CS Form No.

212
Revised 2017

PERSONAL DATA SHEET

WARNING: Any misinterpretation made in the Personal Data Sheet and the Work Experience Sheet shall cause the filing of administrative/criminal case/s aga
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

I. PERSONAL INFORMATION
2. SURNAME DE CASTILLO
NAME EXTENSION (JR., SR
FIRST NAME RESALYN

MIDDLE NAME CAHILIG

3. DATE OF BIRTH
(mm/dd/yyyy) 1/9/1996 16. CITIZENSHIP ✘ Filipino Dual Citizenship
by birth by
4. PLACE OF BIRTH New Panay, Aleosan, Cotabato If holder of dual citizenship, Pls. indicate cou
please indicate the details.
5. SEX Male ✘ Female

✘ Single Married 17. RESIDENTIAL ADDRESS N/A PU

6 CIVIL STATUS
Widowed Separated House/Block/Lot No. S
N/A NEW
Other/s:
Subdivision/Village Ba
ALEOSAN COT
7. HEIGHT (m) 1.64
City/Municipality Pr
8. WEIGHT (kg) 56 ZIP CODE 9415
18. PERMANENT ADDRESS N/A PU
9. BLOOD TYPE "A+"
House/Block/Lot No. S
N/A NEW
10. GSIS ID NO. N/A
Subdivision/Village Ba
ALEOSAN
11. PAG-IBIG ID NO. N/A
City/Municipality Pr

12. PHILHEALTH NO. 17-250611013-6 ZIP CODE 9415

13. SSS NO. N/A 19. TELEPHONE NO. N/A

14. TIN NO. 724-152-446-000 20. MOBILE NO. 09095391393

15. AGENCY EMPLOYEE NO. N/A 21. E-MAIL ADDRESS (if any) resalyndecastillo@gmail.com
II. FAMILY BACKGROUND
22. SPOUSE'S SURNAME N/A 23. NAME of CHILDREN (Write full name and list all)
NAME EXTENSION (JR., SR) N/A
FIRST NAME N/A

MIDDLE NAME N/A

OCCUPATION N/A

EMPLOYER/BUSINESS NAME N/A

BUSINESS ADDRESS N/A

TELEPHONE NO. N/A

24. FATHER'S SURNAME DE CASTILLO

FIRST NAME REY

MIDDLE NAME CABALLERO

25. MOTHER'S MAIDEN NAME CAHILIG

SURNAME DE CASTILLO

FIRST NAME ROSALIE

MIDDLE NAME CASPILLO (Continue on separate sheet if necessary

III. EDUCATIONAL BACKGROUND

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

ELEMENTARY TUBAK ELEMENTARY SCHOOL PRIMARY EDUCATION 2003 2009 GRADUATED

SECONDARY TUBAK HIGH SCHOOL HIGH SCHOOL 2009 2013 GRADUATED

VOCATIONAL /

COMPUTER SYSTEM SERVICING NC II 2017 2018 N/A

TRADE
COURSE BACHELOR OF SECONDARY EDUCATION
COLLEGE NOTRE DAME OF MIDSAYAP COLLEGE
MAJOR IN MATHEMATICS
2013 2017
GRADUATED

GRADUATE STUDIES N/A N/A N/A N/A N/A

(Continue on separate sheet if necessary)

SIGNATURE DATE MARC

CS FORM
L DATA SHEET
rience Sheet shall cause the filing of administrative/criminal case/s against the person

EFORE ACCOMPLISHING THE PDS FORM.

