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
concerned.
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. For CSC use only)

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

MIDDLE NAME REBIE

3. DATE OF BIRTH
(mm/dd/yyyy)
03/10/2001 16. CITIZENSHIP Filipino Dual Citizenship
by birth by naturalization

4. PLACE OF BIRTH E D C O R , BULDON, MAGUINDANAO If holder of dual citizenship, Pls. indicate country:
please indicate the details.
5. SEX Male Female

Single Married 17. RESIDENTIAL ADDRESS

6 CIVIL STATUS
Widowed Separated House/Block/Lot No. Street
EDCOR,
Other/s:
Subdivision/Village Barangay
BULDON MAGUINDANAO
7. HEIGHT (m) 1.57
City/Municipality ,DEL NORTE
Province
8. WEIGHT (kg) 48 ZIP CODE 9615

O 18. PERMANENT ADDRESS

9. BLOOD TYPE
House/Block/Lot No. Street
N/A
EDCOR
10. GSIS ID NO. N/A Subdivision/Village Barangay
20-251344201-9 BULDON MAGUINDANAO
11. PAG-IBIG ID NO.
City/Municipality ,DEL NORTE
Province
12. PHILHEALTH NO. ZIP CODE 9615

13. SSS NO. N/A 19. TELEPHONE NO. N/A

14. TIN NO. N/A 20. MOBILE NO. 09753654145

15. AGENCY EMPLOYEE NO. N/A 21. E-MAIL ADDRESS (if any) racmamaluag26@gmail.com
II. FAMILY BACKGROUND
22. SPOUSE'S SURNAME N/A 23. NAME of CHILDREN (Write full name and list all) DATE OF BIRTH (mm/dd/yyyy)
NAME EXTENSION (JR., SR) N/A
FIRST NAME

MIDDLE NAME

OCCUPATION

EMPLOYER/BUSINESS NAME

BUSINESS ADDRESS

TELEPHONE NO.

24. FATHER'S SURNAME MALUAG

NAME EXTENSION (JR., SR)
FIRST NAME RAKMAN

MIDDLE NAME TIOLO

25. MOTHER'S MAIDEN NAME

SURNAME MALUAG

FIRST NAME PERMIDA

MIDDLE NAME REBIE (Continue on separate sheet if necessary)

III. EDUCATIONAL BACKGROUND

SCHOLARSHIP/
26. PERIOD OF ATTENDANCE HIGHEST LEVEL/
NAME OF SCHOOL BASIC EDUCATION/DEGREE/COURSE YEAR ACADEMIC
LEVEL UNITS EARNED
(Write in full) (Write in full) (if not graduated)
GRADUATED HONORS
From To RECEIVED

ELEMENTARY BASIC EDUCATION 06/04/2007 04/08/2013 N/A 2013 WITH

EDBUL ELEMENTARY SCHOOL HONORS
SECONDARY JUNIOR HIGH SCHOOL 06/07/2013 04/14/2017 N/A 2017 ACHIEVER
B.GALLEGO EDCOR NATIONAL HIGH SCHOOL

VOCATIONAL / N/A
NOTRE DAME-RVM COLLEGE OF COTABATO,INC. SENIOR HIGH SCHOOL 06/15/2017 04/15/2019 N/A 2019
TRADE COURSE

NOTRE DAME -RVM COLLEGE OF COTABATO INC. BSED-FILIPINO N/A

COLLEGE 2023
06/19/2019 06/08/2023

GRADUATE STUDIES N/A

(Continue on separate sheet if necessary)

SIGNATURE DATE 07/13/2024

CS FORM 212 (Revised 2017), Page 1 of 4

IV. CIVIL SERVICE ELIGIBILITY
27. CAREER SERVICE/ RA 1080 (BOARD/ BAR) UNDER DATE OF LICENSE (if applicable)
RATING
SPECIAL LAWS/ CES/ CSEE EXAMINATION / PLACE OF EXAMINATION / CONFERMENT
(If Applicable) NUMBER Date of
BARANGAY ELIGIBILITY / DRIVER'S LICENSE CONFERMENT
Validity

RA 1080 (BOARD) 82.2 03/17/2024 DAVAO CITY

(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.
INCLUSIVE DATES SALARY/ JOB/ PAY
28. GOV'T
GRADE (if
(mm/dd/yyyy) POSITION TITLE DEPARTMENT / AGENCY / OFFICE / COMPANY MONTHLY STATUS OF
applicable)& STEP SERVICE
(Write in full/Do not abbreviate) (Write in full/Do not abbreviate) SALARY (Format "00-0")/ APPOINTMENT
(Y/ N)
From To INCREMENT

09/2023 10/03/2023 FILIPINO PRE-SERVICE TEACHER NOTRE DAME-RVM COLLEGE OF

COTABATO INC.
N/A OJT
03/09/2023 05/08/2023 FILIPINO PRE-SERVICE TEACHER NOTRE DAME VILLAGE NHS N/A OJT

(Continue on separate sheet if necessary)

SIGNATURE DATE 07/13/2024

CS FORM 212 (Revised 2017), Page 2 of 4

VI. VOLUNTARY WORK OR INVOLVEMENT IN CIVIC / NON-GOVERNMENT / PEOPLE / VOLUNTARY ORGANIZATION/S
NAME & ADDRESS OF ORGANIZATION INCLUSIVE DATES
29.
(Write in full) (mm/dd/yyyy) NUMBER OF HOURS POSITION / NATURE OF WORK
From To

N/A

(Continue on separate sheet if necessary)

