CS Form No.

212
Revised 2017

PERSONAL DATA SHEET

WARNING: Any misrepresentation made in the Personal Data Sheet and the Work Experience Sheet shall cause the filing of administrative/criminal case/
person concerned.
READ THE ATTACHED GUIDE TO FILLING OUT THE PERSONAL DATA SHEET (PDS) BEFORE ACCOMPLISHING THE PDS FORM.
Print legibly. Tick appropriate boxes ( ) and use separate sheet if necessary. Indicate N/A if not applicable. DO NOT ABBREVIATE. 1. CS ID No. (Do no

I. PERSONAL INFORMATION
2. SURNAME SILAHIS
NAME EXTENSION (JR., SR)
FIRST NAME ERLITA
MIDDLE NAME ANO
3. DATE OF BIRTH
(mm/dd/yyyy) 12/05/1965 16. CITIZENSHIP
✘ Filipino Dual Citizenship
by birth by n
4. PLACE OF BIRTH CARDONA,RIZAL If holder of dual citizenship, Pls. indicate country
please indicate the details.
5. SEX Male FEMALE ✘ Female

6 CIVIL STATUS Single MARRIED ✘ Married 17. RESIDENTIAL ADDRESS 039 BONIFACIO
House/Block/Lot No. Stree
Widowed Separated
SUBA
Other/s:
Subdivision/Village Barang
7. HEIGHT (m) 0.3462 CARDONA RIZA
City/Municipality Provin
8. WEIGHT (kg) 80.00 ZIP CODE 1950

9. BLOOD TYPE AB
18. PERMANENT ADDRESS 039 BONIFAC
House/Block/Lot No. Stree

10. GSIS ID NO. CRN-006-0123-1709-9 SUBA

Subdivision/Village Barang

11. PAG-IBIG ID NO. 1090-0386-5192 CARDONA RIZA

City/Municipality Provin
12. PHILHEALTH NO. 19-000713017-5 ZIP CODE 1950
13. SSS NO. N/A 19. TELEPHONE NO. NONE
14. TIN NO. 139-832-922 20. MOBILE NO. 09321234503
15. AGENCY EMPLOYEE NO. 4408604 21. E-MAIL ADDRESS (if any) erlita.silahis@deped.gov.ph
II. FAMILY BACKGROUND
22. SPOUSE'S SURNAME SILAHIS 23. NAME of CHILDREN (Write full name and list all)
NAME EXTENSION (JR., SR)
FIRST NAME EDGAR N/A EUNICE ERIKA S. CERDA
MIDDLE NAME CRUZ EDRAE LIZ S. DONDOY
OCCUPATION SELF- EMPLOYED ERLENE MARIAH A. SILAHIS
EMPLOYER/BUSINESS NAME N/A EDWARD JOSEPH A. SILAHIS
BUSINESS ADDRESS

TELEPHONE NO.

24. FATHER'S SURNAME ANO

NAME EXTENSION (JR., SR)
FIRST NAME SALVADOR N/A

MIDDLE NAME RUBAYA

25. MOTHER'S MAIDEN NAME

SURNAME DITABLAN
FIRST NAME REMEDIOS
MIDDLE NAME DISTOR (Continue on separate sheet if necessary)

III. EDUCATIONAL BACKGROUND

HIGHEST LEVEL/
26. NAME OF SCHOOL BASIC EDUCATION/DEGREE/COURSE PERIOD OF ATTENDANCE
LEVEL (Write in full) UNITS EARNED
(Write in full)
From To (if not graduated)

ELEMENTARY SUBAY ELEMENTARY SCHOOL ELEMENTARY 1972 1978 GRADUATED

VOCATIONAL
SECONDARY / TALIM ISLAND ACADEMY HIGH SCHOOL 1978 1982 GRADUATED

N/A
TRADE
COURSE BACHELOR OF SCIENCE IN 1982 1986 GRADUATED
TOMAS CLAUDIO MEMORIAL COLLEGE
COLLEGE
 TOMAS CLAUDIO MEMORIAL COLLEGE
COLLEGE ELEMENTARY EDUCATION

UNIVERSITY OF RIZAL SYSTEMS- MASTER OF ARTS IN

GRADUATE STUDIES EDUCATIONAL MANAGEMENT 2014 2016 EDUCATIONAL
MORONG MANAGEMENT

(Continue on separate sheet if necessary)

SIGNATURE DATE June 25

CS FORM 21
AL DATA SHEET
ork Experience Sheet shall cause the filing of administrative/criminal case/s against the

(PDS) BEFORE ACCOMPLISHING THE PDS FORM.

