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/s against the 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 not fill up. For CSC use only)

I. PERSONAL INFORMATION
2. SURNAME LINGANAY
NAME EXTENSION (JR., SR)
FIRST NAME NOEL JUN

MIDDLE NAME LAPINIG

3. DATE OF BIRTH
(mm/dd/yyyy) 7/6/1991 16. CITIZENSHIP

4. PLACE OF BIRTH ORMOC CITY If holder of dual citizenship, Pls. indicate country:
please indicate the details.
5. SEX

17. RESIDENTIAL ADDRESS APARTMENT 2 GUADALAJARA STREET

6 CIVIL STATUS
House/Block/Lot No. Street
GABUTAN COMPOUND GUADALUPE
Subdivision/Village Barangay
CEBU CITY CEBU
7. HEIGHT (m) 1.78 meters
City/Municipality Province
8. WEIGHT (kg) 80 ZIP CODE 6000

18. PERMANENT ADDRESS APARTMENT 2 GUADALAJARA STREET

9. BLOOD TYPE O
House/Block/Lot No. Street
GABUTAN COMPOUND GUADALUPE
10. GSIS ID NO. N/A
Subdivision/Village Barangay
CEBU CITY CEBU
11. PAG-IBIG ID NO. 121158983589
City/Municipality Province

12. PHILHEALTH NO. 130501785823 ZIP CODE 6000

13. SSS NO. 06-36135446 19. TELEPHONE NO. N/A

14. TIN NO. 406 893 358 000 20. MOBILE NO. 09202015653

15. AGENCY EMPLOYEE NO. N/A 21. E-MAIL ADDRESS (if any) linganaynoeljun@yahoo.com

II. FAMILY BACKGROUND

22. SPOUSE'S SURNAME N/A 23. NAME of CHILDREN (Write full name and list all) DATE OF BIRTH (mm/dd/yyyy)
NAME EXTENSION (JR., SR) N/A
FIRST NAME N/A N/A
N/A
MIDDLE NAME N/A N/A
N/A
OCCUPATION N/A N/A
N/A
EMPLOYER/BUSINESS NAME N/A N/A
N/A
BUSINESS ADDRESS N/A N/A
N/A
TELEPHONE NO. N/A N/A
N/A
24. FATHER'S SURNAME LINGANAY N/A
NAME EXTENSION (JR., SR) N/A
FIRST NAME NOE N/A
N/A
MIDDLE NAME SILLACAY N/A

25. MOTHER'S MAIDEN NAME N/A N/A

N/A
SURNAME LAPINIG N/A
N/A
FIRST NAME LANI N/A

MIDDLE NAME BATO (Continue on separate sheet if necessary)

III. EDUCATIONAL BACKGROUND

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

ELEMENTARY ISABEL ADVENTIST ELEMENTARY SCHOOL ELEMENTARY EDUCATION 1998 2003 GRADUATED 2003 WITH HONORS

SECONDARY /
VOCATIONAL EAST VISAYAN ADVENTIST ACADEMY SECONDARY EDUCATION 2003 2007 GRADUATED 2007 N/A

AMA COMPUTER LEARNING COLLEGE - ORMOC COMPUTER SYSTEMS SERVICING NC II 2013 2014 GRADUATED 2014 N/A
TRADE BEST IN IT
BACHELOR OF SCIENCE IN INFORMATION
COURSE AMA COMPUTER LEARNING COLLEGE - ORMOC
TECHNOLOGY
2011 2014 GRADUATED 2014 CAPSTONE
COLLEGE PROJECTS
BACHELOR OF SECONDARY EDUCATION MAJOR IN SOCIAL
SAINT PETER'S COLLEGE - ORMOC SCIENCES (DIPLOMA IN PROFESSIONAL EDUCATION) 2015 2016 GRADUATED 2016 N/A

ASIAN DEVELOPMENT FOUNDATION COLLEGE MASTERS IN INFORMATION TECHNOLOGY 2014 2016 GRADUATED 2016 N/A
CEBU TECHNOLOGICALUNIVERSITY - MAIN DOCTOR OF PHILOSOPHY IN TECHNOLOGY
GRADUATE STUDIES
CAMPUS MANAGEMENT
2017 2017 12 UNITS N/A N/A
JURIS DOCTOR MAJOR IN PUBLIC INTERNATIONAL
UNIVERSITY OF SAN CARLOS
LAW
2019 PRESENT 78 UNITS N/A N/A
(Continue on separate sheet if necessary)

SIGNATURE DATE September 14, 2021

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 applicable)
RATING
SPECIAL LAWS/ CES/ CSEE EXAMINATION / PLACE OF EXAMINATION / CONFERMENT
(If Applicable) NUMBER Date of
BARANGAY ELIGIBILITY / DRIVER'S LICENSE CONFERMENT
Validity