VII. LEARNING AND DEVELOPMENT (L&D) INTERVENTIONS/TRAINING PROGRAMS ATTENDED
INCLUSIVE DATES OF Type of LD
30. TITLE OF LEARNING AND DEVELOPMENT INTERVENTIONS/TRAINING PROGRAMS ATTENDANCE ( Managerial/ CONDUCTED/ SPONSORED BY
NUMBER OF HOURS
(Write in full) (mm/dd/yyyy) Supervisory/ (Write in full)
Technical/etc)
From To
THE RVM PEDAGOGICAL PROCESSES:A TEACHING LEARNING-LEARNING FRAMEWORK
AND BENCHMARK WEBINAR 09/10/2021 TEACHER EDUCATION PROGRAM
TRAINING WORKSHOPS:PARTICIPATORY TEACHING METHODS MULTIPLE INTELLIGENCES
09/ 05/2022 09/07/2022 TEACHER DUCATION PROGRAM
AND LEARNING STYLES AND VIDEO EDITING FOR BEGINNERS

ACTION RESEARCH FOR PRE-SERVICE STUDENTS TEACHERS 10/20/2022 TEACHER EDUCATION PROGRAM

INTERNATIONAL YOUT DAY LINGGO NG KABATAAN 2022 09/24/2022 09/25/2022 SK, SIYAP ,LYDO MEMBERS

10/22/2022 TEACHER EDUCATION PROGRAM

TRAINING SEMINAR WORKSHOP ABOUT CLASSROOM MANAGEMENT

THE RVM PEDAGOGICAL PROCESS:A TEACHING LEARNING-EARlll TEACHER EDUCATION PROGRAM

11/12/2022
FRAMEWORK AND BENCHMARK OR PROG

LEADERSHIP IN ISLAMIC PERSPECTIVE 02/23/2023 MUSLIM YOUTH ORGANIZATION

(Continue on separate sheet if necessary)

VIII. OTHER INFORMATION

NON-ACADEMIC DISTINCTIONS / RECOGNITION MEMBERSHIP IN ASSOCIATION/ORGANIZATION
31. SPECIAL SKILLS and HOBBIES 32. 33.
(Write in full) (Write in full)

TEAM WORK N/A

COMMUNICATION SKILLS
ADAPTABILITY AND
LEARNING SKILLS

TRAVELLING

(Continue on separate sheet if necessary)

SIGNATURE DATE
12/13/2024
CS FORM 212 (Revised 2017), Page 3 of 4
34. Are you related by consanguinity or affinity to the appointing or recommending authority, or to the
chief of bureau or office or to the person who has immediate supervision over you in the Office,
Bureau or Department where you will be apppointed,
a. within the third degree? YES NO

b. within the fourth degree (for Local Government Unit - Career Employees)? YES NO
If YES, give details:

35. a. Have you ever been found guilty of any administrative offense? YES NO
If YES, give details:
________________________________

b. Have you been criminally charged before any court? YES NO

If YES, give details:
________________________________
Date Filed:
Status of Case/s:
36. Have you ever been convicted of any crime or violation of any law, decree, ordinance or regulation YES NO
by any court or tribunal? If YES, give details:
________________________________

37. Have you ever been separated from the service in any of the following modes: resignation, YES NO
retirement, dropped from the rolls, dismissal, termination, end of term, finished contract or phased If YES, give details:
out (abolition) in the public or private sector?
38. a. Have you ever been a candidate in a national or local election held within the last year (except YES NO
Barangay election)? If YES, give details:
b. Have you resigned from the government service during the three (3)-month period before the last YES NO
election to promote/actively campaign for a national or local candidate? If YES, give details:
39. Have you acquired the status of an immigrant or permanent resident of another country? YES NO
If YES, give details (country):

40. 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. Are you a member of any indigenous group? YES NO
If YES, please specify: IRANUN
b. Are you a person with disability? YES NO
If YES, please specify ID No:
c. Are you a solo parent? YES NO
If YES, please specify ID No:

41. REFERENCES (Person not related by consanguinity or affinity to applicant /appointee)

NAME ADDRESS TEL. NO.

ID picture taken within
SITTIE NOR MANGORAMAS KARIM BULDON, MAGUINDANAO DEL NORTE the last 6 months
4.5 cm. X 3.5 cm
(passport size)
BULDON, MAGUINDANAO DEL NORTE
HON.MONISA MACARAO DIRON,LPT
JAMAICAH MACAPULI KARIM BULDON, MAGUINDANAO DEL NORTE
Computer generated
or photocopied picture
is not acceptable
42. I declare under oath that I have personally accomplished this Personal Data Sheet which is a true, correct and
complete statement pursuant to the provisions of pertinent laws, rules and regulations of the Republic of the
Philippines. I authorize the agency head/authorized representative to verify/validate the contents stated herein.
I agree that any misrepresentation made in this document and its attachments shall cause the filing of PHOTO
administrative/criminal case/s against me.

Government Issued ID (i.e.Passport, GSIS, SSS, PRC, Driver's License, etc.)

PLEASE INDICATE ID Number and Date of Issuance
Government Issued ID: ePhilID

ID/License/Passport No: 5092-3956-0314 Signature (Sign inside the box)

12/13/2024
Date/Place of Issuance: 10 JUNE 2023 Date Accomplished Right Thumbmark

SUBSCRIBED AND SWORN to before me this , affiant exhibiting his/her validly issued government ID as indicated above.

Person Administering Oath

CS FORM 212 (Revised 2017), Page 4 of 4