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 VALLADORES
JR
FIRST NAME RONNIE

MIDDLE NAME VIDOR

3. DATE OF BIRTH
(mm/dd/yyyy) 6/9/1992 16. CITIZENSHIP
✘ Filipino Dual Citizenship
by
by birth
4. PLACE OF BIRTH MASBATE CITY If holder of dual citizenship, Pls. indicate country: naturalization
please indicate the details.
5. SEX ✘ Male Female
17. RESIDENTIAL ADDRES
6 CIVIL STATUS Single ✘ Married
House/Block/Lot No. Street
Widowed Separat
ESPINOSA
Other/s: ed
Subdivision/Village Barangay
7. HEIGHT (m) 1.45 M MASBATE MASBATE
City/Municipality Province
8. WEIGHT (kg) 61 KG ZIP CODE 5400

9. BLOOD TYPE O+ 18. PERMANENT ADDRES

House/Block/Lot No. Street
10. GSIS ID NO. ANAS
Subdivision/Village Barangay
11. PAG-IBIG ID NO. MASBATE MASBATE
City/Municipality Province
12. PHILHEALTH NO. ZIP CODE 5400

13. SSS NO. 19. TELEPHONE NO.

14. TIN NO. 20. MOBILE NO. 09294715352

15. AGENCY EMPLOYEE NO 21. E-MAIL ADDRESS (if an ronnie.valladores@deped.gov.ph

II. FAMILY BACKGROUND
22. SPOUSE'S SURNAME RABACCA 23. NAME of CHILDREN (Write full name and list all) DATE OF BIRTH
(mm/dd/yyyy)
FIRST NAME JURES ANNE NAME EXTENSION (JR., EMBER RESNIE R. VALLADORES 12/23/2015
SR)
MIDDLE NAME ESTOPIN JILLIANNE KAE R. VALLADORES 01/17/2017

OCCUPATION TEACHER

EMPLOYER/BUSINESS DEPED MASBATE CITY

BUSINESS ADDRESS AIRPORT ROAD, BRGY. JTF, MASBATE CITY

TELEPHONE NO.

24.FATHER'S SURNAME VALLADORES

FIRST NAME RONNIE NAME EXTENSION (JR.,

SR)
MIDDLE NAME VARGAS

25. MOTHER'S MAIDEN NAM

SURNAME VIDOR

FIRST NAME PAZ

MIDDLE NAME GRANADO (Continue on separate sheet if necessary)

III. EDUCATIONAL BACKGROUND HIGHEST
LEVEL/ SCHOLARS
26. NAME OF SCHOOL BASIC EDUCATION/DEGREE/COURSE PERIOD OF YEAR HIP/
LEVEL ATTENDANCE UNITS
GRADUA ACADEMIC
(Write in full) (Write in full) EARNED HONORS
From To TED
(if not RECEIVED
JOSE ZURBITO SR. ELEMENTARY graduated)
ELEMENTARY SCHOOL PRIMARY EDUCATION 1998 2004 GRADE SIX 2004 N/A

VOCATIONAL
SECONDARY / LICEO DE MASBATE HIGH SCHOOL 2004-2009 2000 HIGH SCHOOL 2009 N/A

N/A N/A N/A N/A N/A 2011 N/A

COLLEGE
TRADE COURSE OSMEŃA COLLEGES BEED 2009 2013 COLLEGE 2013 N/A

GRADUATE STUDIES N/A N/A N/A N/A N/A N/A

(Continue on separate sheet if necessary)

SIGNATURE DATE
CS FORM 212 (Revised 2017), Page 1 of 4
IV. CIVIL SERVICE ELIGIBILITY
27. CAREER SERVICE/ RA 1080 (BOARD/ BAR) DATE OF LICENSE (if applicable)
UNDER SPECIAL LAWS/ CES/ CSEE RATING
BARANGAY ELIGIBILITY / (If Applicable) EXAMINATION
CONFERMENT
/ PLACE OF EXAMINATION / CONFERMENT
NUMBER Date of
DRIVER'S LICENSE Validity
LICENSURE EXAMINATION FOR TEACHERS 81.60% 1/26/2014 LEGAZPI CITY 1302068 6/9/2027

(Continue on separate sheet if necessary)

