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CS FORM 212 (Revised 2005)
PERSONAL DATA SHEET
Print legibly. Mark appropriate boxes with " " and use separate sheet if necessary.
1. CS ID No.
(to be filled up by CSC)
I. PERSONAL INFORMATION
SURNAME
PACCARANGAN
FIRST NAME
ERNESTO JR.
MIDDLE NAME
GUMIRAN
3. NAME EXTENSION (e.g. Jr., Sr.DATE OF BIRTH (mm/dd/yyyy)
02/19/1950
16. RESIDENTIAL ADDRESSPLACE OF BIRTH
CENTRO STO. TOMAS, ISABELA
SEXCIVIL STATUSZIP CODE
3320
17. TELEPHONE NO.18. PERMANENT ADDRESSCITIZENSHIP
FILIPINO
HEIGHT (m)
1.7 M
WEIGHT (kg)
65 KG
ZIP CODE
3320
BLOOD TYPE
 TYPE O
19. TELEPHONE NO.GSIS ID NO.
BJOCKEG9017
20. E-MAIL ADDRESS (if anyPAG-IBIG ID NO.21. CELLPHONE NO. (if any)
09084468976
PHILHEALTH NO.
06-000035602-9
22. AGENCY EMPLOYEE NO.SSS NO.23. TIN
199-866-492
II. FAMILY BACKGROUND
SPOUSE'S SURNAME
PACCARANGAN
25. NAME OF CHILD (Write full name and DATE OF BIRTH (mm/dd/yyyy)FIRST NAME
CELIAERNICEL P. PACCARANGAN09/19/1977
MIDDLE NAM
BAGUNUREDENTOR P. PACCARANGAN01/29/1980
OCCUPATION
AGRICULTURISTSNOOKY P. PACCARANGAN11/26/1982
EMPLOYER/BUS. NAM
LOCAL GOVERNMENT UNITPEDRO P. PACCARANGAN03/29/1985
BUSINESS ADDRESS
ROXAS, ISABELA / /
 TELEPHONE NO.
/ /
(Continue on separate sheet if necessary)
/ /
 FATHER'S SURNAME
PACCARANGAN/ /
FIRST NAME
ERNESTO SR. / /
MIDDLE NAME
MANALO / /
 MOTHER'S MAIDEN NAME
/ /
SURNAME
GUMIRAN / /
FIRST NAME
CONSTANTINO / /
MIDDLE NAME
CALLUENG
(Continue on separate sheet if necessary)
III. EDUCATIONAL BACKGROUND
LEVELFromToELEMENTARY
STO. TOMAS CENTRAL SCHOOL GRADE VI 196319571963
SECONDARY
HIGH SCHOOL 196719631967SECRETARIAL 196919681969
COLLEGE
INSTITUTE OF TECHNOLOGY 197619721976
GRADUATE STUDIE
ISABELA COLLEGES 199519921995
(Continue on separate sheet if necessary)
Page 1 of 4
173 JUAN MIGUEL STREET , VIRA ROXAS,ISABELA173 JUAN MIGUEL STREET , VIRA ROXAS,ISABELA
NAME OF SCHOOL(Write in full)DEGREE COURSE(Write infull)GRADE/ LEVEL/UNITSEARNED(if notINCLUSIVE DATES OFATTENDANCESCHOLARSHIP/ACADEMICHONORS RECEIVED
CAGAYAN VALLEY INSTITUTE OF TECHONOLOGYGREGORIO PERFECTO AQUINOVOCATIONAL SCHOOLCAGAYAN VALLEY INSTITUTE OF TECHONOLOGYBACHELOR OFSCIENCE INAGRICULTUREMASTER INBUSINESSADMINISTRATIONAnnulledOthers, specify ___________ 
 
