______,20 affiant

SUBSCRIBED AND SWORN to before me this _day of _______,20 affiant

SUBSCRIBED AND SWORN to before me this _day of _______,20 affiant