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    PDS

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
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    5 views4 pages

    172 PDS

    Uploaded by

    Alfie Omega
    PDS

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Flag for inappropriate content
    of 4
    GS Fam No.2 Revs 2017 PERSONAL DATA SHEET WARING: Any miaroprosantton made nthe Peraonal Dats Shoot andthe Work Experience Shes shall eouve the ling of sdiniseavelernina eazel gaint th parson Concent. READ THE ATTACNED GUIDE TO FLING OUT THE PEREONAL DATA SHEET (PDS) BEFORE ACCOMPLISHING THE POS FOR frets, Tesepep of] one we eae at tna ndereNAtret kab OONCTANSREWATE, oo] ors up Foxconn Sue CATR rer nae TAT [ERRORS Tyra DATE OF aRTH TENS Trine [Joann viens overm — [Joyratataaten pis i “ If Holder of dual citizenship, is. indicate country: PLAGE OF BRT MATL DAVAO ORENTAL sles inate te dt 7 RESIOENTIA ADDRESS woocnarane Tae ke Css Tower Sree CHIC STATUS ‘Subdivision Vilage Barangay [lwcones senate Ani Pes Cloner zp cove woo EIGHT om) Tamer 1 PERUIANENT ADDRESS ook? arene Tne WEIGHT 0) era oust Sree 8.000 TYPE o aVEROLOATONT oo 1, 8181000. WORE Song 7 [s.Pasreai0No ane Ta BuOOH NORTE (2, PHILHEALTH NO. NONE Giiyituicinatly Provines ag — zp cone woo TELEPHONE NO Tone seth —_ 20, MOBILE NO. 09127895189 fs acenovenrtoveene, | None Pe pa. srouses suRNaNe —|_NA Te EANSEOFOMLOREN ie ntinare nota] Pat RE ETENSION TR FIRST NAME NA venereal pou Nawe WA ‘ecPATION WA ‘uewess aooAE=s | WA TELEPHONE NO. WA Eee spar moe = FRTERS SURNUME | NA anaes = TE ETENSON TRS Moot Nae wa MOTHER'S MAIDEN WANE SURNAME WA RST NAME WA MODLE NAME WA (Continue ov spares shot necessary as asic renioo oF arreNoance|MENESTORIOE] eax | coarser e.eve SCHOOL | eoucaTioNbEGRESICOURSE EEVEUUNTS | craguareD |acabeauc HONORS we ‘re nt) Fon [ro | EMNED tne | Gomme | rece Eons i SIGNATURE repartee DATE | Febuary 7, 5 FORM 212 Revel 2017 Page 1 04 27, CAREER SERVICE! RA 1080 (BOAROY| LUCENSE df aplatin) INOER SrECIA LAws/ cee Care. =" | RATING, | CATEOF EXAMINATION | ace or ExAMMNATION! CONFEROIENT UNDER SPECIAL LAWS CEs! CSEE M BARANGAY ELIGIGLAY TORIVES License fACDIeso} — CONFERMENT aaa omar Vvataty A 1089-FORESTER hoo SEPTEMBER 13-142016 | DAVADCTTY corse oven (Continue on separate sheet if necessary) ar eco eo See een area oem Saceae omer [ete fer| ster, | se malts ces seams 2s bel cee ar ee ee ee {(Contive on separate sheet necessary) SIGNATURE eis DATE | februcny 2, 2012 5 FORM 212 (Revised 2017 Page 24 INcLUSIVE OATES. 20, NAME & ADORESS OF ORGANIZATION “emiteyyy) NUMBER OR i neers ae ‘POSITION’ NATURE OF WORK FROM 10 ‘(Contin on separate sheat recessan) INCLUSIVE DATES oF ee SB TLE OF LEARNING ANDOEVELOPMENT | ATTENDANCE mich) wyueen ce| (Manage! CONDUCTED SPONSORED by Hours | Sipaveon! ‘taint ete FROM 70 Tesh) FREEWPLOWIENT SEURARFORLOCALAPPCKTON eso ovzreoe aves 8 anaERAL ay Sahn pins Tcl Camp our 08 TRAN O cuawenis eames O_CTEGHMCAL —_OBIRCENRONNCD, cOMPORTELAVALEY ROME POUELOEDEMNE FOR AORCATURE,FBIERED NO — gaugenig gaz ——«=«2_—=—‘TECHNCAL_ Une tn Pipes Tapes Cae {004y8 0F PURCSECANPAN tmaou ames REUGOX chars Cory, Tagan ly owe FoR TE AGED OUTREACH PROGREL carson ease ‘ wong EMD North ge Can, gan Wn Topmyy (Continue on separate shaot if necessary) a g ‘2. NON-ACADEMEDAsTCTIONS RECOGNITION £8. NENERSVIP I ASSOCIATION /ORGAMZATION geet ‘irae a) ‘iter Saga sane acinomae nar Sacer OF RN FORESTER (Continue on separate sheet Wrecessay) SIGNATURE [pare | Feouary 2. 208 (CS FORM 212 (Revised 2017) Page 34 Seach 0 “iro you related by cansanguiiy o afiy tothe appointing or recommonding author, ort 1% beet wel race bbe peesnnncts male pura avr you se Cicero Departet woes yu Pept, «a. whine thi degree? Ove 2. wn fourth degre (Loe oven Unt- Cae ple)? Oe Te a» /35. a. Have you ever been found guilty of any administrative offense? or Hae youben cin charged ble ay sou Geode Fits ete a, Hive yo vr bean sonido ry cn ron cay, dare crane cr | renga Noun enevon Have you ves bes pnt uy sarvce any fe owing mode: renmason, LST 3, trode Seppe fetes Shc ak on oa es coat ; These tee te pk or pve te? se. sve ou everbeon acadate ia patoal ores decioniad win ast year | Yen pout feeratyn aaa the = Hoe you ein fn gona senna be toe @)rat paste _| res mde Sala Seen clay Cargo ata oa neat? 2. Havyou sete tt an nat remanent ro nar uy? 4. Pursuant to: () Indigenous People's Act (RA 8371; () Magna Cata for Disabled Persons (RA7277), and (c) Solo Paros Weare Ac of 2000 (RA 8972}, please answer the fobowing ome: 2.Are you amember of any ineigonousarouo? TYE pred: 1S NO ‘b.Are you a person with disability? nate EVES ovate ¢. Ar you 20 porn? 1. REFERENCES (aon ot alte y conan etry oan apoaee) PEANEC.LAMEORA acu coversores [ESS ae GST SOT SPOR Ds SWE SUE, SATO SOC STO Tonal he ova pent ms hla on agua ne Repti he Pages . ‘aupatz te agency hea auborzed preserve oan Decne ate Pre. | areal ny mersetton cH Bont ‘radon fs Gorton and te aaron Sot eas te Sng of omnaravrcimal cass agama, JAETH_BP Gye ovement kate 1 (Pana O51, S55, PRO, ers {emo ec) PLEASE NOIGATE barber ang Osc eetance Guana ee PROLSENSE ONATURE (ore hee DaaiPoeoenarce TRcONNOET DATE AGSONPLSHED Tae SUBSCRBED AND SWORN ebro me he GE CE IQ ste ein wy et governess av Boc. No.N2 meca Page No. _

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