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 OGALESCO
NAME EXTENSION (JR., SR)
FIRST NAME EDDIE

MIDDLE NAME STA. ISABEL

3. DATE OF BIRTH
(mm/dd/yyyy)
11/30/1964 16. CITIZENSHIFILIPINO

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

17. RESIDENTIAL ADDRESS 035

6 CIVIL STATUS MARRIED
House/Block/Lot No. Street
STA. ANA
Subdivision/Village Barangay
PANGANIBAN CATANDUANES
7. HEIGHT (m) 1.74 m
City/Municipality Province
8. WEIGHT (kg) 74 kg. ZIP CODE 4806

18. PERMANENT ADDRESS 035

9. BLOOD TYPE O+
House/Block/Lot No. Street
STA. ANA
10. GSIS ID NO. 64113001427
Subdivision/Village Barangay

11. PAG-IBIG ID NO. 0501-2367-9502 PANGANIBAN CATANDUANES

City/Municipality Province

12. PHILHEALTH NO. 10-0000-45417-0 ZIP CODE 4806

13. SSS NO. NONE 19. TELEPHONE NO. N/A

14. TIN NO. 174-158-751 20. MOBILE NO. 09073371053

15. AGENCY EMPLOYEE NO. 5071150 21. E-MAIL ADDRESS (if any) eddie.ogalesco001@deped.gov.ph

II. FAMILY BACKGROUND

22. SPOUSE'S SURNAME OGALESCO 23. NAME of CHILDREN (Write full name and list all) DATE OF BIRTH (mm/dd/yyyy)
NAME EXTENSION (JR., SR) JELYN A. OGALESCO
FIRST NAME ELEANOR JR. 12/15/1987
RYAN A. OGALESCO
MIDDLE NAME ANGELES 7/15/1989
JOY A. OGALESCO
OCCUPATION HOUSEWIFE 8/26/1994
BRYAN A. OGALESCO
EMPLOYER/BUSINESS NAME N/A 12/12/1995
JOYCE ANN A. OGALESCO
BUSINESS ADDRESS N/A 10/11/1997
BRYAN KARL A. OGALESCO
TELEPHONE NO. NONE 9/11/2001
JOAN A. OGALESCO
24. FATHER'S SURNAME OGALESCO 6/20/2003
SR.
FIRST NAME FRANCISCO

MIDDLE NAME MARCOS

25. MOTHER'S MAIDEN NAME

SURNAME STA. ISABEL

FIRST NAME FLORENIA

MIDDLE NAME FAUSTINO (Continue on separate sheet if necessary)

III. EDUCATIONAL BACKGROUND

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

ELEMENTARY PANGANIBAN CENTRAL ELEM. SCHOOL PRIMARY EDUCATION 06/10/1972 03/31/1979 GRADUATE 1979 NONE

CATANDUANES AGRICULTURAL & INDUSTRIAL

SECONDARY /
VOCATIONAL COLLEGE
Secondary Education 06//08/1979 03/31/1983 GRADUATE 1983 Valedictorian

N/A

TRADE
CATANDUANES AGRICULTURAL & INDUSTRIAL
COURSE
COLLEGE
COLLEGE
Bachelor of Science in Agriculture 06/15/1983 03/31/1987 Graduate 1987 None

GRADUATE STUDIES CATANDUANES COLLEGES MASTER OF ARTS IN EDUCATION 6/15/1995 3/28/2002 Graduate 2002 None
(Continue on separate sheet if necessary)

