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 ZINAMPAN
NAME EXTENSION (JR., SR)
FIRST NAME MA. CECILE N/A
MIDDLE NAME GUIRUELA
3. DATE OF BIRTH
16. CITIZENSHIP
(mm/dd/yyyy) 11/27/1985
✘

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

6 CIVIL STATUS
✘ 17. RESIDENTIAL ADDRESS UNIT 108 0329C ML QUEZON STREET
House/Block/Lot No. Street
LOWER BICUTAN
Subdivision/Village Barangay
7. HEIGHT (m) 1.65 TAGUIG CITY METRO MANILA
City/Municipality Province
8. WEIGHT (kg) 65 ZIP CODE 1632

9. BLOOD TYPE "O"

18. PERMANENT ADDRESS NALICA STREET
House/Block/Lot No. Street

10. GSIS ID NO. N/A SOCRATES ROAD BRGY. SAN PEDRO

Subdivision/Village Barangay

11. PAG-IBIG ID NO. 106000251493 PUERTO PRINCESA CITY PALAWAN

City/Municipality Province

12. PHILHEALTH NO. 03-050515073-9 ZIP CODE 5300

13. SSS NO. 34-0260182-6 19. TELEPHONE NO. N/A

14. TIN NO. 942-259-829 20. MOBILE NO. 09190099410/09205604925

15. AGENCY EMPLOYEE NO. 000-088-079-000 21. E-MAIL ADDRESS (if any) ma.cecileguiruela@yahoo.com/ma.cecileguiruela@gmail.com

II. FAMILY BACKGROUND

22. SPOUSE'S SURNAME ZINAMPAN 23. NAME of CHILDREN (Write full name and list all) DATE OF BIRTH (mm/dd/yyyy)

NAME EXTENSION (JR., SR)

FIRST NAME NOEL N/A
RASCIE JEAN GUIRUELA TORRES 11/15/2005

MIDDLE NAME MACARUBBO ELIANA NOELLE GUIRUELA ZINAMPAN 09/25/2016

OCCUPATION SOLDIER

EMPLOYER/BUSINESS NAME PHILIPPINE MARINE CORPS

BUSINESS ADDRESS
RUDIARDO BROWN BARRACKS, PHILIPPINE MARINE CORPS,
FORT BONIFACIO, TAGUIG CITY
TELEPHONE NO. (02) 894-0133

24. FATHER'S SURNAME GUIRUELA (DECEASED)

NAME EXTENSION (JR., SR)
FIRST NAME EFREN SR

MIDDLE NAME CRUZATA

25. MOTHER'S MAIDEN NAME

SURNAME LLAVAN

FIRST NAME RACHEL

MIDDLE NAME LAGROSA (Continue on separate sheet if necessary)

III. EDUCATIONAL BACKGROUND

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

ELEMENTARY EAST CENTRAL SCHOOL PRIMARY EDUCATION 1992 1998 GRADUATED 1998 N/A
VOCATIONAL
SECONDARY / PALAWAN NATIONAL SCHOOL HIGH SCHOOL 1998 2002 GRADUATED 2002 N/A

N/A
COLLEGE TRADE BACHELOR OF SCIENCE IN ATHLETIC
COURSE RIZAL TECHNOLOGICAL UNIVERSTY 2003 2008 GRADUATED 2008
PHYSICAL EDUCATION SCHOLARSHIP
BACHELOR OF SCIENCE IN
ARAULLO UNIVERSITY 2018 2019 GRADUATED 2019 N/A
CRIMINOLOGY
GRADUATE STUDIES TAGUIG LEAD
PHILIPPINE CHRISTIAN UNIVERSITY MASTER IN MANAGEMENT 2012 2014 GRADUATED 2014
SCHOLARSHIP
DOCTOR OF PHILOSOPHY IN TAGUIG LEAD
PHILIPPINE CHRISTIAN UNIVERSITY 2015 2020 60 UNITS N/A
DEVELOPMENT ADMINISTRATION SCHOLARSHIP
(Continue on separate sheet if necessary)
SIGNATURE DATE
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 6506 (REGISTERED CRIMINOLOGIST) 77.70% 11/29/2019 MANILA 0208265 11/27/2023

RA 1080
78.80% 09/27/2015 MANILA 1431149 11/27/2023
(LICENSED PROFESSIONAL TEACHER)

CAREER SERVICE PROFESSIONAL 82.39% 05/27/2012 QUEZON CITY - NCR N/A N/A

NAPOLCOM SPO EXAMINATION 72.32% 04/29/2012 MANDALUYONG CITY - NCR N/A N/A

NAPOLCOM PO EXAMINATION 76.77% 10/23/2011 MAKATI CITY - NCR N/A N/A

NAPOLCOM PNP ENTRANCE 80.43% 05/31/2009 PUERTO PERINCESA CITY, PALAWAN N/A N/A
(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 SERVICE
28. INCLUSIVE DATES SALARY/ JOB/ PAY
POSITION TITLE DEPARTMENT / AGENCY / OFFICE / COMPANY GRADE (if
(mm/dd/yyyy) STATUS OF
(Write in full/Do not (Write in MONTHLY SALARY applicable)& STEP
APPOINTMENT
(Format "00-0")/
abbreviate) full/Do not abbreviate) INCREMENT
From To (Y/ N)

