BLANK PDS.xlsx - CS Form No 212 Revised 2017 PERSONAL DATA SHEET WARNING Any misrepresentation made in the Personal Data Sheet and the Work Experience

BLANK PDS.xlsx - CS Form No 212 Revised 2017 PERSONAL DATA...

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PERSONAL DATA SHEETREAD 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 INFORMATION2. SURNAMEFIRST NAMEMIDDLE NAME3.16. CITIZENSHIP4. PLACE OF BIRTHIf holder of dual citizenship, Pls. indicate country:5. SEXplease indicate the details.6 CIVIL STATUS17. RESIDENTIAL ADDRESSHouse/Block/Lot No.StreetSubdivision/VillageBarangay7. HEIGHT (m)City/MunicipalityProvince8. WEIGHT (kg)ZIP CODE 9.BLOOD TYPE18. PERMANENT ADDRESSHouse/Block/Lot No.Street10. GSIS ID NO.Subdivision/VillageBarangay11. PAG-IBIG ID NO.City/MunicipalityProvince12. 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 anyII. FAMILY BACKGROUND22.SPOUSE'S SURNAMEFIRST NAMEMIDDLE NAMEOCCUPATIONEMPLOYER/BUSINESS NAMEBUSINESS ADDRESSTELEPHONE NO.24.FATHER'S SURNAMEFIRST NAMEMIDDLE NAME25.MOTHER'S MAIDEN NAMESURNAMEFIRST NAMEMIDDLE NAME(Continue on separate sheet if necessary)III. EDUCATIONAL BACKGROUND26.LEVELFromToELEMENTARYSECONDARYWARNING: 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 notNAME EXTENSION (JR., SR) N/ADATE OF BIRTH (mm/dd/yyyy) 23. NAME of CHILDREN (Write full name and list all)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) PERIOD OF ATTENDANCEHIGHEST LEVEL/ UNITS EARNED
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  • Fall '19
  • Family name, surname, Jr.

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