SIGNATURE DATE June 1, 2022

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

PBET 71.00% 11/25/1990 Virac, Catanduanes 0292568 11/30/2025

(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)
Department of Education/PNHS -CAIC
2018 Present School Principal 50574.00 S.G.19-2 Permanent Y
Compound
Department of Education/ San Jose NHS,
12/27/2017 8/12/2018 School Principal 45296.00 S.G.19-1 Permanent Y
Viga, Catanduanes
Department of Education/Panganiban National
01/01/0207 12/26/2017 Sec. School Teacher III 24047.00 S.G.13-4 Permanent Y
High School CAIC Compound
Department of Education/Panganiban National
02/28/2016 12/31/2016 Sec. School Teacher III 23045.00 S.G. 13-3 Permanent Y
High School CAIC Compound
Department of Education/Panganiban National
1/1/2016 2/27/2016 Sec. School Teacher III 22804.00 S.G. 13-3 Permanent Y
High School CAIC Compound
Department of Education/Panganiban National
2/28/2013 12/31/2015 Sec. School Teacher III 21867.00 S.G. 13-3 Permanent Y
High School CAIC Compound
Department of Education/Panganiban National
6/1/2012 2/27/2013 Sec. School Teacher III 21650.00 S.G. 13-2 Permanent Y
High School CAIC Compound
Department of Education/Panganiban National
6/1/2011 5/31/2012 Sec. School Teacher III 19908.00 S.G. 13-2 Permanent Y
High School CAIC Compound
Department of Education/Panganiban National
6/24/2010 5/31/2011 Sec. School Teacher III 18166.00 S.G.13-2 Permanent Y
High School CAIC Compound
Department of Education/Panganiban National
2/28/2010 6/23/2010 Sec. School Teacher III 16424.00 S.G. 13-1 Permanent Y
High School CAIC Compound
Department of Education/Panganiban National
7/1/2009 2/27/2010 Sec. School Teacher III 16101.00 S.G. 13-1 Permanent Y
High School CAIC Compound
Department of Education/Panganiban National
7/1/2008 6/30/2009 Sec. School Teacher III 13512.00 S.G. 13-1 Permanent Y
High School CAIC Compound
Department of Education/Panganiban National
7/1/2007 6/30/2008 Sec. School Teacher III 12248.00 S.G. 12-1 Permanent Y
High School CAIC Compound
Department of Education/Panganiban National
2/28/2007 6/30/2007 Sec. School Teacher III 11167.00 S.G. 12-1 Permanent Y
High School CAIC Compound
Department of Education/Panganiban National
11/29/2005 1/27/2007 Sec. School Teacher III 10971.00 S.G. 10-4 Permanent Y
High School CAIC Compound
Department of Education/Panganiban National
11/29/2002 11/28/2005 Sec. School Teacher III 10704.00 S.G. 10-4 Permanent Y
High School CAIC Compound
Department of Education/Panganiban National
7/1/2001 11/28/2002 Sec. School Teacher III 10442.00 S.G. 10-4 Permanent Y
High School CAIC Compound
Department of Education/Panganiban National
6/16/2001 6/30/2001 Sec. School Teacher III 9945.00 S.G. 10-3 Permanent Y
High School CAIC Compound
11/1/2000 6/15/2001 Sec. School Teacher III Catanduanes Agricultural & Industrial College 9945.00 S.G. 10-3 Permanent Y

11/22/1999 10/31/2000 Sec. School Teacher III Catanduanes Agricultural & Industrial College 9041.00 S.G. 10-3 Permanent Y

1/11/1997 11/21/1999 Sec. School Teacher III Catanduanes Agricultural & Industrial College 8821.00 S.G. 10-2 Permanent Y

1/1/1997 3/10/1997 Sec. School Teacher III Catanduanes Agricultural & Industrial College 7433.00 S.G. 10-2 Permanent Y

11/29/1996 12/31/1996 Sec. School Teacher III Catanduanes Agricultural & Industrial College 6044.00 S.G. 10-2 Permanent Y

1/1/1996 11/28/1996 Sec. School Teacher III Catanduanes Agricultural & Industrial College 6013.00 S.G. 10-2 Permanent Y

1/1/1995 12/31/1995 Sec. School Teacher III Catanduanes Agricultural & Industrial College 4903.00 S.G. 10-1 Permanent Y

1/1/1994 12/31/1994 Sec. School Teacher III Catanduanes Agricultural & Industrial College 3902.00 S.G. 10-1 Permanent Y

11/29/1993 12/31/1993 Sec. School Teacher III Catanduanes Agricultural & Industrial College 3102.00 S.G. 10-1 Permanent Y

(Continue on separate sheet if necessary)

SIGNATURE DATE 06/01/2022

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

None

(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

School Heads Development Program Foundation Course (Batch 4 ) 09/5-11,19-25 10/08-15/2018 147.5 Supervisory DepEd NEAP Region V (Bicol)

Data Management & Information Requirements Orientation Workshop 7/4/2019 7/6/2019 24 hours Managerial
Division of Catanduanes

Division Orientation - Workshop on RPMS-IPCRF Data Collection System 8/23/2019 8/24/2019 16 hours Managerial
Division of Catanduanes

National inventory of DepEd Public School Buildings 1/27/2020 8 hours Managerial

DepEd/Division of Catanduanes

The International Innovation leadership Training 3/17/2017 3/19/2017 24 hours Supervisory/Managerial

SouthEast Asean Institute of Educ.

(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)

computer literate N/A N/A

singing CASSH

(Continue on separate sheet if necessary)

SIGNATURE DATE 06/01/2022

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)? No
If YES, give details:
________________________________
________________________________
35. a. Have you ever been found guilty of any administrative offense? No
If YES, give details:
________________________________
________________________________
b. Have you been criminally charged before any court? 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 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, 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 No
Barangay election)?
If YES, give details:
b. Have you resigned from the government service during the three (3)-month period before the last 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? 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? No
If YES, please specify:
b. Are you a person with disability? No
If YES, please specify ID No:
c. Are you a solo parent? No
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
Hon. CESAR J. ROBLES Panganiban, Catanduanes 4.5 cm. X 3.5 cm
(passport size)

Hon. ARVIN V. ATENCIA Panganiban, Catanduanes

Computer generated
or photocopied picture
ROMEL G. PETAJEN Virac, Catanduanes 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 administrative/criminal case/s against me.

PHOTO

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.: 0292568

Signature (Sign inside the box)

Date/Place of Issuance: PRC LEGASPI

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