Personal Data Sheet For Grade 12 Students, Transcriptions of English

Download Personal Data Sheet For Grade 12 Students and more Transcriptions English in PDF only on Docsity! PERSONAL DATA SHEET READ THE ATTACHED GUIDE TO FILLING OUT THE PERSONAL DATA SHEET (PDS) BEFORE ACCOMPLISHING THE PDS FORM. 1. CS ID No. (Do not fill up. For CSC use only) I. PERSONAL INFORMATION 2. SURNAME FIRST NAME NAME EXTENSION (JR., SR) MIDDLE NAME 3. 16. CITIZENSHIP 4. PLACE OF BIRTH If holder of dual citizenship, Pls. indicate country: 5. SEX please indicate the details. 6 CIVIL STATUS 17. RESIDENTIAL ADDRESS House/Block/Lot No. Street Subdivision/Village Barangay 7. HEIGHT (m) City/Municipality Province 8. WEIGHT (kg) ZIP CODE 1106 9. BLOOD TYPE 18. PERMANENT ADDRESS House/Block/Lot No. Street 10. GSIS ID NO. Subdivision/Village Barangay 11. PAG-IBIG ID NO. City/Municipality Province 12. PHILHEALTH NO. ZIP CODE 13. SSS NO. 19. TELEPHONE NO. 14. TIN NO. 20. MOBILE NO. 15. AGENCY EMPLOYEE NO. 21. E-MAIL ADDRESS (if any) II. FAMILY BACKGROUND 22. SPOUSE'S SURNAME 23. NAME of CHILDREN (Write full name and list all) DATE OF BIRTH (mm/dd/yyyy) FIRST NAME MIDDLE NAME OCCUPATION EMPLOYER/BUSINESS NAME BUSINESS ADDRESS TELEPHONE NO. 24. FATHER'S SURNAME FIRST NAME MIDDLE NAME 25. MOTHER'S MAIDEN NAME SURNAME FIRST NAME MIDDLE NAME (Continue on separate sheet if necessary) III. EDUCATIONAL BACKGROUND 26. LEVEL PERIOD OF ATTENDANCE From To ELEMENTARY SECONDARY COLLEGE GRADUATE STUDIES (Continue on separate sheet if necessary) SIGNATURE DATE CS FORM 212 (Revised 2017), Page 1 of 4 WARNING: Any misrepresentation made in the Personal Data Sheet and the Work Experience Sheet shall cause the filing of administrative/criminal case/s against the person concerned. Print legibly. Tick appropriate boxes ( ) and use separate sheet if necessary. Indicate N/A if not applicable. DO NOT ABBREVIATE. DATE OF BIRTH (mm/dd/yyyy) NAME EXTENSION (JR., SR) NAME EXTENSION (JR., SR) NAME OF SCHOOL (Write in full) BASIC EDUCATION/DEGREE/COURSE (Write in full) HIGHEST LEVEL/ UNITS EARNED (if not graduated) YEAR GRADUATED SCHOLARSHIP/ ACADEMIC HONORS RECEIVED VO ATIONAL / TRADE URSE CS Form No. 212 Revised 2017 Filipino Dual Citizenship Male Female Single Married Widowe d Other/s: Separat ed by birth by naturalization IV. CIVIL SERVICE ELIGIBILITY 27. PLACE OF EXAMINATION / CONFERMENT LICENSE (if applicable) NUMBER (Continue on separate sheet if necessary) V. WORK EXPERIENCE (Include private employment. Start from your recent work) Description of duties should be indicated in the attached Work Experience sheet. 28. From To (Continue on separate sheet if necessary) SIGNATURE DATE CS FORM 212 (Revised 2017), Page 2 of 4 CAREER SERVICE/ RA 1080 (BOARD/ BAR) UNDER SPECIAL LAWS/ CES/ CSEE BARANGAY ELIGIBILITY / DRIVER'S LICENSE RATING (If Applicable) DATE OF EXAMINATION / CONFERMENT Date of Validity INCLUSIVE DATES (mm/dd/yyyy) POSITION TITLE (Write in full/Do not abbreviate) DEPARTMENT / AGENCY / OFFICE / COMPANY (Write in full/Do not abbreviate) MONTHLY SALARY SALARY/ JOB/ PAY GRADE (if applicable)& STEP (Format "00-0")/ INCREMENT STATUS OF APPOINTMENT GOV'T SERVICE (Y/ N)