Technical Education and Skills Development

Authority
Pangasiwaan sa Edukasyong Teknikal at Pagpapaunlad ng Kasanayan NMIS FORM 01A
( For TPIS )

MANPOWER PROFILE FORM

In accomplishing this form, entries in Italicized

letters are optional while the rest are
mandatory or required information. ID PICTURE
(2x 2 size)
1. To be accomplished by TESDA
RIGHT THUMBMARK
1.1. NMIS Manpower Code: - 1.2. NMIS Entry Date:
Signature
2. Manpower Profile

2.1. Name: CRUZ MARYCEL DUGA

Last First Middle

2.2.
Mailing PUROK 6 VILLARICA 1ST DISTRICT
Address:
Number, Street Barangay District
MIDSAYAP NORTH COTABATO 12 9410
City/Municipality Province Region Zip Code P.O. Box No.

2.3. Sex 2.4. Civil Status Contact Number/s 2.5. Employment Type 2.6. Employment Status
Male Single Employed Casual Probationary
Female Married 0910269458 Self-employed Contractual Regular
Window/er Unemployed Job Order Permanent
Separated Undefined Temporary
If Student
Trainee/OJT

3. Personal Information
3.1. Birthdate: July 27, 1976 3.7. Height: 50 3.12. TIN No.:
3.2. Birth Place: Midsayap 3.8. Weight: 63
3.3. Citizenship: Filipino 3.9. Blood Type: A
3.4. Religion: Roman Catholic 3.10. SSS No.:
3.5. Ethnicity: Cebuano 3.11. GSIS No.: 3.13. Distinguishing Marks:
3.6. Disability: None Mole- Nose

4. Educational Background
4.1. 4.2. 4.3. 4.4. 4.5. 4.6. 4.7 4.8.
Educational Units Honors
School Level School Year Degree Minor Major Earned Received
Southern Christian College College Graduate
Masteral Excemplary
SCC/Shariff Kabunsuan College Graduate MAED award
5. WORKING EXPERIENCE ( For Trainers, mandatory field 5.5)
5.1. 5.2 5.3 5.4 5.5 5.6
No. of
Occupation Type
Monthly Status of Yrs.
Name of Company Position Inclusive Dates (Teaching; Non-Teaching;
Salary Appointment Workin
Industrial Experience)
g Exp.

.
(For more information, indicate on a separate sheet)
6. Training/Seminars Attended
6.1 6.2 6.3 6.4 6.5 6.6 6.7 6.8 6.9
Inclusive *Certificate # of Training
Title Venue Category Conducted By Proficiency
Dates Received Hours Base

(For more information, indicate on a separate sheet)

* Certificate Received Training Base Category Proficiency
A Certificate of Attendance S Skills Training Certificate L Local T Trade Skills Upgrading Program B Beginner
c Certificate of Competencies T Training Certificate F Foreign N Non-Trade Upgrading Program I Intermediate
P Certificate of Proficiency M Training Management A Advanced

7. Licenses/Examinations Passed
7.1. 7.2 7.3 7.4 7.5 7.6
Title Year Taken Examination Venue Rating Remarks Expiry Date

(For more information, indicate on a separate sheet)

8. Skills Specialization
8.1 8.2 8.3 8.4 8.5 8.6
Industry Sector Trade Area Occupation Trade Level Competency Specialization Description

To be filled up by To be filled up by To be filled up by

NMIS NMIS NMIS

(For more information, indicate on a separate sheet)

9. Family Background
9.1. Spouses Name: 9.3 Occupation:
9.2. Educational Attainment: 9.4 Ave. Monthly Income:
9.5. Fathers Name: 9.7. Occupation:
9.6. Educational Attainment: 9.8. Ave. Monthly Income:
9.9. Mothers Name: 9.11. Occupation:
9.10. Educational Attainment: 9.12. Ave. Monthly Income:
9.13. Name of Guardian: 9.15. Occupation:
9.14. Educational Attainment 9.16. Ave. Monthly Income:
9.17. Dependents 9.18. Age Dependents Age

(For more information, indicate on a separate sheet)