(Do not fill up. For CSC use only)

NAME EXTENSION (JR., SR) N/A

Dual Citizenship

by naturalization

Pls. indicate country:

BONIFACIO STREET
Street
SUBAY
Barangay
RIZAL
Province
1950
BONIFACIO ST.
Street
SUBAY
Barangay
RIZAL
Province
1950

NONE

09321234503

erlita.silahis@deped.gov.ph

DATE OF BIRTH (mm/dd/yyyy)

08/25/1987
11/08/1988
11/19/1993
06/21/2000

(Continue on separate sheet if necessary)

YEAR SCHOLARSHIP/
GRADUATED ACADEMIC HONORS
RECEIVED

FIRST
1977
HONORS
FIRST
1982
HONORS

1986 CUM LAUDE

 N/A
on separate sheet if necessary)

June 25,2019
CS FORM 212 (Revised 2017), Page 1 of 4
IV. CIVIL SERVICE ELIGIBILITY
27. CAREER SERVICE/ RA 1080 (BOARD/ BAR) UNDER DATE OF LICENSE (if a
RATING
SPECIAL LAWS/ CES/ CSEE EXAMINATION / PLACE OF EXAMINATION / CONFERMENT
(If Applicable) NUMBER
BARANGAY ELIGIBILITY / DRIVER'S LICENSE CONFERMENT

PRESIDENTIAL DECREE 907 12/30/987 CIVIL SERVICE COMMISSION 093874

(Continue on separate sheet if necessary)

V. WORK EXPERIENCE
(Include private employment. Start from your recent work) Description of duties should be indicated in the attached Work Experience sheet.
28. INCLUSIVE DATES SALARY/ JOB/ PAY
POSITION TITLE DEPARTMENT / AGENCY / OFFICE / COMPANY
(mm/dd/yyyy) GRADE (if applicable)& STATUS OF
(Write in full/Do MONTHLY SALARY STEP (Format "00-0")/
APPOINTMENT
not abbreviate) (Write in full/Do not abbreviate) INCREMENT
From To
Department of Education Division of
24,096.00
09/01/2019 present TEACHER 11 Rizal/Binangonan lII/Dona Susana Madrigal 12-7 Permanent
Elementary
Department School
of Education Division of
24,043.00
01/01/2018 12/31/2018 TEACHER 11 Rizal/Binangonan lII/Dona Susana Madrigal 12-7 Permanent
Elementary
Department School
of Education Division of
23,120.00
11/09/2017 12/31/2017 TEACHER 11 Rizal/Binangonan lII/Dona Susana Madrigal 12-7 Permanent
Elementary
Department School
of Education Division of
22,864.00
01/01/2017 10/06/2017 TEACHER 11 Rizal/Binangonan lII/Dona Susana Madrigal 12-7 Permanent
Elementary
Department School
of Education Division of
21,999.00
01/0/2016 12/31/2016 TEACHER 11 Rizal/Binangonan lII/Dona Susana Madrigal 12-7 Permanent
Elementary
Department School
of Education Division of
21,167.00
10/09/2014 12/31/2015 TEACHER 11 Rizal/Binangonan lII/Dona Susana Madrigal 12-7 Permanent
Elementary
Department School
of Education Division of
20,958.00
06/20/2012 10/08/2014 TEACHER 11 Rizal/Binangonan lII/Dona Susana Madrigal 12-6 Permanent
Elementary
Department School
of Education Division of
19,541.00
10/09/2011 05/31/2012 TEACHER 11 Rizal/Binangonan lII/Dona Susana Madrigal 12-6 Permanent
Elementary
Department School
of Education Division of
19,291.00
06/01/2011 10/08/2011 TEACHER 11 Rizal/Binangonan lII/Dona Susana Madrigal 12-5 Permanent
Elementary
Department School
of Education Division of
17,833.00
06/24/2010 05/31/2011 TEACHER 11 Rizal/Binangonan lII/Dona Susana Madrigal 11-5 Permanent
Elementary
Department School
of Education Division of
16,374.00
07/01/2009 06/23/2010 TEACHER 11 Rizal/Binangonan lII/Dona Susana Madrigal 11-5 Permanent
Elementary
Department School
of Education Division of
14,071.00
09/09/2008 06/30/2009 TEACHER 11 Rizal/Binangonan lII/Dona Susana Madrigal 11-5 Permanent
Elementary
Department School
of Education Division of
13,726.00
07/01/2008 10/10/2008 TEACHER 11 Rizal/Binangonan lII/Dona Susana Madrigal 11-4 Permanent
Elementary
Department School
of Education Division of
12,478.00
07/01/2007 06/30/2008 TEACHER 11 Rizal/Binangonan lII/Dona Susana Madrigal 11-4 Permanent
Elementary
Department School
of Education Division of
11,344.00
10/09/2005 06/30/2007 TEACHER 11 Rizal/Binangonan lII/Dona Susana Madrigal 11-4 Permanent
Elementary
Department School
of Education Division of
10/09/2002 10/08/2005 TEACHER 11 Rizal/Binangonan lII/Dona Susana Madrigal 11,068.00 11-3 Permanent
Elementary
Department School
of Education Division of
07/01/2001 10/08/2002 TEACHER 11 Rizal/Binangonan lII/Dona Susana Madrigal 10,971.00 10-5 Permanent
Elementary
Department School
of Education Division of
01/01/2000 06/30/2001 ELEMENTARY GRADE TEACHER 1 Rizal/Binangonan lII/Dona Susana Madrigal 10,449.00 10-5 Permanent
Elementary
Department School
of Education Division of
11/01/1997 12/31/1999 ELEMENTARY GRADE TEACHER 1 Rizal/Binangonan lII/Dona Susana Madrigal 9, 267.00 10-4 Permanent
Elementary
Department School
of Education Division of
01/01/1997 10/31/1997 ELEMENTARY GRADE TEACHER 1 Rizal/Binangonan lII/Dona Susana Madrigal 7, 687.00 10-4 Permanent
Elementary
Department School
of Education Division of
01/01/1996 12/31/1996 ELEMENTARY GRADE TEACHER 1 Rizal/Binangonan lII/Dona Susana Madrigal 6, 075.00 10-3 Permanent
Elementary
Department School
of Education Division of
01/01/1995 12/31`/1995 ELEMENTARY GRADE TEACHER 1 Rizal/Binangonan lII/Dona Susana Madrigal 4, 900.00 10-1 Permanent
Elementary
Department School
of Education Division of
01/01/1994 12/31/1994 ELEMENTARY GRADE TEACHER 1 Rizal/Binangonan lII/Dona Susana Madrigal 3, 902.00 10-1 Permanent
Elementary
Department School
of Education Division of
07/01/1989 12/31/1993 ELEMENTARY GRADE TEACHER 1 Rizal/Binangonan lII/Dona Susana Madrigal 3, 102.00 10-1 Permanent
Elementary
Department School
of Education Division of
01/01/1988 06/30/1989 ELEMENTARY GRADE TEACHER 1 Rizal/Binangonan lII/Dona Susana Madrigal 1, 764.00 10-1 Permanent
Elementary
Department School
of Education Division of
11/20/1987 12/31/1987 ELEMENTARY GRADE TEACHER 1 Rizal/Binangonan lII/Dona Susana Madrigal 1, 604.00 10-1 Permanent
Elementary School