V. WORK EXPERIENCE GOV'T
SALARY/ SERVICE
(Include private employment. Start from your recent work) Description of duties should be indicated in the attached JOB/
WorkPAY
Experience sheet.
GRADE (if
28. INCLUSIVE DATES POSITION TITLE DEPARTMENT / AGENCY / OFFICE /
(mm/dd/yyyy) COMPANY MONTHLY applicable) STATUS OF
& STEP APPOINTMEN
(Write in full/Do (Write in full/Do SALARY (Format T
From To not abbreviate) not abbreviate) "00-0")/
DEPARTMENT OF EDUCATION INCREME
01/11/2021 PRESENT TEACHER-III DIVISION OF MASBATE CITY P 31, 633 SG-13
NT PERMANENT Y
DEPARTMENT OF EDUCATION (Y/ N)
01/10/2021 TEACHER- I DIVISION OF MASBATE CITY P 22, 889 SG-11 PERMANENT Y
7/13/2015
10/13/2014 04/06/2015 KVT (KINDER VOLUNTER DEPARTMENT OF EDUCATION
TEACHER) DIVISION OF MASBATE CITY

(Continue on separate sheet if necessary)

SIGNATURE DATE
CS FORM 212 (Revised 2017), Page 2 of 4
 VI. VOLUNTARY WORK OR INVOLVEMENT IN CIVIC / NON-GOVERNMENT / PEOPLE / VOLUNTARY ORGANIZATION/S
INCLUSIVE DATES
29. NAME & ADDRESS OF ORGANIZATION
(Write in full) (mm/dd/yyyy) NUMBER OF HOURS POSITION / NATURE OF WORK
From To

N/A N/A N/A N/A N/A

(Continue on separate sheet if necessary)

VII. LEARNING AND DEVELOPMENT (L&D) INTERVENTIONS/TRAINING PROGRAMS ATTENDED
(Start from the most recent L&D/training program and include only the relevant L&D/training taken for the last five (5) years for Division Chief/Executive/Managerial positions)
INCLUSIVE DATES OF
ATTENDANCE Type of LD
30. TITLE OF LEARNING AND DEVELOPMENT INTERVENTIONS/TRAINING NUMBER OF ( Managerial/ CONDUCTED/ SPONSORED BY
PROGRAMS (Write in full) (mm/dd/yyyy) HOURS Supervisory/ (Write in full)
Technical/etc)
From To

REGIONAL ACCREDITATION FOR OFFICIATING OFFICIAL 3/21/2024 3/24/2024 24 REGION V

SCHOOL BASED IN-SERVICE TRAINING IN NUMERACY AND LITERACY SKILLS1/24/2024

DEVT 1/30/2024 30 ANAS ELEMENTARY SCHOOL

BOOTCAMP FOR CERTIFICATION AND ORGANIZATIONAL LEVERAGING 1/15/2023 1/17/2023 24 NEAP REGION V

DIVISION TRAINING ON FILIPINO SIGN LANGUAGE 11/30/2023 12/2/2023 24 SDO MASBATE CITY

06/28/2021 06/30/2021 3 TECHNICAL

CCESSIBILITY, SPECIAL EDUCATION, AND ONLINE LEARNING: SUPPORTING EQUITY IN A REMOTE LEARNING ENVIRONMET SCHOOLS DIVISION OF MASBATE CITY
06/11/2021 06/11/2021 8 TECHNICAL
DIVISION PROGRAM IMPLEMENTATION REVIEW (PIR) ON WATER, SANITATION, HYGIENE (WASH IN SCHOOLS) SCHOOLS DIVISION OF MASBATE CITY
05/05/2021 05/07/2021 24 TECHNICAL
KSHOP ON THE ILLUSTRATION OF THE CONTEXTUALIZED MTB STORIES SCHOOLS DIVISION OF MASBATE CITY
12/14/2021 12/18/2021 40 TECHNICAL
5 DAY SCHOOL BASED IN SERVICE TRAINING SCHOOLS DIVISION OF MASBATE CITY
03/15/2021 03/19/2021 40 TECHNICAL
5 DAY SCHOOL BASED IN SERVICE TRAINING SCHOOLS DIVISION OF MASBATE CITY
UTILIZATION AND IMPLEMENTATION OF DEPED COMPUTERIZATION PROGRAM 09/28/2020 09/30/2020 24.0 TECHNICAL SCHOOLS DIVISION OF MASBATE CITY
(DCP)
3 DAY DIVISION TRAINING IN EDUKASYON PANTAHANAN AT 09/12/2018 09/14/2020 24.0 TECHNICAL SCHOOLS DIVISION OF MASBATE CITY
PANGKABUHAYAN "SHARE A SKILL TRAINING WORKSHOP"
CONTEXTUALIZED SCHOOL BASED MANAGEMENT (SBM) ASSESSMENT 7/9/2013 04/26/2019 16.0 MANEGERIAL SCHOOLS DIVISION OF MASBATE CITY
PROCESS AND TOOLS
DIVISION REFRESHER COURSE TRAINING FOR OFFICIATING OFFICIALS 04/25/2019 12/07/2019 18.0 TECHNICAL SCHOOLS DIVISION OF MASBATE CITY

