Pds LIZA 2 1
Pds LIZA 2 1
Pds LIZA 2 1
with "
1. CS ID No.
I. PERSONAL INFORMATION
2. SURNAME
FIRST NAME
|I
MIDDLE NAME
I |
N | O
| Z
| U | M
N | G
A |
| A
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| C
| O
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| T
O | D
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Male
6. SEX
7. CIVIL STATUS
Single
Married
8. CITIZENSHIP
FILIPINO
9. HEIGHT (m)
5'1"
|
|
KALAMANSIG,SULTAN KUDARAT
5. PLACE OF BIRTH
11/15/1976
Fem ale
ZIP CODE
Widowed
Separated
Others, specify __________
1176
NONE
63 KG.
B+
NONE
NONE
NONE
0939-633-6252
19-090077834-5
09-1686246-8
23. TIN
ZIP CODE
1176
227-253-304
BINONGO
FIRST NAME
GILDO
05/09/2006
MIDDLE NAME
CUALTEROS
GERALD L. BINONGO
07/18/2008
OCCUPATION
EMPLOYER/BUS. NAME
BUSINESS ADDRESS
0918-4328212
TELEPHONE NO.
LUMACTOD
FIRST NAME
FERNANDO
MIDDLE NAME
VILLACORTE
BENENOSO
FIRST NAME
DIONIDA
MIDDLE NAME
DURA
NAME OF SCHOOL
LEVEL
(Write in
full)
DEGREE
COURSE
(Write in full)
YEAR GRADUATED
(if
graduated)
ELEMENTARY
SECONDARY
VOCATIONAL /
TRADE
HIGHEST GRADE/
LEVEL/
UNITS EARNED
(if not graduated)
INCLUSIVE DATES OF
ATTENDANCE
From
To
SCHOLARSHIP/
ACADEMIC HONORS
RECEIVED
PRIMARY
1990
N/A
1984
1990
N/A
SECONDARY
1994
N/A
1990
1994
N/A
N/A
N/A
N/A
N/A
N/A
2001
N/A
1997
2001
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
BACHELOR OF
SECONDARY EDUC.
Major in HOME ECO.
N/A
N/A
COURSE
COLLEGE
GRADUATE STUDIES
RATING
75%
DATE OF
EXAMINATION /
CONFERMENT
08/26/2001
NUMBER
NCR (LYCEUM)
1132627
DATE OF
RELEASE
03/12/13
V. WORK EXPERIENCE (Include private employment. Start from your current work)
30.
INCLUSIVE DATES
(mm/dd/yyyy)
From
To
May 15,2013
PRESENT
06/20/2012
03/31/2013
TEACHER 1
06/03/2011 03/31/2012
06/05/2001
POSITION TITLE
03/31/2006
TLE TEACHER
(Grade 7)
TLE TEACHER
(First-Fourth year)
TLE TEACHER
(First-Fourth year)
(Write in full)
GOV'T
SERVICE
MONTHLY
SALARY
STATUS OF
APPOINTMENT
(Yes / No)
18,549.00
18,9000.00
SALARY
GRADE & STEP
INCREMENT
(Format "00-0")
PERMANENT
YES
SUBSTITUTE
YES
6,000.00
REGULAR
NO
8,000.00
CONTRACTUAL
NO
INCLUSIVE DATES
(mm/dd/yyyy)
N/A
From
To
N/A
N/A
NUMBER
OF HOURS
N/A
N/A
NUMBER
OF HOURS
(mm/dd/yyyy)
CONDUCTED/ SPONSORED BY
(Write in full)
From
To
1/21/2015
1/22/2015
11 hours
De La Salle Zobel
2/26/2015
2/27/2015
11 hours
NC2 Cookery
11/25/14
11/25/14
11 hours
Deped Muntinlupa
10/28/2014
10/30/2014
27 hours
Deped Muntinlupa
10/4/14 (PM)
10 hours
June 4,2014
June 4,2014
4 hours
Deped Muntinlupa
08/17/2013
11/08/2013
336
Deped Muntinlupa
04/01/2013
05/15/2013
336
34.
35.
MEMBERSHIP IN
ASSOCIATION/ORGANIZATION
(Write in
full)
N/A
N/A
N/A
N/A
COOKING,BAKING,HANDICRAFT MAKING
36.
a.
YES
NO
If YES, give details: _____________________________________
_____________________________________
_____________________________________
b.
YES
NO
If YES, give details: _____________________________________
_____________________________________
_____________________________________
37
YES
NO
NO
Have you ever been convicted of any crime or violation of any law, decree, ordinance or
regulation by any court or tribunal?
39.
Have you ever been separated from the service in any of the following modes: resignation,
retirement, dropped from the rolls, dismissal, termination, end of term, finished contract, AWOL or
phased out, in the public or private sector?
40.
YES
NO
If YES, give details: ________________________________
________________________________
YES
NO
Have you ever been a candidate in a national or local election (except Barangay election)?
YES
NO
Pursuant to: (a) Indigenous People's Act (RA 8371); (b) Magna Carta for Disabled Persons (RA
7277); and (c) Solo Parents Welfare Act of 2000 (RA 8972), please answer the following items:
a.
b.
c.
YES
NO
If YES, please specify: ____________________
If YES, please specify: ____________________
If YES, please specify: ____________________
43.
ADDRESS
TEL. NO.
0906-3120082
0999-4593759
I declare under oath that this Personal Data Sheet has been accomplished by me, and is a true, correct and complete
statement pursuant to the provisions of pertinent laws, rules and regulations of the Republic of the Philippines.
I also authorize the agency head / authorized representative to verify / validate the contents stated herein. I trust that this
information shall remain confidential.
PHOTO
07859071
COMMUNITY TAX CERTIFICATE NO.
MUNTINLUPA CITY
ISSUED AT
01/07/2013
March 12,2013
ISSUED ON (mm/dd/yyyy)
DATE ACCOMPLISHED
RIGHT THUMBMARK
CS FORM 212 (Revised 2005), Page 4 of 4