(Continue on separate sheet if necessary)

SIGNATURE DATE June 25, 2019

CS FORM 212 (Revised 20

 LICENSE (if applicable)

Date of
Validity

12/05/2019

heet if necessary)

GOV'T SERVICE

(Y/ N)

heet if necessary)
June 25, 2019

CS FORM 212 (Revised 2017), Page 2 of 4

VI. VOLUNTARY WORK OR INVOLVEMENT IN CIVIC / NON-GOVERNMENT / PEOPLE / VOLUNTARY ORGANIZATION/S
INCLUSIVE DATES
29. NAME & ADDRESS OF ORGANIZATION
(Write in full) (mm/dd/yyyy) NUMBER OF HOURS POSITION /
From To

N/A

(Continue on separate sheet if necessary)

VII. LEARNING AND DEVELOPMENT (L&D) INTERVENTIONS/TRAINING PROGRAMS ATTENDED
(Start from the most recent L&D/training program and include only the relevant L&D/training taken for the last five (5) years for Division Chief/Executive/Managerial positions)
INCLUSIVE DATES OF
ATTENDANCE Type of LD
30. TITLE OF LEARNING AND DEVELOPMENT INTERVENTIONS/TRAINING PROGRAMS ( Managerial/ CONDUCTED/
NUMBER OF HOURS
(Write in full) Supervisory/
(mm/dd/yyyy)
Technical/etc)
From To

05/09/2018 05/12/2018 32 TECHNICAL

2018 DIVISION SUMMER CAMP TRAINING FOR TEACHERS IN AP DIVISION
IKALAWANG PANGREHIYONG KONGRESO SA WIKANG FILIPINO 08/22/2016 08/22/2016 8 TECHNICAL REGION-IV-A

DIVISION CLINIQUIMG FOR 2015 REGIONAL PRESS CONFERENCE 01/11/2015 01/16/2015 40 TECHNICAL DIVISION OF

REGIONAL MASS TRAINING FOR TEACHERS ON K-12 CURRICULUM 05/03/2015 05/09/2015 56 TECHNICAL DIVISION OF

2015 PANSANGAY NA KUMPERENSYA SA PAMAMAHAYAG SA FILIPINO 09/09/2015 09/15/2015 24 TECHNICAL DIVISION OF

2015 DIVISION LEADERSHIP TRAINING 12/10/2015 12/13/2015 24 TECHNICAL DIVISION OF

(Continue on separate sheet if necessary)