12/13/2021 PRESENT POLICE LIEUTENANT PHILIPPINE NATIONAL POLICE P49,528.00 22 TEMPORARY Y

1/12/2021 12/12/2021 POLICE MASTER SERGEANT PHILIPPINE NATIONAL POLICE P33,411.00 16 PERMANENT Y

07/31/2018 11/30/2021 POLICE OFFICER 3 PHILIPPINE NATIONAL POLICE P32,114.00 14 PERMANENT Y

11/30/2014 07/30/2018 POLICE OFFICER 2 PHILIPPINE NATIONAL POLICE P16,934.00 12 PERMANENT Y

9/1/2011 11/29/2014 POLICE OFFICER 1 PHILIPPINE NATIONAL POLICE P13,492.00 10 PERMANENT Y

2/1/2010 8/31/2011 POLICE OFFICER 1 PHILIPPINE NATIONAL POLICE P10,808.00 10 TEMPORARY Y

(Continue on separate sheet if necessary)

SIGNATURE DATE
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

THE FRATERNAL ORDER OF EAGLES - PHILIPPINE EAGLES (TFOE - PE) 10/15/2020 PRESENT 17,928 MEMBER/SOCIO-CIVIC ORGANIZATION

(Continue on separate sheet if necessary)

VII. LEARNING AND DEVELOPMENT (L&D) INTERVENTIONS/TRAINING PROGRAMS ATTENDED
(Start from the most recent L&D/training program and include only the relevant L&D/training taken for the last five (5) years for Division Chief/Executive/Managerial positions)
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

NATIONAL POLICE COLLEGE

PUBLIC SAFETY BASIC OFFICERS COURSE 12/21/2021 08/16/2022 750 TECHNICAL
SILANG, CAVITE
REGIONAL TRAINING CENTER
PUBLIC SAFETY JUNIOR LEADERSHIP COURSE 10/12/2020 3/19/2021 720 TECHNICAL
CALABARZON
NATIONAL CAPITAL REGION TRAINING
PUBLIC SAFETY FIELD TRAINING PROGRAM 2/1/2010 03/22/2011 1920 TECHNICAL
SCHOOL

(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 full)
(Write in full)

INTERNATIONAL ASSOCIATION OF
DRIVING MEDALYA SA PAGLILINGKOD LABAN SA KRIMINALIDAD - 3
PHYSICAL EDUCATION AND SPORTS
PCU ALUMNI ASSOCIATION,
PLAYING VOLLEYBALL MEDALYA NG PAGLILINGKOD SA SANTO PAPA - 1
INCORPORATED
PUBLIC SAFETY MUTUAL BENEFIT FUND,
PLAYING FUTSAL/FOOTBALL MEDALYA NG KASANAYAN (PNP EFFICIENCY MEDAL) - 30
INCORPORATED
PUBLIC SAFETY SAVINGS AND LOAN
PLAYING BADMINTON MEDALYA NG PAPURI (COMMENDATION MEDAL) - 30
ASSOCIATION, INCORPORATED
INTERNET SURFING MEDALYA NG KAGALINGAN - 4

MEDALYA NG MABUTING ASAL - 2

MEDALYA NG UGNAYANG PAMPULISYA - 1

MEDALYA NG PAGLILINGKOD SA LUZON - 1

PNP BADGE OF HONOR - 1

LETTER OF COMMENDATION - 2

(Continue on separate sheet if necessary)

SIGNATURE DATE
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? ________________________________
________________________________
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
ROSANNA N SIDOCON GUYAM NA MUNTI, INDANG, CAVITE 09474086012 3.5 cm. X 4.5 cm
(passport size)
ML QUEZON ST., LOWER BICUTAN,
KRISTEN JOY P MOSTER 09432467140 With full and handwritten
TAGUIG CITY name tag and signature over
printed name
MARIA LOURDES CASTILLANO BAGUMBAYAN, TAGUIG CITY 09239561105
Computer generated
42. I declare under oath that I have personally accomplished this Personal Data Sheet which is a true, correct and or photocopied picture
is not acceptable
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: PNP ID

ID/License/Passport No.: 22A1700117

Signature (Sign inside the box)

Date/Place of Issuance: 03/15/2021/QUEZON CITY

Date Accomplished Right Thumbmark

SUBSCRIBED AND SWORN to before me this , affiant exhibiting his/her validly issued government ID as indicated above.

PLTCOL WILMER L PAGADUAN

Person Administering Oath

CS FORM 212 (Revised 2017), Page 4 of 4