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    PDS 2017

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    patricia
    This document is a personal data sheet that collects an individual's personal and employment information. It requests information such as name, date of birth, citizenship, civil status, physical attributes, family background, educational attainment, work experience, training and scholarships/academic honors received. The form warns that any misrepresentation made could result in administrative or criminal cases filed against the person.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    PDS 2017

    Uploaded by

    patricia
    272 views4 pages
    This document is a personal data sheet that collects an individual's personal and employment information. It requests information such as name, date of birth, citizenship, civil status, physical attributes, family background, educational attainment, work experience, training and scholarships/academic honors received. The form warns that any misrepresentation made could result in administrative or criminal cases filed against the person.

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    pds 2017 guidelines

    Original Title

    PDS-2017

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    This document is a personal data sheet that collects an individual's personal and employment information. It requests information such as name, date of birth, citizenship, civil status, physical attributes, family background, educational attainment, work experience, training and scholarships/academic honors received. The form warns that any misrepresentation made could result in administrative or criminal cases filed against the person.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    272 views4 pages

    PDS 2017

    Uploaded by

    patricia
    This document is a personal data sheet that collects an individual's personal and employment information. It requests information such as name, date of birth, citizenship, civil status, physical attributes, family background, educational attainment, work experience, training and scholarships/academic honors received. The form warns that any misrepresentation made could result in administrative or criminal cases filed against the person.

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    CS Form No.

    212
    Revised 2017
    PERSONAL DATA SHEET
    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 c

    READ THE ATTACHED GUIDE TO FILLING OUT THE PERSONAL DATA SHEET (PDS) BEFORE ACCOMPLISHING THE PDS FORM.
    Print legibly. Tick appropriate boxes ( ) and use separate sheet if necessary. Indicate N/A if not applicable. DO NOT ABBREVIATE. 1. CS ID No. (Do not fill up. F

    I. PERSONAL INFORMATION
    2. SURNAME
    NAME EXTENSION (JR., SR)
    FIRST NAME

    MIDDLE NAME

    3. DATE OF BIRTH
    16. CITIZENSHIP Dual Citizenship
    (mm/dd/yyyy) Filipino
    by birth by naturaliz

    4. PLACE OF BIRTH If holder of dual citizenship, Pls. indicate country:


    please indicate the details.
    5. SEX Male Female

    6 CIVIL STATUS Single Married 17. RESIDENTIAL ADDRESS


    Widowed Separated House/Block/Lot No. Street

    Other/s:
    Subdivision/Village Barangay

    7. HEIGHT (m)
    City/Municipality Province

    8. WEIGHT (kg) ZIP CODE

    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 BIRT
    NAME EXTENSION (JR., SR)
    FIRST NAME

    MIDDLE NAME

    OCCUPATION

    EMPLOYER/BUSINESS NAME

    BUSINESS ADDRESS

    TELEPHONE NO.

    24. FATHER'S SURNAME


    NAME EXTENSION (JR., SR)
    FIRST NAME

    MIDDLE NAME

    25. MOTHER'S MAIDEN NAME

    SURNAME

    FIRST NAME

    MIDDLE NAME (Continue on separate sheet if necessary)

    III. EDUCATIONAL BACKGROUND

    26. PERIOD OF ATTENDANCE HIGHEST LEVEL/


    NAME OF SCHOOL BASIC EDUCATION/DEGREE/COURSE YEAR
    LEVEL UNITS EARNED
    (Write in full) (Write in full) (if not graduated)
    GRADUATED
    From To

    ELEMENTARY

    SECONDARY
    VOCATIONAL /
    TRADE COURSE

    COLLEGE

    GRADUATE STUDIES

    (Continue on separate sheet if necessary)

    SIGNATURE DATE
    CS FORM 212 (Revised
    concerned.

    For CSC use only)

    ization

    TH (mm/dd/yyyy)

    SCHOLARSHIP/
    ACADEMIC
    HONORS
    RECEIVED
    d 2017), Page 1 of 4

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