VIII. OTHER INFORMATION

MEMBERS
NON-ACADEMIC DISTINCTIONS / RECOGNITION
31. SPECIAL SKILLS and HOBBIES 32. 33.
(Write in full)
BINANGONA
COOKING N/A
AND

READING N/A
 (Continue on separate sheet if necessary)

SIGNATURE Date
/ PEOPLE / VOLUNTARY ORGANIZATION/S

POSITION / NATURE OF WORK

eparate sheet if necessary)

ROGRAMS ATTENDED
five (5) years for Division Chief/Executive/Managerial positions)

CONDUCTED/ SPONSORED BY
(Write in full)

DIVISION OF RIZAL
REGION-IV-A

DIVISION OF RIZAL

DIVISION OF RIZAL

DIVISION OF RIZAL

DIVISION OF RIZAL

eparate sheet if necessary)

MEMBERSHIP IN ASSOCIATION/ORGANIZATION
(Write
in full)
BINANGONAN PUBLIC ELEMENTARY SCHOOL
AND TEACHERS ASSOCIATION
eparate sheet if necessary)

June 25, 2019

CS FORM 212 (Revised 2017), Page 3 of 4

 34. Are you related by consanguinity or affinity to the appointing or recommending authority, or to the
chief of bureau or office or to the person who has immediate supervision over you in the Office,
Bureau or Department where you will be apppointed,
a. within the third degree? YES
b. within the fourth degree (for Local Government Unit - Career Employees)? YES
If YES, give details:
________________________________
35. a. Have you ever been found guilty of any administrative offense? YES ✘ NO
If YES, give details:
________________________________
________________________________
b. Have you been criminally charged before any court? YES ✘ NO
If YES, give details:
________________________________
Date Filed:
________________________________
Status of Case/s:

36. Have you ever been convicted of any crime or violation of any law, decree, ordinance or regulation
YES ✘ NO
by any court or tribunal?
If YES, give details:
________________________________
37. Have you ever been separated from the service in any of the following modes: resignation, ________________________________
YES NO
retirement, dropped from the rolls, dismissal, termination, end of term, finished contract or phased If YES, give details:
out (abolition) in the public or private sector? ________________________________
________________________________
38. a. Have you ever been a candidate in a national or local election held within the last year (except YES ✘ NO
Barangay election)?
If YES, give details:
b. Have you resigned from the government service during the three (3)-month period before the last YES ✘ NO
election to promote/actively campaign for a national or local candidate? If YES, give details:
39. Have you acquired the status of an immigrant or permanent resident of another country?
YES ✘ NO
If YES, give details (country):

40. Pursuant to: (a) Indigenous People's Act (RA 8371); (b) Magna Carta for Disabled Persons (RA
7277); and (c) Solo Parents Welfare Act of 2000 (RA 8972), please answer the following items:
a. Are you a member of any indigenous group? YES ✘ NO
If YES, please specify:
b. Are you a person with disability? YES ✘ NO
If YES, please specify ID No:
c. Are you a solo parent? YES ✘ NO
If YES, please specify ID No:

41. REFERENCES (Person not related by consanguinity or affinity to applicant /appointee)

NAME ADDRESS TEL. NO.

ID picture taken within
the last 6 months
MARIE ANNE V. DELOS SANTOS Pantok, Binangonan, Rizal 123-45-67 3.5 cm. X 4.5 cm
(passport size)
VERONICA P. CRUZ Darangan, Binangonan, Rizal 0935-454-4140 With full and handwritten
name tag and signature over
printed name
GENARO V. CEQUENA Binangonan Rizal 0943-443-2804
Computer generated
42. I declare under oath that I have personally accomplished this Personal Data Sheet which is a true, correct and or photocopied picture
is not acceptable
complete statement pursuant to the provisions of pertinent laws, rules and regulations of the Republic of the
Philippines. I authorize the agency head/authorized representative to verify/validate the contents stated herein.
I agree that any misrepresentation made in this document and its attachments shall cause the filing of PHOTO
administrative/criminal case/s against me.

Government Issued ID (i.e.Passport, GSIS, SSS, PRC, Driver's License, etc.)

PLEASE INDICATE ID Number and Date of
Issuance
Government Issued ID: PRC

ID/License/Passport No.: 093874

Signature (Sign inside the box)
June 25, 2019
Date/Place of Issuance: 12/05/2016-MANILA
Date Accomplished Right Thumbmark

SUBSCRIBED AND SWORN to before me this , affiant exhibiting his/her validly issued government ID as indicated above.

SHERWIN F.CRUZ
Person Administering Oath

CS FORM 212 (Revised 2017), Page 4 o

 If YES, give details (country):

, affiant exhibiting his/her validly issued government ID as indicated above.

CS FORM 212 (Revised 2017), Page 4 of 4