CS Form No.

212

PERSONAL DATA SHEET

Revised 2017

WARNING: Any misinterpretation 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 ARAOJO
N/A
FIRST NAME JOSE CARLO

MIDDLE NAME SUDLY

3. DATE OF BIRTH
(mm/dd/yyyy)
10/18/1983 16. CITIZENSHIP
Filipino Dual Citizenship
by birth by naturalization
4. PLACE OF BIRTH ZAMBOANGA CITY If holder of dual citizenship, Pls. indicate country:
please indicate the details.
5. SEX Male Female Philippines

Single Married 17. RESIDENTIAL ADDRESS 034 SUTER

6 CIVIL STATUS
Widowed Separated House/Block/Lot No. Street
SUTERVILLE SUBDIVISION SAN JOSE GUSU
Other/s:
Subdivision/Village Barangay
ZAMBOANGA CITY ZAMBOANGA DEL SUR
7. HEIGHT (m) 1.7 M
City/Municipality Province

8. WEIGHT (kg) 90 KG ZIP CODE 7000

18. PERMANENT ADDRESS 034 SUTER

9. BLOOD TYPE "O"
House/Block/Lot No. Street
SUTERVILLE SUBDIVISION SAN JOSE GUSU
10. GSIS ID NO. N/A
Subdivision/Village Barangay

11. PAG-IBIG ID NO. N/A ZAMBOANGA CITY ZAMBOANGA DEL SUR

City/Municipality Province

12. PHILHEALTH NO. 14-050142633-0 ZIP CODE 7000

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

14. TIN NO. 292-540-954-000 20. MOBILE NO. 09054759289

15. AGENCY EMPLOYEE NO. N/A 21. E-MAIL ADDRESS (if any) jcaraojo69@gmail.com
II. FAMILY BACKGROUND
22. SPOUSE'S SURNAME ARAOJO 23. NAME of CHILDREN (Write full name and list all) DATE OF BIRTH (mm/dd/yyyy)
NAME EXTENSION (JR., SR)
FIRST NAME KRISTINE JESSIE CARLITOS ARAOJO 5/7/2005

MIDDLE NAME SAMSON

OCCUPATION GOVERNMENT EMPLOYEE

EMPLOYER/BUSINESS NAME NATIONAL FOOD AUTHORITY

BUSINESS ADDRESS TIGUMA,PAGADIAN CITY

TELEPHONE NO.

24. FATHER'S SURNAME ARAOJO

NAME EXTENSION (JR., SR)
FIRST NAME DENNIS

MIDDLE NAME FRANCISCO

25. MOTHER'S MAIDEN NAME MARISSA MACAPAGAL SUDLY

SURNAME ARAOJO

FIRST NAME MARISSA

MIDDLE NAME SUDLY (Continue on separate sheet if necessary)

III. EDUCATIONAL BACKGROUND

SCHOLARSHIP/
26. PERIOD OF ATTENDANCE HIGHEST LEVEL/
NAME OF SCHOOL BASIC EDUCATION/DEGREE/COURSE YEAR ACADEMIC
LEVEL UNITS EARNED
(Write in full) (Write in full) GRADUATED HONORS
(if not graduated)
RECEIVED
From To
ELEMENTARY ATENEO DE ZAMBOANGA UNIVERSITY INTERMEDIATE 6/1/1991 3/30/1997 1997

SECONDARY ATENEO DE ZAMBOANGA UNIVERSITY SECONDARY 6/1/1997 3/30/2001 2001

VOCATIONAL /
N/A N/A
TRADE COURSE

COLLEGE ATENEO DE ZAMBOANGA UNIVERSITY BACHELOR OF SCIENCE IN NURSING 6/1/2001 3/30/2005 2005

GRADUATE STUDIES WESTERN MINDANAO STATE UNIVERSITY BACHELOR OF LAWS 6/1/2014 3/30/2018 2018

(Continue on separate sheet if necessary)

SIGNATURE DATE JUNE 30.2022 CS FORM 212 (Revised 2017), Page 1 of 4