Welcome to Scribd. Sign in or start your free trial to enjoy unlimited e-books, audiobooks & documents.Find out more
Download
Standard view
Full view
of .
Look up keyword
Like this
1Activity
0 of .
Results for:
No results containing your search query
P. 1
CSC PDS 2005

CSC PDS 2005

Ratings: (0)|Views: 75|Likes:
Published by chechemanigue

More info:

Published by: chechemanigue on Jul 10, 2012
Copyright:Attribution Non-commercial

Availability:

Read on Scribd mobile: iPhone, iPad and Android.
download as DOC, PDF, TXT or read online from Scribd
See more
See less

07/10/2012

pdf

text

original

 
CS FORM 212 (Revised 2005)
PERSONAL DATA SHEET
Print legibly: Mark appropriate boxes with
” and used separate sheet, if necessary.
1. CS ID No.
(to be filled up by CSC)
I. PERSONAL INFORMATION 
2.SURNAMEFIRST NAMEMIDDLE NAME3. NAME EXTENSION (e.g. Jr., Sr.)N/ADATE OF BIRTH (mm/dd/yyyy)16. RESIDENTIAL ADDRESSZIP CODEPLACE OF BIRTFH6. SEXMaleFemale7. CIVIL STATUSSingleWidowedMarriedSeparated AnnulledOthers, specify ______________ 17. TELEPHONE NO18. PERMANENT ADDRESS8. CITIZENSHIP9. HEIGHT (m)10. WEIGHT (KG.)ZIP CODE11. BLOOD TYPE19. TELEPHONE NO.12. GSIS ID NO.20. E-MAIL ADDRESS (if any)13. PAG-IBIG ID NO.21. CELL-PHONE NO. (if any)14. PHILHEALTH NO22. AGENCY EMPLOYEE NO.15. SSS NO.23. TIN
II. FAMILY BACKGROUND
24. SPOUSE’S SURNAMEFIRST NAMEMIDDLE NAME25. NAME OF CHILD
(Write full name and list all)
DATE OF BIRTH (
mm/dd/yyyy)
OCCUPATIONEMPLOYER/BUS. NAMEBUSINESS ADDRESSTELEPHONE NO. //
(Continue on separate sheet if necessary)
//26.
FATHER’S SURNAME
//FIRST NAME //MIDDLE NAME //27.
MOTHER’S MAIDEN NAME
//SURNAME //FIRST NAME //MIDDLE NAME
(Continue on separate sheet if necessary)
III. EDUCATIONAL BACKGROUND
28. LEVEL
NAME OF SCHOOL(Write in full)
DEGREE COURSE
(Write in full)YEARGRADUATED(If graduated)HIGHEST GRADE/LEVEL/UNITS EARNED(If not gradutated)INCLUSIVE DATES OF ATTENDANCESCHOLARSHIP/ ACADEMICHONORSRECEIVED
FromToELEMENTARYSECONDARYVOCATIONAL/TRADE COURSECOLLEGEGRADUATE STUDIES
Continue on separate sheet if necessary)
CS FORM 212 (Revised 2005) Page 1 of 4
 
IV. CIVIL SERVICE ELIGIBILITY 
29.CAREER SERVICE/RA 1080/(BOARD/BAR)UNDER SPECIAL LAWS/CES/CSEERATINGDATE OFEXAMINATION/CONFERMENTPLACE OF EXAMINATION/CONFERMENTLICENSE (if applicable)NUMBERDATE OFRELEASE
 
(Continue on separate sheet if necessary)
V. WORK EXPERIENCE (Include private employment. Start from your current work)
30. INCLUSIVE DATES(mm/dd/yyyy)POSITION TITLE(Write in full)DEPARTMENT/AGENCY/OFFICE/COMPANY(Write in full)MONTHLYSALARY
SALARYGRADE& STEPINCREMENT
(
Format “00-0”)STATUS OF APPOINTMENT
GOV’T.SERVICE(Yes/No)FromTo
(Continue on separate sheet if necessary)
CS FORM 212 (Revised 2005) Page 2 of 4
VI. VOL.UNTARY WORK OR INVOLVEMENT IN CIVIC/NON-GOVERNEMTN/PEOPLE/VOLUNTARY ORGANIZATIONS 
31. NAME & ADDRESS OF ORGANIZATION(Write in full)INCLUSIVE DATES(mm/dd/yyyy)NUMBER OFHOURSPOSITION/NATURE OF WORKFromTo

You're Reading a Free Preview

Download
scribd
/*********** DO NOT ALTER ANYTHING BELOW THIS LINE ! ************/ var s_code=s.t();if(s_code)document.write(s_code)//-->