SCHOOL BASED INSET TRAINING 12/06/2019 10/25/2019 40.0 TECHNICAL SCHOOLS DIVISION OF MASBATE CITY

ONE DAT WORKSHOP FOR SELECTED GRADE 4 TEACHERS IN SCIENCE ON 10/21/2019 3/27/2019 8.0 TECHNICAL DEPED REGION V
KEEPING THE PHILIPPINES COMPETETIVE IN ENGLISH
SCHOOL BASED IN-SERVICE TRAINING (2018) 3/27/2019 10/31/2018 24.0 TECHNICAL SCHOOLS DIVISION OF MASBATE CITY

TRAINING WORKSHOP ON PERSONAL SAFETY LESSONS 10/29/2018 10/28/2017 16.0 TECHNICAL SCHOOLS DIVISION OF MASBATE CITY

CLUSTER BASED IN SERVICE TRAINING (INSET 2017) 10/27/2017 10/25/2017 24.0 TECHNICAL SCHOOLS DIVISION OF MASBATE CITY

CLUSTER BASED IN SERVICE TRAINING (INSET 2016) 10/23/2017 10/28/2016 40.0 TECHNICAL MASBATE CITY DIVISION
DIVISION MASS TRAININ FOR GRADE 5 TEACHERS 10/24/2016 4/24/2016 40.0 TECHNICAL SCHOOLS DIVISION OF MASBATE CITY
REGIONAL LIVE-OUT SEMINAR TRAINING ON OFFICITAING IN VARIOUS 3/30/2016 12/10/2016 16.0 TECHNICAL DEPED REGION V
SPORTS DISCIPLINE
TEACHER'S TRAINING ON COMMUNICATING EARTHQUAKE AND TSUNAMI 12/8/2016 7/9/2013 8.0 TECHNICAL PHILIPPINE INSTITUTE OF VOLCANOLOGY
HAZARDS AND SEISMOLOGY

VIII. sheet if necessary)

(Continue on separate
OTH
ER
INF NON-ACADEMIC
OR DISTINCTIONS / MEMBERSHIP IN
MAT
31.
ION SPECIAL SKILLS and HOBBIES 32. RECOGNITION 33. ASSOCIATION/ORGANIZATION
(Write in full)
BASIC COMPUTER WORKS NO (Write in full) NONE
NE

ONLINE GAMES NO NONE

NE

(Continue on separate sheet if necessary)

SIGNATURE DATE
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 ✘

b. within the fourth degree (for Local Government Unit - Career Employees)? YES ✘

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
by any court or tribunal? YES ✘ NO
If YES, give details:
________________________________
________________________________
37. 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 or phased YES ✘ NO
out (abolition) in the public or private sector? If YES, give details:
________________________________
________________________________
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:
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
the last 6 months
SOCRATES M. TUASON MASBATE CITY N/A 3.5 cm. X 4.5 cm
(passport size)
NEIL C. TUMBLOD MASBATE CITY N/A With full and handwritten
name tag and signature over
printed name
ABUNDIO Z. BARRUGA MASBATE CITY N/A
Computer generated
42. I declare under oath that I have personally accomplished this Personal Data Sheet which is a true, correct and or photocopied picture
complete statement pursuant to the provisions of pertinent laws, rules and regulations of the Republic of the is not acceptable
RONNIE V. VALLADORES JR
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
administrative/criminal case/s against me. PHOTO

Government Issued ID (i.e.Passport, GSIS, SSS, PRC,

Driver's License, etc.) PLEASE
INDICATE ID Number and Date of Issuance
Government Issued ID:PRC LICENSE

ID/License/Passport No Signature (Sign inside the box)

01/02/2024
Date/Place of IssuanceLEGASPI CITY
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