Single
 
Married
 
Widowed
 
Separated
 
MaleFemale 
 
IV. CIVIL SERVICE ELIGIBILITY 
29.RATINGPLACE OF EXAMINATION / CONFERMENTLICENSE (if applicable)NUMBER
CULTURAL COMMUNITY OFFICER TUGUEGARAO CAGAYANAGRICULTURIST MANILA CITY 0005205
(Continue on separate sheet if necessary)
V. WORK EXPERIENCE (Include private employment. Start from your current work)
30.FromTo
 TO DATE AGRICULTURIST I LOCAL GOVERNMENT UNIT YESAGRICULTURIST I LOCAL GOVERNMENT UNIT YESAGRICULTURIST I LOCAL GOVERNMENT UNIT YESAGRICULTURIST I LOCAL GOVERNMENT UNIT YESAGRICULTURIST I LOCAL GOVERNMENT UNIT YESAGRICULTURIST I LOCAL GOVERNMENT UNIT YESAGRICULTURAL TECHNOLOGISTLOCAL GOVERNMENT UNIT YESAGRICULTURAL TECHNOLOGISTLOCAL GOVERNMENT UNIT YESAGRICULTURAL TECHNOLOGISTLOCAL GOVERNMENT UNIT YESAGRICULTURAL TECHNOLOGISTLOCAL GOVERNMENT UNIT YESAGRICULTURAL TECHNOLOGISTLOCAL GOVERNMENT UNIT YESAGRICULTURAL TECHNOLOGISTLOCAL GOVERNMENT UNIT YESAGRICULTURAL TECHNOLOGISTLOCAL GOVERNMENT UNIT YESAGRICULTURAL TECHNOLOGISTLOCAL GOVERNMENT UNIT YESAGRICULTURAL TECHNOLOGISTLOCAL GOVERNMENT UNIT YESAGRICULTURAL TECHNOLOGISTLOCAL GOVERNMENT UNIT YESAGRICULTURAL TECHNOLOGISTLOCAL GOVERNMENT UNIT YESAGRICULTURAL TECHNOLOGISTLOCAL GOVERNMENT UNIT YESAGRICULTURAL TECHNOLOGISTLOCAL GOVERNMENT UNIT YESAGRICULTURAL TECHNOLOGISTLOCAL GOVERNMENT UNIT YES
(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 /CONFERMENT RELEASE
 30,ST 10,2006
INCLUSIVE DATES(mm/dd/yyyy)POSITION TITLE(Write in full)DEPARTMENT / AGENCY / OFFICE /COMPANY(Write in full)
MONTHLYSALARY
SALARYGRADE &STEPINCREMENT(Format "00-0")
STATUS OFAPPOINTMENT 
01/01/2010PERMANEN T01/01/200912/31/2009PERMANEN T07/01/200812/31/2008PERMANEN T07/01/200706/30/2008PERMANEN T01/01/200606/30/2007PERMANEN T01/01/200312/31/2005PERMANEN T01/01/200212/31/2002PERMANEN T01/01/200112/31/2001PERMANEN T01/01/200012/31/2000PERMANEN T01/01/199912/31/1999PERMANEN T01/01/199812/31/1998PERMANEN T11/01/199712/31/1997PERMANEN T09/01/199710/31/1997PERMANEN T01/01/199708/31/1997PERMANEN T01/01/199612/31/1996PERMANEN T01/01/199512/31/1995PERMANEN T01/01/199412/31/1994PERMANEN T04/01/199312/31/1994PERMANEN T01/01/199303/31/1993PERMANEN T01/01/199212/31/1992PERMANEN T
 
V. WORK EXPERIENCE (Include private employment. Start from your current work)
30.FromTo
AGRICULTURAL TECHNOLOGISTYESAGRICULTURAL TECHNOLOGISTYESAGRICULTURAL TECHNOLOGISTYESAGRICULTURAL TECHNOLOGISTYESAGRICULTURAL TECHNOLOGISTYESMINISTRY OF AGRICULTUREYESMINISTRY OF AGRICULTUREYESMINISTRY OF AGRICULTURE813.00YESMINISTRY OF AGRICULTURE736.00YES666.00YES603.00YES603.00YES506.00YES517.00YESSUPERVISING CROP TECHNICIANYESCAMPAINING CLERK920 w/aYES
(Continue on separate sheet if necessary)
CS FORM 212 (Revised 2005), Page 2 of 4INCLUSIVE DATES(mm/dd/yyyy)POSITION TITLE(Write in full)DEPARTMENT / AGENCY / OFFICE /COMPANY(Write in full)
MONTHLYSALARY
SALARYGRADE &STEPINCREMENT(Format "00-0")
STATUS OFAPPOINTMENT 
01/10/199112/31/1991DEPARTMENT OFAGRICULTURE3,164.00PERMANEN T01/01/199008/31/1991DEPARTMENT OFAGRICULTURE3,133.00PERMANEN T07/01/198912/31/1989DEPARTMENT OFAGRICULTURE3,102.00PERMANEN T07/01/198806/30/1989DEPARTMENT OFAGRICULTURE1,778.00PERMANEN T01/01/198806/30/1988DEPARTMENT OFAGRICULTURE1,458.00PERMANEN T03/01/198712/31/1987AGRICULTURE FOOD TECHNOLOGIST1,251.58PERMANEN T09/01/198502/28/1987AGRICULTURE FOOD TECHNOLOGIST1,042.91PERMANEN T01/01/198508/31/1985FARM MANAGEMENT TECHNILOGISTPERMANEN T05/01/198412/31/1984FARM MANAGEMENT TECHNILOGISTPERMANEN T03/01/198104/30/1984FARM MANAGEMENT TECHNILOGISTBUREAU OF AGRI.EXTENSIONPERMANEN T08/02/198002/28/1981FARM MANAGEMENT TECHNILOGISTBUREAU OF AGRI.EXTENSIONPERMANEN T08/02/197908/01/1980FARM MANAGEMENT TECHNILOGISTBUREAU OF AGRI.EXTENSION TEMPORAR Y08/02/197808/01/1979FARM MANAGEMENT TECHNILOGISTBUREAU OF AGRI.EXTENSION TEMPORAR Y08/02/197708/01/1978FARM MANAGEMENT TECHNILOGISTBUREAU OF AGRI.EXTENSION TEMPORAR Y05/11/197707/31/1977RURAL BANK OFMAGSAYSAY12.00/Day TEMPORAR Y11/01/197011/30/1971 TREASURER'S OFFICE STO. TOMAS, ISABELA TEMPORAR Y/ / / /
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