RA 1080 LICENSED PROFESSIONAL TEACHER 82.20 09/24/2017 TACLOBAN CITY 1607381 7/6/2024

(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.
GOV'T
28. INCLUSIVE DATES SALARY/ JOB/ PAY SERVICE
POSITION TITLE DEPARTMENT / AGENCY / OFFICE / COMPANY GRADE (if
(mm/dd/yyyy) MONTHLY STATUS OF
(Write in full/Do not (Write in SALARY
applicable)& STEP
APPOINTMENT
(Format "00-0")/
abbreviate) full/Do not abbreviate) INCREMENT
From To
(Y/ N)

1/11/2020 06/30/2021 WORDPRESS DEVELOPER LINUXHINT, LLC 14000.00 N/A PART-TIME N

4/1/2020 05/30/2020 INSTRUCTOR V AMA COMPUTER COLLEGE - CEBU 15000.00 N/A PART-TIME N

06/13/2016 06/13/2017 TEACHER I DEPARTMENT OF EDUCATION 19620.00 SG 11-1 CONTRACUAL Y

5/11/2015 05/30/2016 INSTRUCTOR II AMA COMPUTER LEARNING CENTER - ORMOC 12000.00 N/A CONTRACUAL N

(Continue on separate sheet if necessary)

SIGNATURE DATE September 14, 2021

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 / NATURE OF WORK
From To

CENTER FOR LEGAL AID WORK - CEBU CITY 08/16/2020 06/15/2021 320.0 LEGAL RESEARCHER

RHEMA INTERNATIONAL LIVELIHOOD FOUNDATION 10/01/207 04/30/2019 200.0 IT OFFICER

(Continue on separate sheet if necessary)

VII. LEARNING AND DEVELOPMENT (L&D) INTERVENTIONS/TRAINING PROGRAMS ATTENDED
INCLUSIVE DATES OF
ATTENDANCE Type of LD
30. TITLE OF LEARNING AND DEVELOPMENT INTERVENTIONS/TRAINING PROGRAMS ( Managerial/ CONDUCTED/ SPONSORED BY
NUMBER OF HOURS
(Write in full) Supervisory/ (Write in full)
(mm/dd/yyyy)
Technical/etc)
From To

TRAINERS METHODOLOGY I TRAINING 5/12/2017 05/15/2018 264.0 TECHNICAL DEPPARTMENT OF EDUCATION

MASS TRAINING OF TEACHERS FOR SENIOR HIGH SCHOOL TEACHERS 12/6/2016 6/21/2016 80.0 TECHNICAL DEPPARTMENT OF EDUCATION

(Continue on separate sheet if necessary)

VIII. OTHER INFORMATION

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

PIANO PEOPLE'S CHOICE AWARD - PINTADOS FESTIVAL PHOTO CONTEST 2018, TACLOBAN CITY CAMERA CLUB OF LEYTE AND SAMAR

VIOLIN 1ST PRIZE - BINAYBAYON FESTIVAL PHOTO CONTEST 2017, BAYBAY CITY, LEYTE ISABEL PHOTOGRAPHY SOCIETY

CELLO 2ND PRIZE - BINAYBAYON FESTIVAL PHOTO CONTEST 2016, BAYBAY CITY, LEYTE ORMOCANON PHOTOGRAPHIC SOCIETY

COMPUTER PROGRAMMING MR. DEPED LEYTE 2016 PHILIPPINE SOCIETY FOR MUSIC EDUCATION
PHILIPPINE SOCIETY OF INFORMATION
PHOTOGRAPHY MR. DEPED AREA MEET 2016 TECHNOLOGY EDUCATORS FOUNDATION, INC.

1ST PRIZE - ROTARY CLUB OF ORMOC BAY PHOTO CONTEST 2015, ORMOC CITY

3RD PRIZE - TUGOB FESTIVAL PHOTO CONTEST 2013, ORMOC CITY

(Continue on separate sheet if necessary)

SIGNATURE DATE September 14, 2021

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?
b. within the fourth degree (for Local Government Unit - Career Employees)?
If YES, give details:
________________________________

35. a. Have you ever been found guilty of any administrative offense?
If YES, give details:
________________________________
________________________________
b. Have you been criminally charged before any court?
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
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,
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? ________________________________
RESIGNATION
________________________________
38. a. Have you ever been a candidate in a national or local election held within the last year (except
Barangay election)?
If YES, give details:
b. Have you resigned from the government service during the three (3)-month period before the last
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?
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?
If YES, please specify:
b. Are you a person with disability?
If YES, please specify ID No:
c. Are you a solo parent?
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
JOHN GLEN D. OCANA PALO, LEYTE 092130155671 4.5 cm. X 3.5 cm
(passport size)

SIDDY MAE C. MONTEMAYOR CEBU CITY 09054590450

Computer generated
or photocopied picture
HAYDEE LORO - CABUQUIT ISABEL, LEYE 09988533894 is not acceptable

42. I declare under oath that I have personally accomplished this Personal Data Sheet which is a true, correct and
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 LICENSE

ID/License/Passport No.: 1607381

Signature (Sign inside the box)
September 14, 2021
Date/Place of Issuance: 01/09/2018 - TACLOBAN CITY
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 of 4