PERSONAL DATA SHEET apne) buat cuznsip Dey tC yy aataton {. UCEOF BRT inca cour RO HusoBoataie Sat [sera gy eae TaeAcocmY ABA Chakra 8 We oa cr ae cooe ‘tt i ERAN POORER ROT 2 x00 TE lA = = fo ssv0, Ina Tacx _ "agacociy aay 1 Facec.0Wo, fszooosssz31 ie enn. foosoop644s | ‘coos “i fs sss10 losorsaoest TELEPHONE NO. NA or) owo 58-24-0000 osteo. err ss028s fsacocreeoreno (WA DATE OF BRT mash BERESS ORES TELEPNENO. ae Paves SRE RST ME ial ‘NE WORD COLLEGE OF LEGAZP CL) 207 ‘Bs xccoUMNCY Jcumauoe ov /84 /2014 TT PaeTatUCENSE Tapes) (CAREER SERVICER 1080 ARDEA) UNDER DATE OF SPN AWS CESSES one ‘BaMaanioN! PLACE OF EXAMINATION /CONFERNENT anal BARANGAY ELIDBLITY/ DRIVERS UCENSE (warps) | “coneeRuENT weer | Oe ‘CPA LICENSURE EXAMINATION 79.86% ‘wws12008 MANILA, PHILIPPINES. org0ass | ronsrancs ‘— PosmoNTmE DEPARTMENT AGENGY OFF COWPANY = ~ (We nan ne sto) (Wr so et ttre) fre lpecsear | FRANCALPLAMING EREPORTWG | EXCELLENT NGG ra reeaer| © juris |ranrzon7 a RPuaeaT TORS Me canete Cae ae 5500 PERMANENT | Jveczots —[rwatao1s | CREDIT MANAGEMENT OFFICER Mac cacip Caren 200 PERMANENT | WN leanrie lease RROUNTING OFFICER TABAGO UBERTY COMMERAL CENTER] pg jouer | on aii : ACCOUNTANT ramet LEERTY COMMER COTER| peauaanr ah fois |rarstz008 ccounrne assistant [TABACOLBERTY COMMERCIAL CENTER] ro PERMANENT | Nvry NA ADDRES OF GRGANZATEN we ee ee POSTION NATURE OF Wor JBARANGAY BANGKLLINGAN PUROK OFFICER L,UwoR PRESIDENT Jaco. Recion2014& BEYOND scum OTSor aa 8 meorinnmewooertaner weneoemmnec ROSIE mou |e] Go conver sonnet one oom = mane — id mason a rar ALA AN TACPACTCE ftaane fimwane fea fecmwcar [entre rncrmoncs, Nore TORR TERT nn pwns fo ncn REDE RETESTED RE coon frre oven. Porno sara PRS UATE) ese parson feo [recmecar [RPE RETTEOF ERTFED PRIS framcaw ease sara feo fecwwcar—|ioconur ocounnes eck he oenTon oF eR” ECVE [anaeufaraana feo cena [ic onur oF coanes Faroe wo arom ac ean oe ee ee ec revewme comes WoMGO® mau asa feo acca |.oconur oconranes aT cRTrED RNG [arcs rama a unoerae ocean rans [owes fee freomen _(RSTUTEOED prime omamecaron cxcciacewmneorowLwrewoace —_fossane awnsans fia woatnal cc oour or commana fro. ra anantest vos seaman srs owas so _—recomea —_.cconur or couranes REPRE RTUTEGFCERTED PORE fascia soreness Jocs_Jumcns fe econ. (RE =e less ferme fae forarmsonr ic Rou oF Conran JE ORG Ti ESOC FOREST PHIPPRES WTHTEEUSOT ay Tamang coca ANA CORSE Br PETA |ucc oRouP OF CONPANES. 53 MEMBERSHP WASSOCATONORSANZATIN © wewousenemes — | a ar te [WLESGERGLE WRONG SYST CERTIEDTAXTEOHNGAN home aE WRERETANORE [PxOnen ANGRSSOPT EXEL, WD, P‘Are you related by consanguinity or afny tothe appointing or recommending authority, or tothe chief of bureau or office or othe person who has immediate supervision aver you inthe Office, Bureau or Department where you willbe apppointed, a. wihin the thi degree? Ones ». win the fourth degree (for Local Government Unit - Career Employees)? Os IFYES, give deta: ‘5. @ Have you ever een found guily of any admiisrabveofense? oe ia IFYES, give deta ». Have you been criminal charge before any cout? ves IFYES, give deta Date Filed Status of Casts 26, Have you ovr Been condo any cine or wlan of ny aw, dere, ordnance regulon | vex by avy oust or tuner? IFYES, give dota: 5. Have you ever boon separated fom the serie nany of he lowing mode: resignation, Ow ‘ebrement, dropped from the rol, dismissal, termination, end of term fished contactor phased | YES, give deta: ut (ebolton inthe pubic or private sector? 22, Fave you over Ben & candi manana oriocal lacion held win Tostyoar exon’ | L veq Barangay election)? HYES, give dts », Have you resigned rom the goverment sence during the tre (3} month period betore the last |] ves no lection to promoteacvely campaign fora national or cal candidate? IFYES, give details <2, Have you aoqed the slaus ofan immigrant or permanent resident of anofercouniry? Ow Dn IFYES, aive details (county): ©. Pursuant) indigenous People's Act (RA 6377), (6) Magna Cala for Disabled Persons RA 7277); and (c) Solo Parents Welfare Act of 2000 (RA 8972, please answer the folowing ems: 2 Are you a member of any indigenous group? b. Are you aperson with sbity? © Are you a solo parent? REFERENOES (Person rot ele by conesnguny cao ppeantappiie) Oves NO It YES, please specity ID No: NAME ’ADORESS TEL NO. FATIMA C. CAPUZ. MALINAOALBAY (09985828967 JENNY S. BALAGUER LEGAZPI ITY (09985828360 CHRISTINE MADRID-AGUILAR T deciare under oath that | have personally accomplished LEGAZPI CITY administratvelciminal cases against me. [Goverment osvedD Garmaget Go SS PO Ors Unmen eT PLEASE INDICATE 1D Number and Dato Issuance [Covenmetisued O- PRE Psspt No 0190355 parce otesunce: —1h12008 ‘SUBSCRIBED AND SWORN to before me tis 09173123926 this Personal Data Sheet which is @ tue, coredt and ‘complete statement pursuant to the provisions of pertinent lawe, rules and reguiatons of the Republic of the Philippines. | authorize the agency heed/authorized representative to verfyvalidete the contents stated herein. | ‘agree that any misrepresentaion made in this document and its attachments shal cause the fing of + afantexibiing hisher vay issued government ID as indicated above. Person Administering Oath