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FELLOWSHIP BAPTIST COLLEGE

Kabankalan City, Negros Occidental

EMPLOYEE PERSONAL DATA SHEET

Id : 2019

Name : JANOBE JANOBE

Firstname Lastname Middlename

Address :

Sex : Date of Birth : 11/30/-0001

Age : 0 Place of Birth :

Contact No. Civil Status

Citizenship Religious Affiliation

Height : Weight Blood Type

TIN No. SSS No.

Philheath No. Pag-ibig No.

GSIS No.(if any) PERAA No.

E-mail Address Cellphone No.

Family Background

Spouse

Surname First Name Middle Name

Occupation Employer/Business Name Business Address

Employer/Bus. Tel. No. Contact No. of Spouse

Father

Surname First Name Middle Name

Mother Maiden Name

Surname First Name Middle Name

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Name of Child/Children Date of Birth

(Write full name and list all) (mm/dd/yyyy)

HIGHEST INCLUSIVE DATES OF SCHOLARSHIP/ ACADEMIC

GRADE/LEVEL/ ATTENDANCE HONORS RECEIVED
UNITS From - To
EARNED
Year (if not
Level School Degree Graduated graduated)

Elementary None None None None None

Secondary None None None None None

Vocational/ None None None None None

Trade Course

College None None None None None None

Graduate None None None None None None

Studies

CIVIL SERVICE ELIGIBILITY

Career Service/ RA 1080 (Board/BAR) Rating Date of Examination/ Place of Examination/ License (If applicable)
Under Special Law/ CES/CSEE Conferment Conferment
Number Date of
Release

WORK EXPERIENCE (Include public and other private employment, Start from your current work)

Inclusive Dates Position Company/Office Monthly Status of Length of Service

(mm/dd/yyyy) Title Salary Employment (no of years &
months)
From To

INVOLVEMENT IN OTHER EDUCATIONAL OR PROFESSIONAL ORGANIZATION

Name and Address of Organization Inclusive Dates Position

(mm/dd/yyyy)

From To

INVOLVEMENT IN OTHER CIVIC (NON-GOVERNMENT/PEOPLE) VOLUNTARY ORGANIZATION

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Name and Address of Organization Inclusive Dates Position/ Nature of Work

(mm/dd/yyyy) Assigned

From To

TRAINING PROGRAM (attended in the last 3 years, Start from the most recent)

Title of Seminar/Conference/ Workshop/ Short Inclusive Dates No. of Conducted/ Sponsored

Courses (mm/dd/yyyy) Hours By

From To

OTHER INFORMATION

Special Skills/ Hobbies Non-Academic Distinctions/ Recognition/ Awards

I declare under oath that this Employee Personal Data Sheet has been accomplished by me, and is a true,
correct and complete statement pursuant to the provisions of pertinent laws, rules and regulations of the
Republic of the Philippines.
I also authorize the head/authorized representative of Fellowship Baptist College to verify/validate the
contents stated herein. I trust that this information shall remain confidential.

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Community Tax Certificate No.

Issued At

Signature (Sign in the box)

Issued on Date Accomplished

(mm/dd/yyyy) (mm/dd/yyyy)
RIGHT THUMBMARK

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