(Do not fill up. For CSC use only)

NAME EXTENSION (JR., SR)

Dual Citizenship

by naturalization

Pls. indicate country:

PUROK 4
Street
NEW PANAY
Barangay
COTABATO
Province
9415
PUROK 4
Street
NEW PANAY
Barangay
COTABATO
Province

9415

N/A

09095391393

resalyndecastillo@gmail.com

DATE OF BIRTH (mm/dd/yyyy)

N/A

(Continue on separate sheet if necessary)

SCHOLARSHIP/
YEAR
ACADEMIC
GRADUATED
HONORS
RECEIVED

SALUTATORI
2009 AN

VALEDECTORI
2013 AN
 N/A NA

MAGNA CUM
2017 LAUDE

N/A N/A
parate sheet if necessary)

MARCH 29, 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 ap
RATING
SPECIAL LAWS/ CES/ CSEE EXAMINATION / PLACE OF EXAMINATION / CONFERMENT
(If Applicable) NUMBER
BARANGAY ELIGIBILITY / DRIVER'S LICENSE CONFERMENT

LICENSURE EXAMINATION FOR TACHERS SEPTEMBER 24,

83.60% 2017
DAVAO CITY 1585534
(LET)

(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
POSITION TITLE DEPARTMENT / AGENCY / OFFICE / COMPANY
(mm/dd/yyyy) MONTHLY STATUS OF
(Write in full/Do not (Write in SALARY APPOINTMENT
abbreviate) full/Do not abbreviate)
From To

6/8/2018 PRESENT TEACHER-I DEPARTMENT OF EDUCATION P20,437 "11-1" PERMANENT

(Continue on separate sheet if necessary)

SIGNATURE DATE MARCH 29, 2019

CS FORM 212 (Revised 20

 LICENSE (if applicable)

Date of
Validity

1/9/2020

eet if necessary)

GOV'T
SERVICE

(Y/
N)
YES

eet if necessary)
MARCH 29, 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

(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/ CONDUCTE
NUMBER OF HOURS
(Write in full) Supervisory/
(mm/dd/yyyy)
Technical/etc)
From To
DIVISION MASS TRAINING OF TEACHERS AND CAREER ADVOCATES ON CAREER
03/21/2019 03/22/2019 16.0 DEPARTMEN
GUIDANCE TRENDS AND STRATEGIES
3-DAY SECONDARY CLUSTER ROLL OUT ON THE IMPLEMENTATION OF RPMS DEPARTME
10/18/2018 10/20/2018 24.0
FOR SCHOOL HEADS AND TEACHERS DIVISION (
TECHNICAL
COMPUTER SYSTEM SERVICING NCII 11/15/2017 02/25/2018 996.0 TECHNICAL AUTHORITY

(Continue on separate sheet if necessary)

VIII. OTHER INFORMATION

 NON-ACADEMIC DISTINCTIONS / RECOGNITION
31. SPECIAL SKILLS and HOBBIES 32. 33.
(Write in full)

ALEOSAN
DANCING TOP 2: PRE-BOARD LET EXAM 2017
TEACHERS

(Continue on separate sheet if necessary)

SIGNATURE DATE
T / PEOPLE / VOLUNTARY ORGANIZATION/S

POSITION / NATURE OF WORK

separate sheet if necessary)

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

CONDUCTED/ SPONSORED BY
(Write in full)

DEPARTMENT OF EDUCATION, COTABATO DIVISION

DEPARTMENT OF EDUCATION, COTABATO

DIVISION (ALEOSAN SECONDARY SCHOOLS)
TECHNICAL EDUCATION AND SKILLS DEVELOPMENT
AUTHORITY

separate sheet if necessary)

 MEMBERSHIP IN ASSOCIATION/ORGANIZATION
(Write
in full)
ALEOSAN SECONDARY SCHOOLS
TEACHERS EMPLOYEES ASSOCIATION

separate sheet if necessary)

MARCH 29,2019
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 CEL. NO.

ID picture taken within
the last 6 months
MRS. ANNABELLE C. SUSPEÑE NEW LEON, ALEOSAN, COTABATO 9192867487 3.5 cm. X 4.5 cm
(passport size)

MRS. ALMIE D. BERTOLANO PENTIL, ALEOSAN, COTABATO 9398025751 With full and handwritten
name tag and signature over
printed name

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.: 1585534

Signature (Sign inside the box)
03-29-2019
Date/Place of Issuance: 12-15-2017
Date Accomplished Right Thumbmark

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

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