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Form_pds (Revised 2006)

Form_pds (Revised 2006)

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Published by may1st2008

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Published by: may1st2008 on Jan 23, 2010
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04/05/2013

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CS FORM 212 (Revised 2005)
PERSONAL DATA SHEET
1. CS ID No.
(to be filled up by CSC)
I. PERSONAL INFORMATION
2.SURNAMEFIRST NAMEMIDDLE NAME
3. NAME EXTENSION (e.g. Jr.
4.DATE OF BIRTH (mm/dd/yyyy)16. RESIDENTIAL ADDRESS5.PLACE OF BIRTH6.SEX7.CIVIL STATUSZIP CODE17. TELEPHONE NO.18. PERMANENT ADDRESS8.CITIZENSHIP9.HEIGHT (m)10.WEIGHT (kg)ZIP CODE11.BLOOD TYPE19. TELEPHONE NO.GSIS ID NO.20. E-MAIL ADDRESS (if any13.PAG-IBIG ID NO.21. CELLPHONE NO. (if any)14.PHILHEALTH NO.22. AGENCY EMPLOYEE NO.15.SSS NO.23. TIN
II. FAMILY BACKGROUND
24.SPOUSE'S SURNAME25. NAME OF CHILD (Write full name and list DATE OF BIRTH (mm/dd/yyyy)FIRST NAMEMIDDLE NAM / /OCCUPATION / /EMPLOYER/BUS. NAM / /BUSINESS ADDRESS / / TELEPHONE NO. / /
(Continue on separate sheet if necessary)
/ /6. FATHER'S SURNAMEFIRST NAMEMIDDLE NAME / /27. MOTHER'S MAIDEN NAME
/ /
SURNAMEFIRST NAME
/ /
MIDDLE NAME
(Continue on separate sheet if necessary)
III. EDUCATIONAL BACKGROUND
28.LEVELFromToELEMENTARYSECONDARYCOLLEGEGRADUATE STUDIES
(Continue on separate sheet if necessary)
Page 1 of 4Print legibly. Mark appropriate boxes
q
with "
P
" and use separate sheet if necessary.2
.
NAME OF SCHOOL(Write in full)DEGREE COURSE(Write infull)GRADE/ LEVEL/UNITSEARNED(if notINCLUSIVE DATES OFATTENDANCESCHOLARSHIP/ACADEMICHONORS RECEIVED 
 
 
Male Femal
 
Single
 
 
Married
 
 
Annulled
 
 
Widowed
 
Separated
 
 
Others, specify ___________ 
 
IV. CIVIL SERVICE ELIGIBILITY 
29.RATINGPLACE OF EXAMINATION / CONFERMENTLICENSE (if applicable)NUMBER
(Continue on separate sheet if necessary)
V. WORK EXPERIENCE (Include private employment. Start from your current work)
30.FromTo/ / / // / / // / / // / / // / / // / / // / / // / / // / / // / / // / / // / / // / / // / / /
(Continue on separate sheet if necessary)
CS FORM 212 (Revised 2005), Page 2 of 4CAREER SERVICE/ RA 1080 (BOARD/BAR) UNDER SPECIAL LAWS/ CES/ CSEEDATE OFEXAMINATION /CONFERMENTDATE OFRELEASEINCLUSIVE DATES(mm/dd/yyyy)POSITION TITLE(Write in full)DEPARTMENT / AGENCY / OFFICE /COMPANY(Write infull)
MONTHLYSALARY
SALARYGRADE &STEPINCREMENT(Format "00-0")
STATUS OFAPPOINTMEN T 
 
VI. VOLUNTARY WORK OR INVOLVEMENT IN CIVIC / NON-GOVERNMENT / PEOPLE / VOLUNTA
31.POSITION / NATURE OF WORK FromTo/ / / // / / // / / // / / // / / /
(Continue on separate sheet if necessary)
VII. TRAINING PROGRAMS (Start from the most recent training.)
32.FromTo
(Continue on separate sheet if necessary)
VIII. OTHER INFORMATION
33.SPECIAL SKILLS / HOBBIES:34.35.
(Continue on separate sheet if necessary)
CS FORM 212 (Revised 2005), Page 3 of 4NAME & ADDRESS OF ORGANIZATION(Write in full) NUMBEROF HOURS TITLE OF SEMINAR/CONFERENCE/WORKSHOP/SHORTCOURSES (Write in full)INCLUSIVE DATES OFATTENDANCE(mm/dd/yyyy)NUMBEROF HOURSCONDUCTED/ SPONSORED BY(Write in full)NON-ACADEMIC DISTINCTIONS / RECOGNITION:(Write in full) ASSOCIATION/ORGANIZATION(Write in

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